Thesis Completion Hardship Fund Application Form The Thesis Completion Hardship Fund provides funding to students who are experiencing unforeseen exceptional circumstances which would prevent thesis submission within their registration period. Students are eligible to submit an application for funding within the final 12 months of registration only. Payments from the Fund will cover a maximum period of three months with the level of funding being up to half of the research council stipend rate (£586 per month for 2015/16). Applications are considered on a quarterly basis on the basis of need. All information (completed application form, evidence, statement from supervisor and Director of Graduate Studies approval) must be submitted to the Graduate School by the advertised deadline in order for applications to be considered. Any applications received after the deadline will be deferred to the next quarter. The deadlines for consideration of applications are: 30 September, decisions communicated in October 31 December, decisions communicated in January 31 March, decisions communicated in April 30 June, decisions communicated in July Applications should be submitted to the Graduate School via graduateschool@warwick.ac.uk or Graduate School, Senate House, University of Warwick, Coventry, CV4 7AL. Section 1: Your personal details Please carefully complete your personal details in the section below. It is important that you complete this information as accurately as possible in order that your record can be correctly identified. Surname: Click here to enter text. Student number: Click Course: Click here to enter text. here to enter text. Date of end of registration: Click First name: Click here to enter text. Date of birth: Click Department: Click here to enter text. here to enter text. here to enter text. Section 2: Details of your application Please explain in detail the full reasons for submitting an application to the Thesis Completion Hardship Fund. This should include: - details of unforeseen/exceptional circumstances which will prevent you from submitting your thesis within your registration period together with supporting evidence; details of sources of funding for the full duration of your registration e.g. self-funded, scholarship, Research Council funding. If multiple please provide full details and relevant dates; amount of funding requested, noting that this is limited to half of the research council stipend rate for a maximum of three months; completion plan, outlining how you intend to schedule your work to ensure completion by your end of registration and how receipt of hardship funding would assist this. Please continue overleaf/on a separate sheet if necessary. Click here to enter text. Section 3: Declaration Once you have completed the form, please review the information submitted carefully and sign below. If you are submitting this form electronically, please type your name below. Evidence should be provided in support of all applications – for examples of the type of evidence required please see the ‘supporting documentation’ column of the table available at: https://www2.warwick.ac.uk/services/aro/dar/quality/categories/examinations/policies/u_mitigatingcircumstances/. You should then submit the form and supporting evidence to your supervisor and Director of Graduate Studies for completion of Sections 4 and 5 The request will be considered by your department and if supported will be passed to the Graduate School for consideration. You may wish to retain a copy of this form before handing it in, for your records. I declare that the above information is factually correct and that I have read the guidance provided. Signature: Click here to enter text. Date: Click here to enter text. Section 4: Supervisor Statement Please provide a statement below, or in an attached document in relation to your student’s application, including an assessment of the feasibility of the proposed completion plan. Click here to enter text. Name: Click here to enter text. Contact number: Click here to enter text. Signature: Click here to enter text. Date: Click here to enter text. Section 5: Director of Graduate Studies Support Only to be completed by the Director of Graduate Studies. Please note that departmental support does not guarantee a successful application. I confirm that I support the above-named student’s application to access funding via the Thesis Completion Hardship Fund Name: Click here to enter text. Contact number: Click here to enter text. Signature: Click here to enter text. Date: Click here to enter text.