2016 Entry The University of Edinburgh Edinburgh Neuroscience PhD Application Please refer to the EdNeuro.PhD website at www.edneurophd.ed.ac.uk for information on PhD projects and programmes available before completing this form. You can apply for up to a maximum of THREE projects in any one round using the same form, although it is not necessary to apply for more than one project. Please use a separate application form for applying to the PhD programme. You should contact prospective supervisor(s) before applying for an individual PhD project. You should not contact prospective supervisors if you are applying to the PhD programme. Please pay attention to the deadline for receipt of applications, which is noted on each project/programme description page. You are responsible for contacting your named referees and arranging for them to send references directly to either the EdNeuro.PhD or WT4yrPhD-TN email addresses. If you wish you may send them the reference guidelines, which can be downloaded from the website. Please note that references must be received within 5 days of the application deadline. Applications without references will not be considered. The Edinburgh Neuroscience Selection Panel will meet and assess applications shortly after the application deadline. You will be contacted regarding interview if you are selected for the shortlist. Interviews for 2016 entry to the ‘Wellcome Trust 4 year PhD Programme in Translational Neuroscience’ will take place on Wednesday 13th January 2016 in Edinburgh. The completed application form should be submitted electronically to either EdNeuro.PhD@ed.ac.uk (for individual PhD projects) or WT4yrPhD-TN@ed.ac.uk (for the PhD programme in Translational Neuroscience). In the email subject line you should quote the references codes(s) for the project(s)/programme for which you are applying. Do not send any other documents or files at this stage – you will be contacted directly if further information or documentation is required. Please complete (up to THREE projects, if relevant): Primary Host Centre Project/Programme No. Supervisor (if named in advert) Edinburgh Neuroscience PhD application form Personal Information Surname/family name Given name (s) Title Address for correspondence Telephone number E-mail address Gender Date of Birth Nationality/Citizenship Dr. / Mr. / Mrs. / Miss / Ms Male / Female Funding Eligibility (please complete one of the columns below) I am applying for a funded PhD I am a UK citizen or I am an EU Yes/No citizen resident in the UK for 3 years I am an EU citizen Yes/No I am a non UK/EU citizen Yes/No I am self-funding I have my own external funding* Yes/No *The source of my funding is I am personally funding my PhD Yes/No Academic Qualifications (Please insert additional lines if required) From To Month/Yr Month/Yr Full or Part time Institution attended (Name country if overseas) Qualification and course with subjects taken Result (if known) Please indicate any other skills and experience Employment Record, if relevant (Please insert additional lines if required) From To Month/Yr Month/Yr Full or Part time Name, address and telephone number (if known) of employer Post held giving brief details of work and responsibilities Your Supporting Statement Please provide a short statement, no longer than one page, detailing your reasons for choosing the project(s)/programme, including your research interests, any skills, aptitudes or personal qualities gained during your studies or employment. References: Please provide details of your referees as below. You are responsible for contacting your referees and requesting that they send your reference directly to us (instructions on website and below). References should be received within 5 days of the project application deadline. Your full name and the project/programme code must appear in the subject line of the email, in order to ensure it is directed correctly. Name and Mail Address Phone Email Referee 1 Referee 2 Please provide any additional information which you feel may help us in assessing your application For applications for individual PhD projects (where there is a named supervisor), please e-mail the completed application form to EdNeuro.PhD@ed.ac.uk. In the subject line of the email please indicate the project code(s) for which you are applying. For applications to the Wellcome Trust 4-year PhD programme in Translational Neuroscience, please e-mail the completed application form to WT4yrPhD-TN@ed.ac.uk. In the subject line of the email please indicate ‘2016-WT4yrPhD-TN’. Please organise for your referees to send their references directly to the same email address as your application form, with your full name and the PhD project/programme code in the subject line. Do not send any other documents or files at this stage – you will be contacted directly if further information or documentation is required.