APPLICATION FOR PHD SCHOLARSHIP 2016-17 Please return fully completed application form via email to: economics@ucd.ie, or in person to the School of Economics, John Henry Newman Building, University College Dublin, Belfield, Dublin 4. Applicants must fill in all the information requested; incomplete forms will be returned. If you have any questions please phone 01 716 8272 or email economics@ucd.ie for assistance. PERSONAL DETAILS Name: E-Mail: Contact address: Home Phone: Mobile Phone: UCD Student No (if applicable): Nationality: ACADEMIC QUALIFICATIONS PRIMARY DEGREE Degree type (BA, BSoc etc): Discipline and area: University: Date completed: Grade (e.g.First Class honours, 2.1 honours, GPA, etc.): Subjects taken (e.g. Economics, History, Politics, Philosophy, Sociology, etc): Principal courses or areas of study POSTGRADUATE DEGREE Degree type (Masters, PhD etc): Discipline and area: University: Date started: Date of completion: Grade (e.g. 2.1, 2.2 honours, GPA, etc.): Thesis title (if applicable): CURRENT PROGRAMME AT UCD SCHOOL OF ECONOMICS (IF APPLICABLE) (For which UCD School of Economics graduate programme are you enrolled/accepted?) Degree type (Masters, PhD etc): Discipline and area: Starting date: Thesis title (if applicable): Expected date of completion: CURRENT RESEARCH INTERESTS (please give details) Please indicate the area(s) of economics, in order of importance, to which your project relates: Name of your supervisor/expected supervisor in School of Economics: Please attach a one-page summary of your current PhD proposal AWARDS (please indicate dates and details) PUBLICATIONS AND CONFERENCE PAPERS (please indicate dates and details; please do not list more than three) OTHER RELEVANT EXPERIENCE (please indicate dates and details) REFERENCES (Please give the name and contact details of two people who know you and your work, and are willing to write a reference. If you are an existing or accepted PhD student, one of these should be your supervisor) Referee 1: Referee 2: TEACHING EXPERIENCE (please include dates and details) OTHER FUNDING FOR 2016-2017 Are you in receipt of other funding (grant, scholarship, etc): Yes No If ‘Yes’ please give details: DECLARATION BY APPLICANT I acknowledge that the particulars given in this application are in every respect true. Candidate’s signature: Date: (a typed or image-based signature is accepted) Completed Application Forms must be accompanied by the following: an up to date curriculum vitae certified academic transcripts (if this has not already been submitted as part of the application to School of Economics) A one-page outline of your current proposal.