Click here to download form as a pdf document.

When completed the form should be submitted along with a CV (and conference abstract, if relevant) in an email attachment to: abstrust.kirkbright@gmail.com

If you plan to submit an application, it would be helpful to email this intent to: abstrustuk@gmail.com

Note: The closing date for a submission is 30th November of the preceding year (e.g. for the 2019 Award, it would be 30th November 2018).

Kirkbright Bursary Award Application Form

(Excluding such as career/maternity breaks, post-doc or similar, applicants should be within five years of achieving their PhD qualification).

Please also supply an up-to-date CV along with the application form.

Year applying for (e.g., 201x): .................. 

Full name: ……………………………………………………………………………..

Title (e.g. Dr, Mr, Mrs):…………

Status (e.g. undergrad, PhD student, Post Doc): …………

Affiliation:………………………………………………………………………..

Affiliation address:……………………………………………………………..

……………………………………………………………………………………

……………………………………………………………………………………

……………………..Post/Zip Code:…………………….Country:……………….

Age:…………………………………….Date of birth: (Day/Month/Year)…………..

Phone No.:…………………………..Fax No.: ……………………

email:………………………

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Supervisor details (your supervisor will be contacted after your application is received to receive his/her input and recommendation): 

Title/name/affiliation:…………………………………………………………………………………………………………………………………………………………

Contact details: Fax No.:……………………email:…………………………….

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Where (which journal) did you see the advertisement for the bursary? ……………………………………………………………

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Bursary purpose:

I wish to apply for a Kirkbright Bursary in order to? (Please state reason and give meeting title/location, etc, e.g. attend a meeting, give a presentation at a meeting, visit a place of learning): ……………………………………………………………………..…………………

………………………………………………………………………………………..

If presenting a paper or poster at a meeting, please attach a copy of the abstract or insert it below.

If the bursary is required for some other purpose, please describe the purpose briefly in a few sentences (300-500 words maximum):