RESEARCH REGISTRATION APPLICATION FORM (NOVEMBER 2012)
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NOTE: A printed version of page 1 of this Application/Registration Form is available
from the Admissions Office or from the School of Graduate Studies Office,
Administration Building, CIT Bishopstown Campus.
RESEARCH REGISTRATION APPLICATION FORM (NOVEMBER 2012)
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This form should be completed electronically and the completed form e-mailed to the Dean of Graduate Studies at
Cork Institute of Technology under the address: graduate.school@cit.ie . However, pages 1 and 7 must be signed
and submitted in hard-copy. A checklist of any required supplementary documentation can be found in Section 12
of this form.
The symbol  indicates additional documentation to be submitted together with this application.
1.
Name of Applicant
Surname:
Forename:
2.
QQI Applicants
3.
Academic Department
4.
Main Location of Research
Title:
MRA Number:
CIT
Other Research Institution
Work-Place
Name of other research institution or workplace
5.
Title of Proposed Research Degree Programme
5.1
Fields of Education Classification (CSO)1
Level 1
5.2
1
Level 2
Level 3
Summary of Proposed Programme of Research (Max 200 words)
A guide to CSO classifications can be found at http://www.cso.ie/surveysandmethodoligies/classifications_fields_Ed.htm
RESEARCH REGISTRATION APPLICATION FORM (NOVEMBER 2012)
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5.3
Generic Skills and Specialist Courses Provided
This section, or the applicant’s Personal Development Plan (if available), should list any taught modules or other
training that will be provided to the applicant. Under Status, indicate M (mandatory) or E (Elective).
Title of Module
Status
No. Credits
OR Personal Development Plan (PDP) appended
5.4
Applicants for Direct Entry onto the Doctoral Register2
Title of qualifying master’s level research programme (where applicable)
Dates
5.5
Award Title
Institution
Department
Principal Supervisor
Structured PhD
Please indicate if you are to be enrolled in a named structured PhD programme
Ed4Life
INSPIRE
Other (please give name):
6.
Further Information about Candidate’s Qualifications and Experience
6.1
Third Level Education
Name of
Institutions
Awarding
Body
Years of Study
(from – to)
Award
Title
Award
Classification
Date
Conferred
Applicants on “doctoral-track” programmes are encouraged to seek registration on the masters register in the first instance and
then apply for transfer normally within 12 months after admission to the masters register. Direct applications for registration onto
the doctoral register may be accepted where the applicant is very well qualified to undertake the research. In such cases, the
applicant will be admitted for a probationary period following which they will undergo a confirmatory process equivalent to the
transfer process for those seeking to transfer from the masters register.
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RESEARCH REGISTRATION APPLICATION FORM (NOVEMBER 2012)
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6.1.1
Verification of Qualifications
Holders of Irish Awards
 Transcript of results has been submitted with application form
Holders of non-Irish
Awards
 Non-Irish degrees have been verified to be equivalent to Irish
degrees for meeting entry requirements
 Original transcript of results has been submitted with application
 Notarised translation of results has been submitted with application
form where original language is not English
6.1.2
Qualifying Examinations / Recognition of Prior Learning [WHERE APPLICABLE]
Where part or all of the qualifications for entry into the research programme have been achieved via the RPL
procedure or a qualifying examination, in accordance with CIT Postgraduate Regulations (Appendix D)
 A copy of the results of an RPL procedure or qualifying examination initiated with the Dean of
Graduate Studies has been submitted with the application
 The Dean of Graduate Studies approval for submission of the research application on the basis of
the RPL results /qualifying examination provided has been submitted with the application
6.2
Professional/Industrial Experience
Dates
(from – to)
Employer’s Name & Address
Title and/or Position Held
Duties
6.3
Other Relevant Information (including Publications/ Membership of Professional Bodies)
6.4
 In cases where an applicant wishes to submit a separate CV, this should be submitted together with the
application form in electronic format.
