SYDNEY SOUTHEAST ASIA CENTRE
SSEAC Visiting PhD Scholar Fund 2015-17
Application Form
When completing this form, please refer to the
SSEAC Visiting PhD Scholar Fund 2015-17 Guidelines
Applications must observe all word limits
The applications should be typed and submitted electronically (including all attachments) to:
sseac@sydney.edu.au by 5 pm Friday 25 September, 2015
Checklist for all submissions:
1.
Completed application meeting all criteria (Microsoft Word Format)
☐
2.
Signature approvals (applications can be denied where applicants have not submitted required
approvals)
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3.
Brief budget (up to $3,000)
☐
4.
Brief CV of Visiting PhD Scholar (3 pages max)
☐
5.
Date application submitted: __________________________
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Please note: Late submissions will not be considered.
1a. Sponsor. This must be a member of SSEAC.
Title, Name
SSEAC Research Cluster
☐Economic and Social Development
☐Health
☐Environment and Resources
☐Heritage and the Arts
☐State and Society
Academic Unit/Faculty
Postal Address
Academic Level
Email
1b. Co-sponsors. If there are more than two applicants, please attach separate sheet with all
relevant details.
Title, Name
SSEAC Research Cluster
☐Economic and Social Development
☐Environment and Resources
☐Health
☐Heritage and the Arts
☐State and Society
Academic Unit/Faculty
Postal Address
Academic Level
1c. Proposed start and finish dates
1
Email
SYDNEY SOUTHEAST ASIA CENTRE
2. Nominee. Please include CV
Title, Name
Academic Unit/Faculty
Institution
Postal Address
Academic Level
SSEAC Research Cluster
Email
☐Economic and Social Development
☐Environment and Resources
☐Health
☐Heritage and the Arts
☐State and Society
3a. Details of proposed visit (max 300 words). Provide details of the proposed activities with
SSEAC and in host faculty.
2
SYDNEY SOUTHEAST ASIA CENTRE
3b. Outline the intended outcomes and benefits to the proposed Visiting PhD Scholar of the
visit to the University of Sydney (max 300 words). In your answer, identify how the nominated
Visiting PhD Scholar’s activities at the University of Sydney will align with the SSEAC research
cluster(s).
3
SYDNEY SOUTHEAST ASIA CENTRE
4. Project Budget. Please refer to the guidelines regarding what can and cannot be funded
Expense
Comments
Eg Flight from
Jakarta
Amount
$2000
Priority
(low/medium/high)
High
5. Signatures. Emails showing support with full email signatures (Name, job title, address and contact
telephone number) are acceptable as written signatures. Please attach emailed support to the application
submission.
5a. Sponsor
Name:
Signature:
Date:
Signature:
Date:
5b. Co-sponsors
Name:
5c. Head of academic unit of Sponsor
Name:
4
Signature:
Date: