University of Central Lancashire RDSC1 2011 ADMISSION TO A RESEARCH DEGREE PROGRAMME GENERAL ENTRANTS This form should be fully completed with appropriate signatures. Incomplete or otherwise deficient forms will be returned to the School. Expand the form as required. The information supplied on this form will be used to assess the viability of the project and the ability of the student and the appropriateness of the supervisory team. The form is available on RDT shared area on your S or T drive [RX_RDT]. A signed paper copy should be returned with the application form to the Graduate Research School Office in Greenbank Building. 1 2 Student ID Name of applicant University staff Associate College Staff LPSMH Partner TICK AS APPROPRIATE Non-standard entrant? (if yes, see attached flyer) 3 School 3.1 Centre/Division Allocated 4 Proposed research YES NO a satisfactory project outline containing the aims, methodologies and research activities involved in the project should be in the application form or appended on a separate sheet to this form. Project title 5 5.1 Resources proposed funding and facilities sources for all students including self-funding applicants State the amount required and the funding source. (NB bench fees may be charged but MUST be stated in the offer letter) Per Year (clearly state any variations) Funding Source (e.g. student / school / other etc) Financial viability Fees Bench Fees 5.2 Facilities /Resources required 6 state where the work will be completed, and if any specialist equipment is required, or access to land/ specimens or volunteers. Attach letters of agreement.) Proposed supervisory team an experienced supervisor is one who has 2 completions at target award level or above. Supervisor 1 Director of Studies 2 2nd Supervisor 1 3 2nd Supervisor 2 7 Governance Considerations 7.1 Collaborator involved? name & address Experienced? Enter Yes or No This section is intended to act as a checklist for Research Degree Tutors. Please check that there are no issues which would prevent the project from going ahead and make a note of any points that need clarification. All sections must be completed. State yes or no 7.2 Contract/Letter of Agreement required? State yes or no. Note any conditions to be set by collaborator 7.3 Health & Safety considerations Detail any issue(s) or type N/A See also FM guidelines on placements and fieldwork RETURN SIGNED PAPER COPY OF FORM AND APPLICATION FORM TO GRADUATE RESEARCH SCHOOL OFFICE, GREENBANK BLDG 7.4 Insurance Cover Is University policy adequate? Give details of additional cover if no. Consult Purchasing Consult Purchasing 7.5 Ethical Approval Requirements Give details and list any ethical clearance required from external agencies Note: no fieldwork can start without clearance & evidence will be required at registration Consult Ethics Committee chair 7.6 Criminal Records Bureau (Police) Clearance Yes /No Give details if required or state N/A. Consult Admissions Office 7.7 IPR considerations Give details or state N/A. Consult Stephen Wintersgill sjwintersgill@uclan.ac.uk 7.8 Data Protection considerations Give details or state N/A. Consult faculty DPA officer 8 Outcome 8.1 Stage 1 – Initial assessment (RDT) Date Request more information Arrange Interview Panel Reject go to 8.3 8.2 Stage 2 – Interview decision (post interview) Request more information before making decision Accept unconditionally Accept subject to the following conditions 8.3 Rejected Applications Interviewers: (at least 2: to include RDT and DoS) 1 2 3 NB where the interview cannot be conducted in person the interview must include the RDT and DoS as above. Arrangements for interview should be made via video/telephone conference link. Tick & date Notes: (state conditions) (state reason[s]) Notes 9 OFFER DETAILS Target award for PhD state route: MPhil/PhD / PhD Direct / Published Works Study Mode tick Target start date - tick or highlight box Entry year ATAS International students if yes complete RDSCATAS 10 References type yes in box 11 Further information FULL-TIME 1 October 1 January PART-TIME 1 April 1 July Yes/ No delete as applicable JACs Code See list on shared RDT drive 2 required received 3 required (if non standard entrant) to follow Signed: Research Degrees Tutor Date Signed: Head of School Date RETURN SIGNED PAPER COPY OF FORM AND APPLICATION FORM TO GRADUATE RESEARCH SCHOOL OFFICE, GREENBANK BLDG