UCD School of Information and Library Studies Application for the John Dean & Mary Burke Research Scholarship in Information and Library Studies Thanks to the generosity of Mary Burke, SILS staff, and friends of SILS a scholarship is available to fund research students in the UCD School of Information and Library Studies. The selection of recipients will be made on the basis of financial need, quality of research topic, and the demonstrated ability and good character of the recipient. Full name of applicant: _________________________________________ Address: _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ Email: _________________________________________ Telephone no.: _________________________________________ Programme of study: _________________________________________ Date of entry into programme (month/yr): _________________________________ Year of study: 1 2 3 4 5 Other _________ Are you studying: F/T P/T Expected completion date (month/yr): _________________________________ Primary supervisor: _________________________________________ Fee status: EU Non-EU Previous education: Degree Major(s) Date conferred Result Institution Research topic. Please include: Description of the topic, aims and objectives; Description of the relationship of the project to existing research; Research plan, timescale, research methods, and any costs involved; Contribution to the field; and Ethical considerations and implications. Research topic (continued). Personal statement explaining fully the circumstances of financial need. Please indicate all financial outgoings for the period for which the scholarship is sought. Period from: __________ to: __________. Please add additional costs in the space provided. Outgoing University fees Rent / mortgage Utilities (electricity, gas, oil) Other bills (broadband, telephone, cable TV, television licence, etc) Food Other household (laundry etc) Clothing Medical / Health Car insurance, road tax, NCT, and running costs Other Travel / Transport Course books Other costs relating to study / research. Please specify: Recreation / Entertainment Other: please specify Other: please specify Other: please specify Other: please specify € per month Please indicate all sources of financial income for the period for which the scholarship is sought. Period from: __________ to: __________. Please add additional costs in the space provided. Income € per month Family contribution Loan from bank / building society / credit union Other loan. Please specify: Local authority grant Other grant. Please specify: Other scholarship. Please specify: Savings P/T work in UCD SILS. Please specify: Other P/T work. Please specify: Other: please specify Other: please specify Do you have any outstanding debts (including credit cards, bank loans, and previous student loans in Ireland or elsewhere)? Yes No If yes, please give details: _______________________________________________ ____________________________________________________________________ ____________________________________________________________________ If the degree is not completed by the end of the scholarship period, how do you intend to meet the cost of university fees and support yourself financially over the remaining period? ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ Additional information (please use this space if you had insufficient space in any section above): Applicant Pledge: I pledge that if awarded a scholarship I will acknowledge the scholarship fund at the UCD School of Information and Library Studies in my dissertation and all publications or presentations based on my dissertation research. I also understand that if a scholarship is awarded it is done so with the expectation that I will complete my degree at UCD School of Information and Library Studies. Signature of applicant: Date: Please provide one letter of recommendation. This should focus on the research competencies and character of the applicant. This completed application form, along with the sealed letter of recommendation, should be submitted to: Professor Diane H. Sonnenwald, School of Information and Library Studies, University College Dublin, Belfield, Dublin 4, Ireland. Please note that all personal and financial information will be dealt with in the strictest confidence and used only for the purpose of reviewing the application to the scholarship fund.