Faculty of Humanities
Alliance Manchester Business School
Application to conduct PGR Fieldwork away from the University
This form is issued by Alliance Manchester Business School and should be used to apply to the PGR Committee for approval of any
periods of fieldwork or research that will be conducted away from the University, as defined in the PGR Handbook. All information
contained in this form will be treated as strictly confidential.
Once completed, this form and any supporting documentation should be returned to your divisional Doctoral Programmes Administrator.
SECTION 1:
PERSONAL DETAILS
Surname
ID Number
Forename
Year of Study
Email address
MBS Division
A&F
IMP
MOMS
Programme of
study
PhD
MPhil
MRes
Programme Start
Date
Year of Programme
(1, 2, 3 etc)
Current Programme
End Date
Mode of
Attendance
PMO
Other
Full Time
Are you in receipt of any funding/scholarships from an internal or external
body? Please give details below.
Next of Kin
Part Time
Yes
No
Name
Relationship
You should include the
relationship to you, address
and contact telephone
number of your next of kin.
Address
Telephone
Number
SECTION 2:
PROPOSED FIELDWORK
Commencement Date
Return Date
Please note – if you are requesting to be on fieldwork for more than 6 months you must provide an academic case
outlining justification for the proposed timeframe.
Country of Fieldwork
City/Area of Fieldwork
Nature of Fieldwork
Fieldwork contact address
Please note – if you do not know this information
yet you MUST provide this before leaving for your
fieldwork. You must also input these details
through Student Self-Service with address
category as ‘Placement’
www.portal.manchester.ac.uk
Fieldwork contact telephone
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number
For fieldwork outside of the United Kingdom:
Passport Issuing Country
Passport Expiry Date
If your passport is due to expire whilst you are away on
fieldwork, have you re-applied to the issuing authority?
Yes
No*
N/A
*Please explain why
SECTION 3:
ETHICAL APPROVAL
If your research requires ethical approval you must be granted this prior to the commencement of
your fieldwork. You will not be permitted to undertake fieldwork until ethical clearance has been
granted. Please cross one of the following boxes.
I confirm that I have applied to the School via eProg for ethical approval and it has been
granted
I confirm that I have applied to the School via eProg for ethical approval and I am still awaiting
full ethical clearance
I have not applied to the School for ethical approval*
*Please explain why
SECTION 4:
RISK ASSESSMENT
All students undertaking a period of fieldwork must complete an appropriate risk assessment.
I confirm that I have conducted an appropriate assessment of risks involved.
SECTION 5:
STUDENT DECLARATION
1. I confirm that I have read and understood the School policy on fieldwork and agree to abide
by its terms and conditions;
2. I confirm that the above is an accurate record of my proposed fieldwork and that I have
discussed this with my supervisory team in full;
3. I confirm that I have completed an appropriate risk assessment for my proposed fieldwork;
4. I have attached a full itinerary, timetable of work and approval letter from my sponsor (if
applicable);
5. I confirm that I will contact the School should any of these details change and upon my return
to the University.
SIGNATURES
(please cross box if by email)
DATE
Student
SECTION 6:
SUPERVISOR SUPPORT DECLARATION
A supporting statement below must be provided by the supervisory team explaining how the
proposed fieldwork is suitable for the student’s research.
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We/I confirm that the proposed fieldwork has been carefully planned and that it is in the interests of
the student’s research and training; that the location of the proposed study is suitable; that a suitable
work-plan for the period away from the University has been agreed and that supervisory
arrangements are in place.
SIGNATURES
(please cross box if by email)
DATE
Main Supervisor
SECTION 7:
TO BE COMPLETED ON BEHALF OF THE MBS PGR COMMITTEE
As Chair of the MBS PGR Committee I have considered this application and the decision is to:
APPROVE
REJECT*
*Please comment below, including any conditions attached to the approval, reasons for rejection or
further information required before approval can be granted.
SIGNATURE
(please cross box if by email)
DATE
Signed
Professor Stuart Hyde, Director of Postgraduate Research
PGR OFFICE ONLY
NOTIFICATION SENT
DATE:
BY:
CAMPUS SOLUTIONS UPDATED
DATE:
BY:
Once completed a copy of this signed form, together with the confirmation letter and any supporting
documents, should be kept in the Student File.
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