FORM R1 (PD)
APPLICATION TO REGISTER FOR A PROFESSIONAL DOCTORATE AWARD
PLEASE USE ARIEL 12 FONT. Diagrams, tables, references and other supporting
information may be appended to section 3B of this document. The substance of
the application must however be contained within the word lengths provided in
Form R1 (PD) itself.
Consult the booklet “Guidance on Submitting a Proposal for Registration for the
Degree of Master of Philosophy OR Doctor of Philosophy”
http://www.bolton.ac.uk/Quality/QAEContents/ResearchDegreesAndStudents/Documents/PDF/R1Guidancesubmitting%20propp.pdf
and notes
http://www.bolton.ac.uk/Quality/QAEContents/ResearchDegreesAndStudents/Documents/PDF/GuidanceonApp2Register.pdf
“Registration for a Research Degree (Procedures and Notes for Guidance”) before
completion.
SECTION 1 – APPLICANT DETAILS
SURNAME
(Family Name)
FORENAMES
DATE OF BIRTH
TITLE
PRIVATE ADDRESS
ACADEMIC
QUALIFICATIONS
Qualifications gained (include place(s) of higher
education, courses completed, main subjects,
classification of award, date and name of awarding body)
PROFESSIONAL
QUALIFICATION
TARGET DEGREE
DBA (Doctor of Business Administration)
SCHOOL/CENTRE
REGISTRATION MODE
Form R1 (PD)
Full Time
Part Time
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Section 1 continued
PROFESSIONAL
TRAINING AND
EXPERIENCE
To include details of activities (with dates) relevant to this
application, and of any research or other relevant papers,
books, etc. which have been published
PRESENT POSITION
AND ROLE
To include starting date
EMPLOYER’S NAME
AND ADDRESS
CONFIRMATION OF
SUPPORT AND ETHICAL
CONSIDERATION FROM
EMPLOYER
Please attach written confirmation
CONFIRMATION OF
ETHICAL
CONSIDERATION BY
APPLICANT
Please attach a completed Research Ethics Checklist
(Form RE1)
SCHOLARSHIP OR
OTHER AWARD
Particulars of any scholarship or other award held in
connection with the proposed research programme
Form R1 (PD)
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SECTION 2 – PROGRAMME OF STUDY
SECTION 2A: Modules taken
Module
Code
Title
Semester/Year
(e.g. S1 2007/08)
Mark
Total credit value of modules passed
SECTION 2B: Title of the proposed investigation
SECTION 2C: Aims of the investigation
Form R1 (PD)
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SECTION 3 – PROPOSED PLAN OF WORK
Proposed plan of work, including its relationship to previous work, with references, and
its intended outcomes. State clearly the original contribution to the subject which will be
made (see Sections 3 and 7.3 of the Professional Doctorates Framework.
SECTION 3A – Description of previous work (not to exceed 1000 words)
SECTION 3B – Proposed work (not to exceed 3000 words)
SECTION 3C – Contribution to knowledge
Summarise clearly and succinctly the contribution to knowledge to be made by this
research
Form R1 (PD)
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SECTION 4 – FACILITIES
Details of required and available facilities including funding and location
SECTION 5 – RELATED STUDIES
Details of programme of related studies to be undertaken (e.g. taught courses,
conferences, seminars, workshops, and training (research and subject specific) to be
attended)
SECTION 6 – PERIOD OF STUDY (see Section 5.3 of the Professional Doctorates
Framework)
Expected starting date for registration purposes
Amount of time (hours per week average) allowed for
programme
Expected duration of programme on the above basis
SECTION 7 – STATEMENT BY THE APPLICANT
I wish to apply for registration for the degree of
on the basis of the proposal given in this application.
(insert award title)
I confirm that the particulars given in Section 1 are correct.
I understand that except with the specific permission of the Board of Studies for
Research Degrees, I must prepare and defend my written work in English.
Signed:
Form R1 (PD)
Date:
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SECTION 8 – SUPERVISION (see Section 7.3.2 of the Professional Doctorates
Framework)
Section 8 onwards to be completed by the School/Centre on behalf of the applicant
SECTION 8.1 – Director of Studies (First supervisor) (include name, qualifications,
post held and place of work)
Name
Qualification
Post Held
Place of work
Masters
Currently supervising
Previously supervised to
successful completion
Doctorates
MPhil
DPhD
UK research degree candidates
UK research degree candidates
SECTION 8.2 – Second Supervisor(s) (include name, qualifications, post held and
place of work)
Name
Qualification
Post Held
Place of work
Masters
Currently supervising
Previously supervised to
successful completion
Doctorates
MPhil
DPhD
UK research degree candidates
UK research degree candidates
SECTION 8.3 – Details of any other person(s) who will act in an advisory capacity
(name, qualifications, post held and place of employment)
Name
Qualification
Post Held
Place of work
Form R1 (PD)
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SECTION 9 – RECOMMENDATION BY THE SUPERVISORS
We support this application and believe that (name of applicant)
has the potential to complete successfully the programme of work proposed.
We recommend that this applicant be registered as a candidate for the research
degree of (insert award title)
Signed
Date
Signed
Date
Signed
Date
SECTION 10:
CONFIRMATION OF SUPPORT BY SCHOOL/CENTRE AND
RESEARCH TEAM
It is the responsibility of School/Centre and Research Teams to ensure that all
registration proposals are considered by them before submission to the Secretary for
the Board of Studies for Research Degrees. In particular, signatories should satisfy
themselves that:
I. there are appropriate facilities in place and adequate funding to
support the proposed research project for its duration;
II. the proposed arrangements for supervision, research training etc. are
commensurate with the University Regulations and Procedures;
III. the proposed programme of work is of an appropriate standard for the
award for which it is submitted and is in accordance with the
School/Centre/Research Team Plan.
Signed
Head of School/Centre
Date
Signed
Research Team Leader/Co-ordinator
Date
L:\AQAS\Contensis Documents\Research Staff and Students\Proforma R1 (PD) Prof Doctorate.doc
Form R1 (PD)
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