Scholarship Application Form (opens in a new window)

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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.
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