GS 090 National University of Ireland Galway Application Form for Full Time Research Students (PhDs, MDs and Research Masters) Locating off-campus for more than 3 months in any academic year 1. Student, Supervisor, GRC member, Head of School to complete form GS-090 and submit to relevant College Office. 2. College Dean and Vice-Dean for Graduate Studies decide. 3. Decision is communicated to the next Graduate Studies Board meeting for noting. * The same fee level applies if locating off-campus Application for permission for research student to be located off-campus1 GS090 Date: Student name: Student number: Programme: Supervisor: Co-supervisors, if any: Graduate Research Committee members: 1. 2. 3. Rationale for application: Page 1 of 3 GS 090 Source of external funding: Has the relevant funding agency been informed? 1 For periods longer than 3 months in total in an academic year Proposed arrangements: Off campus location: Period off-campus (provide dates)2: Supervisory arrangements for off-campus period (to include details of local supervision off campus): Alternative arrangements for Graduate Research Committee (to include reporting to GRC and GRC meetings): Arrangements to facilitate teaching (by student) 2 The off-campus period should normally commence no earlier than 3 months after the application submission date. Page 2 of 3 GS 090 Signature Date Student Supervisor Member of GRC Head of School _______________________________________________________________________________________ For office use only Approved by: ________________________________________ Dean of College _________________________________________ Date ________________________________________ Vice-Dean for Graduate Studies _________________________________________ Date Noted at Graduate Studies Board meeting of: _________________________________________ Date Page 3 of 3