UCD Social Science
Research Centre
Room 521 Library Bldg
PhD Student Place 2010-11
Application Form
CLOSING DATE: FRIDAY 17 SEPTEMBER 2010
Incomplete or late applications will not be accepted
Applications to be submitted to:
Professor Robert van Krieken
<robert.vankrieken@ucd.ie>
1. PERSONAL DETAILS
Family Name:
Other Names:
Contact Address:
Title:
Student No:
Mobile phone No:
Email:
2. CURRENT ENROLMENT
School:
Degree:
Attendance:
Full-time or Part-time
Number of full-time semesters you have been enrolled in your PhD:
___________semesters since___________________ month/year
Anticipated submission date:__________ Enrolment Status:
Enrolled? Yes/No Fees paid?: Yes/No
Scholarships held (IRCHSS, Ad Astra, etc.):
Name of your supervisor:
3. RELATION TO THE SSRC
1. Apart from the provision of study space, how do you anticipate that being located in the
SSRC will benefit your research?
2. What specific contribution do you think you will make to the activities of the SSRC?
2
4. SUPERVISOR’S SUPPORT
A statement in support of applications for PhD study space in the SSRC is required from the
applicant’s supervisor.
I support this application for PhD study space in the SSRC for the following reasons:
Signature of supervisor__________________________________ Date:________________
5. APPLICANT’S SIGNATURE
I declare that the information provided by me in this application is complete, true and correct,
that I have read the SSRC PhD Study Space Policy document, and that I accept its terms and
conditions.
Signature of applicant___________________________________ Date:________________