REGISTRATION APPLICATION FORM
SOCIAL SCIENCES RESEARCH CENTRE
Please complete this form as thoroughly as possible, so that the SSRC is able to
present as full a picture as possible of research in the social sciences at NUI, Galway.
Attach extra pages if necessary.
Name:
Department:
Academic Qualifications:
Email address:
Membership of Professional Associations:
Current Research Projects in the Social Sciences:
(Please give a brief statement, suitable for a directory entry)
List of Publications in the Social Sciences:
Unpublished Research Work:
(Please list any unpublished work that you have completed in the Social Sciences)
I wish to register as a member of the SSRC.
Signed: _______________________________
Date: ____________
Completed form should be sent to: The Secretary, SSRC, St Declan’s, Distillery
Road, NUI Galway.