Faculty of Humanities School of Environment, Education and Development PGR FIELDWORK APPROVAL FORM This form is issued by the School of Environment, Education and Development and should be used to apply to the PGR Committee for approval of any periods of fieldwork or research that will be conducted away from the University, as defined in the PGR Handbook. All information contained in this form will be treated as strictly confidential. You must read the School’s policy and guidance on PGR fieldwork approval prior to completing this form. Once completed, this form and any supporting documentation should be returned to your School Administrator, via the relevant PGR Office, pgr-seed@manchester.ac.uk SECTION 1: CANDIDATE DETAILS Surname ID Number Forename Year of Study Full Time Architecture Geography IDPM Planning Part Time Supervisory Team Next of Kin You should include the relationship to you, address and contact telephone number of your next of kin. SECTION 2: PROPOSED FIELDWORK Commencement Date dd/mm/yyyy Return Date dd/mm/yyyy Please note – if you are requesting to be on fieldwork for more than 6 months you must provide an academic case outlining justification for the proposed timeframe. Country of Fieldwork City/Area of Fieldwork Nature of Fieldwork Fieldwork contact address Please note – if you do not know this information yet you MUST provide this before leaving for your fieldwork. You must also input these details through Student Self-Service with address category as ‘Placement’ www.portal.manchester.ac.uk Fieldwork contact telephone number For fieldwork outside of the United Kingdom: Passport Issuing Country Passport Expiry Date 1 of 3 If your passport is due to expire whilst you are away on fieldwork, have you re-applied to the issuing authority? Yes No* *Please explain why SECTION 3: ETHICAL APPROVAL If your research requires ethical approval you must be granted this prior to the commencement of your fieldwork. You will not be permitted to undertake fieldwork until ethical clearance has been granted. Please cross one of the following boxes. I confirm that I have applied to the School for ethical approval and it has been granted (please provide email or letter confirming this from SEAG/UREC) I confirm that I have applied to the School for ethical approval and I am still awaiting full ethical clearance I have not applied to the School for ethical approval* *Please explain why SECTION 4: RISK ASSESSMENT All students undertaking a period of fieldwork must complete an appropriate risk assessment and this must be submitted with this form. Please cross one of the following boxes. I confirm that the fieldwork conforms with the School Generic Risk Assessment for off-campus working in the UK and attach a full itinerary I confirm that the fieldwork conforms with the School Generic Risk Assessment for off-campus working overseas and attach a full itinerary I have completed a Full Risk Assessment for my research and have attached a full itinerary SECTION 5: FUNDING/SPONSORSHIP Record any scholarships and/or funding sources you are in receipt of below. If you are sponsored by an external organisation it is your responsibility to inform them and gain approval for your proposed period of fieldwork. A letter confirming approval should be submitted with this form. SECTION 6: STUDENT DECLARATION 1. I confirm that I have read and understood the School policy on fieldwork and agree to abide by its terms and conditions; 2. I confirm that the above is an accurate record of my proposed fieldwork and that I have discussed this with my supervisory team in full; 3. I confirm that I have completed an appropriate risk assessment for my proposed fieldwork and will submit it with this form; 4. I have attached a full itinerary, timetable of work and approval letter from my sponsor (if applicable); 5. I confirm that I will contact the School should any of these details change and upon my return to the University. SIGNATURES (if by email please tick box) Date Student 2 of 3 SECTION 7: SUPERVISOR SUPPORT A supporting statement below must be provided by the supervisory team explaining how the fieldwork meets the conditions laid out in schedule 6.2 (a-d) of the School PGR Handbook. We/I confirm that the proposed fieldwork has been carefully planned and that it is in the interests of the student’s research and training; that the location of the proposed study is suitable; that a suitable work-plan for the period away from the University has been agreed and that supervisory arrangements are in place. SIGNATURES (if by email please tick box) Date Main Supervisor Co Supervisor TO BE COMPLETED ON BEHALF OF THE PGR COMMITTEE APPROVE APPROVE IN PRINCIPLE* REJECT* REQUEST INFORMATION* *Please comment below, including any conditions attached to the approval, reasons for rejection or the further information required. SIGNATURE (please cross box if by email) DATE Name Position PGR OFFICE ONLY NOTIFICATION SENT DATE: CAMPUS SOLUTIONS UPDATED DATE: BY: BY: 3 of 3