Academic Reading 2015/16
Application for funding from the Doctoral Skills Development Programme
(For UCL Research Students Only)
INSTRUCTIONS:  Enrol for your chosen course with CLIE  Complete this funding form as fully as possible.  Get it signed by your supervisor.  Submit this form to the UCL Doctoral Skills Development Programme for funding (see address below)  Once your funding has been approved, your signed form will be sent to CLIE who will be able to confirm and finalise your enrolment. UCL Doctoral Skills Development Programme 2nd Floor HR Reception Bidborough House, 38 ‐ 50 Bidborough Street London, WC1H 9BT A. Personal Details (BLOCK CAPITALS) Title: Dr / Mr / Mrs / Miss / Ms First Name: Mother Tongue: UCL Department: Home  Mobile  Family Name Work  Email  B. Please tick all categories that apply to you: MPhil PhD Full‐Time Year Registered: Year Completing: Thesis Topic: Part‐Time Other C. Course applied for:
Academic Reading
Terms 1 & 2: £475
Term 3: £120 (subject to availability)
French
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German
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Italian
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Terms 1 & 2 (October 2015-March 2016)
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Term 3
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D. Term applied for:
(April-May 2016)
1
E. To be completed by the UCL research student If you have been funded for a language course previously, please give course title and year: Please state below how this course is relevant to your research and justify the numbers of terms requested: I hereby apply for funding from the Doctoral Skills Development Programme for the above course. I understand that, if funded, I am committing myself to attend regularly and to complete the course. If I am unable to complete the course due to circumstances beyond my control, I shall immediately inform the Doctoral Skills Development Programme Manager. Student’s signature: Date:
F. To be completed by the student's supervisor Name of Supervisor (Capitals): UCL Department: Ext.  Email  Please indicate the extent of your support for this application. I consider that the above named applicant’s attendance on this course is, for the completion of his/her PhD: Not necessary Essential 1 2 3 4 5 I accept that in the event of poor attendance this department may be asked to refund the course fees. Supervisor’s Signature: Date: G. To be completed by the Doctoral Skills Development Programme Manager I agree to fund this postgraduate student for the course indicated above. Doctoral Skills Development Programme Manager signature: Date: 2