School of History HONOURS DISSERTATION APPLICATION FORM (HI4999 or ME4998) Students who wish to choose HI4998 or HI4997 do not need to complete this form Please submit this form to the appropriate degree programme office for the attention of the Chair of the degree programme by Monday 27 April 2015. Your Degree programme (please indicate) Name (please print clearly) History (Single Honours) Mediaeval History (Single or Joint Honours) Matriculation no. Modern History (Single or Joint Honours) Scottish History (Single or Joint Honours) E-mail address Middle East Studies (Joint Honours) @st-andrews.ac.uk Mediaeval History and Archaeology ∞ Mediaeval Studies (Single Honours) BA (International Honours) History ∞ ME4998 is available only to students whose degree intention is Mediaeval History and Archaeology (who must take the module). Before completing this application form, you must familiarise yourselves with the Guidelines for the Honours Dissertation in History, and the requirements of your degree in the Undergraduate Course Catalogue: http://www.st-andrews.ac.uk/history/infoug/dissertationguidelines.html http://www.st-andrews.ac.uk/coursecatalogue/ug/ You are strongly advised to discuss your proposed dissertation topic with a member of staff specialising in the area concerned or, in the first instance, with the Honours Adviser. For a list for potential supervisors, please see the following links: Mediaeval topics: http://www.st-andrews.ac.uk/history/infoug/dissertationMEsupervisors.html Modern topics: http://www.st-andrews.ac.uk/history/infoug/dissertationMOsupervisors.html Area of proposed dissertation topic Abstract of proposed dissertation topic (max. 300 words) Indicative preliminary bibliography (min. 8 items) Dissertation plans discussed with the following member(s) of staff (NB. This will not necessarily be your supervisor) Date Signature of applicant To be completed by the Chair of the degree programme Topic of planned dissertation approved: Short title: Name of supervisor: Date: Signature of Chair of the degree programme: Module Code √ HI4999 ME4998