7.1
Pre-Application Interview
Pre-application interview has been conducted with the applicant by the Head of Department and
proposed internal research supervisor(s)
 Copy of the interview record signed by all parties has been submitted with application form
Applicant’s attention has been drawn to the CIT Postgraduate Regulations and other relevant policy
documents
7.2
Applicants with a Native Language Other than English
Applicant’s proficiency in the English language has been assessed during interview and has been
deemed satisfactory for the purposes of carrying out the research programme
OR
 Appropriate additional English language certification has been submitted with the application
7.3
Please indicate if the applicant is employed by CIT
RESEARCH REGISTRATION APPLICATION FORM (NOVEMBER 2012)
Yes
No
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8.
Supervisory Arrangements
For each member of the Graduate Supervisory Panel, provide the following information
8.1
Principal Internal Supervisor
Name
Email
List of postgraduate
students currently being
supervised
Department
Position
Qualifications
Name
Institution
Award
Number of postgraduate
PhD
Masters by Research
students previously
supervised
 An up-to-date supervisor’s CV (in electronic format and including a full publications
list) has been submitted with this application
8.2
Second Mandatory Supervisor
Internal Co-supervisor
Mentor Supervisor
Name
Department
Email
List of postgraduate
students currently being
supervised
Name
External Supervisor
Position
Workplace Mentor
Qualifications
Institution
Award
Number of postgraduate
PhD
Masters by Research
students previously
supervised
 An up-to-date supervisor’s CV (in electronic format and including a full publications
list) has been submitted with this application
8.3
[IF THERE IS A 3RD SUPERVISOR]
Internal Co-supervisor
Mentor Supervisor
Name
Department
Email
List of postgraduate
students currently being
supervised
Name
External Supervisor
Position
Institution
Institution
Workplace Mentor
Qualifications
Institution
Number of postgraduate
PhD
Masters by Research
students previously
supervised
 An up-to-date supervisor’s CV (in electronic format and including a full publications
list) has been submitted with this application
Award
Institution
NOTE: You should copy and add an additional page(s) where there are more than three supervisors.
RESEARCH REGISTRATION APPLICATION FORM (NOVEMBER 2012)
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9
APPLICATION FOR REGISTRATION OF A RESEARCH PROGRAMME
This page (Section 9) together with page 1 should be printed out, signed and dated, and submitted to
the School of Graduate Studies Office in hardcopy together with the electronic version of the
application.
APPLICANT’S NAME (printed in BLOCK letters)
Award Sought:
Department:
Title of Research Programme
9.1
Applicant’s Declaration and Signature
 I, the undersigned, certify that the information I have provided and any declarations that I have given in
this application are correct and truthful.
 I also certify that I have read and am aware of my responsibilities under the CIT Postgraduate
Regulations and relevant policy documents.
 I further certify that I am aware that credit has not, and will not, be given by any other awarding body
for any part of the programme of research proposed.
Applicant Signature:
9.2
9.3
Date
Supervisors Declaration and Signature
 I, the undersigned, am satisfied with the proposed research application.
 I certify that the information I have provided and any declarations that I have given in this application
are correct and truthful.
 I further certify that I have read the appropriate sections of the CIT Postgraduate Regulations, and
relevant policy documents and understand and accept the duties and responsibilities attaching to the
role of supervisor.
Principal Supervisor:
Date
Second Supervisor:
Date
Mentor Supervisor:
Date
External Supervisor:
Date
Work-Place Supervisor:
Date
Other Supervisor:
Date
Head of Department’s Declaration and Signature
 I, the undersigned, am satisfied with the proposed application for research work, and I approve the
above applicant for registration as a postgraduate research student in my Department. In this, I have
taken into account the independent academic assessment of the research proposal.
 I certify that the information I have provided and the declarations that I have given in this application
are correct and truthful.
Head of Department Signature:
RESEARCH REGISTRATION APPLICATION FORM (NOVEMBER 2012)
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10.1
Proposed Programme of Research
To include:
 Research proposal (See NOTE below)
 Proposed schedule of work (in detail for the first year) with outline time frame for whole
programme
 Information concerning the research environment in this field (external links, relevant specialised
facilities, physical resources, staff and funding)
 Information about the role of any research partners or collaborators in relation to the research
proposal, where applicable
NOTE: Applicants may provide either a fully-specified detailed research proposal or an outline proposal.
