GS 090 - National University of Ireland, Galway

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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:
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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.
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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
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