University Department of Rural Health (UDRH) GRADUATE RESEARCH WRITE UP SCHOLARSHIP This scholarship supports graduate research students writing up their research for publications after they have submitted their thesis for external examination. Please refer to Graduate Research Guidelines before completing this application. Email your complete application to Dr Quynh Lê at Email: Quynh.Le@utas.edu.au APPLICANT DETAILS Name: ………………………………………………………………… Date of Application: ……………………………………………. Student ID: ………………………………………………………… Title of Thesis: ………………………………………………………………………………………………………………………….. Thesis Supervisor(s) at UDRH: ………………………………………………………………………………………………….. …………………………………………………………………………………………………………………………………………………. Date of Thesis Submission: ……………………………… Proposed date for commencement of Write-Up Scholarship: …………………………………………………… Number of weeks dedicated to Write-Up Scholarship: …………………………………………………………… APPLICATION DETAILS 1- Describe the precise nature of the proposed write-up (i.e. what aspects of your thesis will you be writing up, how many papers for publication are proposed, to which peer-reviewed journals do you propose to submit these papers, will they be single or jointly authored [if joint, with whom]?) 2- Explain how long (in days) you expect to devote to the various aspects of the write-up proposed (i.e. Task 1 will take 10 days, Task 2 will take 17 days, and so on). Activities Deliverables Duration (days) Milestones Declaration by Student I, ………………………………….., declare that all the above information is true to the best of my knowledge and that, if I am awarded a Write-Up Scholarship, I shall abide by all the conditions laid down. I have read and accept the terms and conditions of the Write-up Scholarship guidelines. I understand the following conditions and agree to adhere to them if I am awarded a Write-Up Scholarship. The award holder: must be prepared and able to work fulltime (nominally 38 hours per week) to produce the agreed outputs. will advise the Graduate Research Coordinator if they are unable to devote the agreed time to the purpose of the scholarship (in which case, the scholarship may be suspended for an agreed period. may not simultaneously receive any other scholarships/bursaries. may not undertake any paid employment that exceeds one working day (i.e., 8 hours) a week during the agreed term of their scholarships. will have their scholarship terminated immediately if they are found to be in breach of any of these conditions and will be required to pay back the previous month’s allowance. will submit a six weekly progress report to the Graduate Research Coordinator. Agrees to submit a final report within 2 weeks of completion of the award. Signed: ………………………………………………………. Applicant name: ………………………………………… Date: …………………………………………………………. Declaration by UDRH Supervisor I have read the guidelines and support this application for a Write-up Scholarship. This support is detailed in the attached statement. I am prepared to oversee the write-up of the results stated within the time period requested. Signed: ………………………………………………………….. Supervisor’s name: ……………………………………….. Date:……………………………………………………………… CHECKLIST 12345678- I have read the Write-up Scholarship guidelines. I have completed all requirements of the application. I have discussed with my supervisors. I have provided project plan for the Write-up Scholarship opportunities. I have attached my current candidature information. I have signed the application. My supervisor has signed the application. My supervisor has provided a statement of support. 3