SCHOOLS OF HISTORY AND PHILOSOPHY APPLICATION FOR RESEARCH SUPPORT FOR HIGHER DEGREE RESEARCH STUDENTS Effective from 1 February 2013 For advice on how to complete this form, please refer to the School Administrator. Grant applications should be submitted at least TWO MONTHS in advance of the proposed fieldwork to the Administrator in the relevant School/Centre or Institute. This will normally involve: (a) Delivering (in person or by post) one hard copy application to the Administrator (b) Emailing an electronic copy to the Administrator NAME: ……………………………………………………………………………….……………….………… DATE: ……………………………………………………………………… STUDENT NO: ……………………………… EMAIL ADDRESS…………………..………………………..…………………………………………………………………………… PROGRAM: …………………………………………………………………….……………..…SCHOOL/CENTRE:…………..……………………………………………………….. SUPERVISORY PANEL MEMBERS: i) ……..…………………………………………………………………………………..……....……. ii) …………………………………………………………………....….. iii) ………………………………………………………………………………………………....……. iv) …………………………………………………………………....….. v) ………………………………………………………………………………………………....……. PURPOSE FOR WHICH FUNDING IS SOUGHT – Tick appropriate item Fieldwork or research trip outside Canberra Conference Duration of fieldwork …………….. weeks/months Primary location of fieldwork/conference……………………………………………………………………………………………………………………………………….… SUMMARY OF ALL EXPENSES SOUGHT Travel (Item 4.1) $……………………. $……………………. Living Expenses (Item 4.2) $……………………. $……………………. Other Expenses (item 4.3) $……………………. $……………………. Total (Item 4.4) $……………………. $……………………. File location: \fieldwork\ phd funding - RESEARCH SUPPORT APPLICATION.docx 1/6 SCHOOL ADMINISTRATORS USE ONLY Travel Start date……………………. Return date ……………………. Location ……………………………………………………………………………………………………………………………………………………………..… Total Funding To Date $ ……………………. Total Funding Available Amount requested Date: $ ……………………. $……………………. $……………………. Checked by: …………………………………………………..……………. (school administrator) Date: ………………………………………………….………………… APPROVAL ADDITIONAL COMMENTS/ ADJUSTMENTS BY HEAD OF SCHOOL: Signed:……………………………………………………………….…………………………………………….… Date: …………………………………………………………………… (Head of School/Centre) File location: \fieldwork\ phd funding - RESEARCH SUPPORT APPLICATION.docx 2/6 1. FIELDWORK/RESEARCH TRIP NOTE: Applicants, Supervisors and Heads of Schools/Centres should consult the Guidelines before submitting an application – please note that applicants are required to notify their Head of School in cases where a scholarship or other outside source of funding includes a specified amount for research expenses. 1.1 Statement of purposes/aims of proposed fieldwork/research trip (if insufficient space, summarise and attach a longer statement). 1.2 Has Ethics Committee clearance been obtained/applied for? If yes, please give details. 1.3 Has a pre-fieldwork seminar been completed (TPR) for overseas travel? If yes, please give details. 1.4 Location of proposed fieldwork/research trip and work to be undertaken (if insufficient space summarise and attach a longer statement). NOTE: In completing this section, where relevant, please provide documentation substantiating i) interview arrangements, ii) access to private and/or public archives, collections, holdings and/or museums. File location: \fieldwork\ phd funding - RESEARCH SUPPORT APPLICATION.docx 3/6 1.5 Itinerary – detailed itinerary specifying duration at each location, approximate departure date, etc. (if insufficient space summarise and attach a longer statement). 2. CONFERENCES NOTE In completing this section please provide documentation evidencing your participation, such as email confirmation of paper acceptance. Date From: ……………………………………………………Date To: ………….………………………………………………………………………………………………………. Location: ……..………………………………………………………....………………………………………………………………………………………………………..……………… Title of Paper: ……………………………………………………....………………………………………………………………………..………………………………………………… Organising Body: ……………………………………………………....……………………………………………………………………………………………………………………… Other Details: ……………………………………………………....…………………………………………………………………………………………………………………………… 3. 3.1 ESTIMATE AND DETAILS OF EXPENSES Travel Expenses: Please attach quotes International Travel Date Flight From Total File location: \fieldwork\ phd funding - RESEARCH SUPPORT APPLICATION.docx 4/6 To $……………………. Cost Internal Travel (in Australia) air, train, bus Date 3.2 Flight From To Sub – Total $……………………. Total Travel Cost $……………………. Cost Living Expenses NOTE: This section must be completed in full by all applicants for fieldwork or conference funding. Please specify type of accommodation i.e. camping, hall of residence, staying with friends/family, hotel etc. Date From: ……………………………………………………………………Date To: ………………………………………………………………………………………. Number of nights at which particular places: ………………………………………………………………………………………………………………………. Type of accommodation for each place: ………………………..……………………………………………………………………………………………………. Cost per night at each place: ………………………………………..…………………………………………………………………………………………………….. Cost of meals: ………………………………………………………………..……………………………………………………………………………………………………. Total claimed living expenses: 3.3 $……………………. Other Expenses Provide full details of other expenses (if insufficient space attach a longer statement) Total: $……………………. 3.4 Total Funding Sought (sum of Items 4.1, 4.2 and 4.3) 3.1 3.2 3.3 $ $ $ Total: $……………………. File location: \fieldwork\ phd funding - RESEARCH SUPPORT APPLICATION.docx 5/6 FUTURE APPLICATIONS: Applicants should indicate here whether they will be seeking funding for a further trip or conference or for other expenses. 5. ACKNOWLEDGEMENT 5.1 I have read and agree to abide by the ANU’s policies on student travel Signed: ……………………………………………………………………………………………….… Date: ………………………………………………………………………………. (Applicant) 6. SUPERVISORS 6.1 Supervisors are asked to comment (up to 500 words), explaining how this particular proposal relates to the student’s research and is essential to it. Signed: ……………………………………………………………………………………………….… Date: ………………………………………………………………………………. (Supervisor) File location: \fieldwork\ phd funding - RESEARCH SUPPORT APPLICATION.docx 6/6