Kirkbright Bursary Award: Application Form.
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:………………………
******************
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:…………………………….
******************
Where (which journal) did you see the advertisement for the bursary? ……………………………………………………………
******************
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):