Fiosraigh Scholarship Programme Dean of Graduate Students Award Application Form Prior to completing the form Read the Terms & Conditions of the Fiosraigh Programme available at http://www.dit.ie/researchandenterprise/graduateresearchschool/phdopportunities/fiosrai gh/ All fields are mandatory. Complete using Calibri 11 point font and not less than single spacing. Keep within maximum word count. email complete and signed form in PDF format to graduateresearchschool@dit.ie by 12 noon, Monday, 15th December 2014. Title of the Project Name of the Applicant Dean Of Graduate Students Award 1|P a g e 1. Applicant Details [30 marks] 1.1 General Details First Name Surname Permanent Address Contact Address (if different) Telephone Email Address Nationality Gender Referee Please provide details (name, position, phone number and email address) of one academic referee 1.2 Highest Qualification Name of College/University Dates Attended From/To Final Year Subjects Title of Highest Degree Obtained E.g. MSc in Chemical Engineering Grade of Award E.g. 1.1, 2.1, 2.2 etc. Date of Conferral Dean Of Graduate Students Award 2|P a g e 1.3 Other Qualifications Please provide details of all other qualifications (e.g. BSc, Certificates, Awards). International students whose native language is not English must provide proof of English proficiency. Name of College/University Dates Attended From/To Final Year Subjects Title of Highest Degree Obtained E.g. MSc in Chemical Engineering Grade of Award E.g. 1.1, 2.1, 2.2 etc. Date of Conferral Name of College/University Dates Attended From/To Final Year Subjects Title of Highest Degree Obtained E.g. MSc in Chemical Engineering Grade of Award E.g. 1.1, 2.1, 2.2 etc. Date of Conferral English Proficiency ( for International Students only) Name of English Examination Test E.g. IELTS Grade Obtained Date 1.4 Research/Work Experience Please give details of any research or work experience relevant to the project proposal. Dean Of Graduate Students Award 3|P a g e 2. Proposed Project Details [30 marks] 2.1 Proposed Lead Supervisor Lead Supervisor Name Email 2.2 Proposed Second Supervisor (if applicable) If deemed appropriate, applicants may add a second supervisor to their application. Sceond Supervisor Name Email 2.3 Project Proposal Research Centre/Institute (if applicable) Project Title: Area Please tick one area that best fits your research project. Environment, Energy & Health Information, Communications & Media Technologies New Materials & Devices Society, Culture & Enterprise Project Abstract Max 200 words: The abstract should at a glance, provide the reader with a clear understanding of the objectives of the proposal and how they will be achieved. This summary will be used as the short description of the proposal in the evaluation process and in communications to peer reviewers and other interested parties. It must therefore be short and precise and should not contain confidential information. Research Question: Max 50 words: Identify the research problem/question. Detailed Project Description Max 1500 words: please provide a detailed description of your project proposal outlining the Dean Of Graduate Students Award 4|P a g e objectives of the project, the methodology required, the work programme and the schedule/timeline envisaged. Please ensure to outline how the proposed project will make a significant contribution to knowledge, underpinned by rigorous processes of discovery and critical enquiry. Please use graphs and other illustrative aids as deemed appropriate. 3. Alignment with National Research Priority Areas and/or DIT’s Research Action Plan [25 marks] Max 500 words: Please outline how the project is in line with Ireland’s Priority Areas for Research and DIT’s Research Action Plan. 4. Dissemination Plans and Impact [15 marks] Max 500 words: Please outline how result s of the project will be disseminated and the potential impact of the research nationally and internationally. 5. Applicant Declaration I declare that the information provided by me in this application is true to the best of my knowledge and judgement. ________________________________________ Applicant Signature 5. Lead Supervisor Declaration I declare that, on behalf of the supervisors listed above, I fully support the above applicant and agree that, if selected for this award, I/we will act as supervisor(s) to him/her during the period of the research, in accordance with the Regulations for Postgraduate Study by Research. ________________________________________ Lead Supervisor Signature Dean Of Graduate Students Award 5|P a g e