PhD in Work Bursary Application Form

Details of Proposed Research Department
University/Institution
Department
Address Line 1
Address Line 2
Address Line 3
City
County
Country
Postcode
E-mail address (Admin)
Supervisor's Name
Supervisor's Job Title
Supervisor's telephone No
Supervisor's Email
Included Yes/No Reason if answer is No
1. A full CV
2. A letter from the Institution at which the applicant wishes to study confirming acceptance, subject
to fees and support for the project.
3. A short CV and letter of support from the applicant's proposed supervisor(s).
4. A letter from the applicant's line manager confirming support for the application and project.
5. A work plan describing how employment and study will be combined.
Equality and Diversity Monitoring Form