proposed funding and facilities sources for all students including self

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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
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