In the case of an outline proposal, approval for registration is contingent on “submission and approval of
the completed research proposal, using the appropriate standard template, within a maximum period of
three months for Masters by Research and six months for doctoral students”. [Postgraduate Regulation
7.1.11]
Please indicate which type of research proposal you have completed and included with this
application:
10.2

 Full Masters Form MRP

 Full Doctoral Form DRP

 Outline Masters Form MOP (Full proposal submitted within 3 months)

 Outline Doctoral Form DOP (Full proposal submitted within 6 months)
Work-Place (or other Research Conducted Off-Campus) [WHERE APPLICABLE]
Time Period(s)
Supervisory Arrangements
Research Environment
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11.
Independent Academic Assessment of Research Proposal
Postgraduate regulation 7.1.5 states “Prior to presenting applicants for registration by the Institute,
academic departments should have had the feasibility of the proposal formally assessed by at least two
independent academics with qualifications and experience in the research field, at least one of whom is
external to the Institute”.
Independent academic assessment of the research proposal has been carried out by:
EITHER
11.1
External Assessor
Please tick box to indicate the category of assessor and then provide details
External assessor
Name
Institution
Position
Qualifications
 A written assessment based on the appropriate template has been signed and submitted
with this application by the external assessor
OR
Accredited External Funding Organisation funding
Name of Funding Organisation
 Confirmation of external assessment of a project specific to the applicant has been
submitted with this application.
AND
11.2
Assessor 2
Please tick box to indicate the category of assessor and then provide details
Internal assessor
Departmental Research Studies Committee (DRSC)
External assessor 2
Name/Chair (DRSC)
Department
Position
Qualifications
 A written assessment based on the appropriate template has been signed and submitted
with this application by assessor 2, along with the list of DRSC members where relevant
OR
11.3
External evaluation for the purpose of awarding a CIT Postgraduate Scholarship
DECLARATION: The applicant and research supervisors confirm that the applicant has
been awarded and has accepted a CIT postgraduate scholarship for the purposes of
conducting the research programme described in this application
Date of Letter from Dean of Graduate Studies offering the CIT scholarship
11.4
DECLARATION: The applicant confirms that the comments of the assessors have been
taken into account in the research proposal attached to this application
RESEARCH REGISTRATION APPLICATION FORM (NOVEMBER 2012)
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12.
SUBMISSION OF NECESSARY ADDITIONAL DOCUMENTATION CHECKLIST
The following checklist contains all supplementary documents which have to be submitted together with this
application form. Please refer to the list to ascertain which document should be submitted in what format.
All supplementary documentation should be addressed to the Dean and should be sent at the same time as the
completed electronic application form. Please ensure that all supplementary documents make clear reference to the
application they accompany. (In the case of electronic documents, the file name, too, should clearly link the file
with the application it supplements.)
Document
(Re. Form Section)
Format of Submission
Application/Registration Form
Page 1
Hardcopy
Holders of Irish Awards
Transcript of results
6.1.1
Electronic or hardcopy
Holders of International Awards
Original transcript of results
6.1.1
Electronic or hardcopy
6.1.1
Stamped hardcopy
Holders of International Awards
Notarised translation into English of results
transcript
Applicants with RPL/Qualifying Examination Results
Results of the RPL procedure/qualifying exam 6.1.2
Applicants with RPL/Qualifying Examination Results
Dean’s approval for submission of
6.1.2
research application
Record of pre-application interview of
applicant by supervisor and Head of
Department
7.1
Electronic or hardcopy
Signed hardcopy
Signed hardcopy
Applicants with a Native Language Other than English
Additional English language certification
7.2
[where required by Head of Department]
Electronic or hardcopy
Supervisors’ Curricula Vitae
8.1 – 8.3
Electronic
Research Proposal
10.1
Electronic
Independent Academic
Assessment(s) of Research Proposal3
11.1 –11.3
Form DRR or MRR :
Electronic or hardcopy //
Department/School Research
Studies Committee:
Signed hardcopy //
External funding bodies:
Electronic or hardcopy
NB.: Where an applicant is in receipt of a CIT Postgraduate Scholarship, confirmation of this on the present application form
(Section 11.3) will suffice.
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