UCD School of Politics and
International Relations
Institute for British-Irish Studies
Scoil na Polaitíochta agus Gnóthaí
Idirnáisiúnta UCD
Institiúid um Léann BriotanachÉireannach
John Henry Newman Building
University College Dublin,
Belfield, Dublin 4, Ireland
Áras John Henry Newman
An Coláiste Ollscoile, Baile Átha Cliath,
Belfield, Baile Átha Cliath 4, Eire
T +353 1 716 8670
F +353 1 716 1171
ibis@ucd.ie
www.ucd.ie/ibis
DOCTORAL FELLOWSHIPS
Application form
Please complete this application form as asked. Failure to comply with the
instructions to each question will affect the assessment of the application.
Please check that you have included the following:

four copies of this application form and supporting material

four copies of academic transcripts (not returnable)

sealed and signed references from two referees


Please return the completed application form and supporting documentation to reach
the Institute at the above address. Please contact the research administrator
(ibis@ucd.ie) for details of application deadlines.
for applicant
name
title of thesis
for office use only
transcripts
references
assessors


UCD School of Politics and
International Relations
Institute for British-Irish Studies
Scoil na Polaitíochta agus Gnóthaí
Idirnáisiúnta UCD
Institiúid um Léann BriotanachÉireannach
John Henry Newman Building
University College Dublin,
Belfield, Dublin 4, Ireland
Áras John Henry Newman
An Coláiste Ollscoile, Baile Átha Cliath,
Belfield, Baile Átha Cliath 4, Eire
T +353 1 716 8670
F +353 1 716 1171
ibis@ucd.ie
www.ucd.ie/ibis
1
names (surname, first name(s)) _____________________________________
2
date of birth ______________________
3
contact address _________________________________________________
__________________________________________________________________
4
tel __________________________
5
fax __________________________
6
email ________________________
Undergraduate career (including details of qualifying examinations to enter
postgraduate studies)
name of
institution(s)
attended
awarding
institution
years of
study
(from/to)
subjects
title of
qualification
level/
class/
grade
date
conferre
d
8 If you have not yet graduated, please state when your examination results will be
available _______________________
9 taught postgraduate degrees / diplomas which you have completed (if any)
name of
institution(s)
attended
awarding
institution
years of
study
(from/ to)
subjects
title of
qualification
level/
class/
grade
date
conferred
UCD School of Politics and
International Relations
Institute for British-Irish Studies
Scoil na Polaitíochta agus Gnóthaí
Idirnáisiúnta UCD
Institiúid um Léann BriotanachÉireannach
John Henry Newman Building
University College Dublin,
Belfield, Dublin 4, Ireland
Áras John Henry Newman
An Coláiste Ollscoile, Baile Átha Cliath,
Belfield, Baile Átha Cliath 4, Eire
T +353 1 716 8670
F +353 1 716 1171
ibis@ucd.ie
www.ucd.ie/ibis
10 research degrees which you have completed (if any)
name of
institution(s)
attended
awarding
institution
years of
study
(from/ to)
research
topic
title of
qualification
level/
class/
grade
11 current student status - please indicate if you are already registered as a
postgraduate student in UCD or, if not, the status of your application for admission
___________________________________________________________________
12 UCD research director / supervisor (if known)
___________________________________________________________________
13 title, or proposed title, of doctoral thesis
___________________________________________________________________
14 description of thesis. Please attach on a separate page a typed abstract
(maximum 1000 words) of your proposed or current thesis. This should be
presented under the following headings: description of thesis; context;
methodology.
___________________________________________________________________
15 applicants who are currently registered on a postgraduate programme in UCD
should attach a statement of the progress of their research to date - maximum 300
words.
___________________________________________________________________
16 papers published / accepted for publication - use additional page if necessary
title/s
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
where published/submitted
___________________________________________________________________
___________________________________________________________________
date
conferred
UCD School of Politics and
International Relations
Institute for British-Irish Studies
Scoil na Polaitíochta agus Gnóthaí
Idirnáisiúnta UCD
Institiúid um Léann BriotanachÉireannach
John Henry Newman Building
University College Dublin,
Belfield, Dublin 4, Ireland
Áras John Henry Newman
An Coláiste Ollscoile, Baile Átha Cliath,
Belfield, Baile Átha Cliath 4, Eire
T +353 1 716 8670
F +353 1 716 1171
ibis@ucd.ie
www.ucd.ie/ibis
17 conference presentations - use additional page if necessary
title/s
___________________________________________________________________
___________________________________________________________________
conference/s, venue/s and date/s
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
18 other relevant academic or personal details - use additional page if necessary
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
19 academic references. Please provide the names, positions and official
addresses of two academic referees who are acquainted with your academic work
and who are prepared to write a reference on your behalf. Original copies of the
two references must be submitted.
referee no 1
referee no 2
position
position
official address
official address
tel:
email:
tel:
email:
20 Are you currently in receipt of, or have you applied for, any other scholarship or
grant?
If so, please list the amount, or the amount expected/applied for.
___________________________________________________________________
UCD School of Politics and
International Relations
Institute for British-Irish Studies
Scoil na Polaitíochta agus Gnóthaí
Idirnáisiúnta UCD
Institiúid um Léann BriotanachÉireannach
John Henry Newman Building
University College Dublin,
Belfield, Dublin 4, Ireland
Áras John Henry Newman
An Coláiste Ollscoile, Baile Átha Cliath,
Belfield, Baile Átha Cliath 4, Eire
T +353 1 716 8670
F +353 1 716 1171
ibis@ucd.ie
www.ucd.ie/ibis
21 Are you, or do you expect to be, in receipt of a local authority grant for the
academic year 2005/05? If so please state the granting authority and the amount
involved.
___________________________________________________________________
22 Will you be pursuing research on a full-time basis during the years for which you
are applying for a fellowship?
___________________________________________________________________
DECLARATION
I declare that the above particulars are correct and understand the accompanying
terms of Eligibility and Conditions apply. If I receive any other grants, awards or
scholarships, I will inform the Institute within 21 days of my notification of the same. I
accept that failure to do so may disqualify me from the fellowship scheme.
signature of applicant _________________________________________________
date ____________________