Page |0 Masters by Coursework Bursary Re/Application Form 2014 For office use: College Bursary Approved Comment (if not CHS CEMS Yes CEDU CLAW No Date received: CAES CSET successful state why) Signed Date PLEASE NOTE: Financial assistance will only be available for students who have successfully completed two coursework modules. The Bursary is awarded for one year only. Students must apply annually for financial assistance. Please ensure that all items in the checklist are attached (or included) with the application form*: 1. Certified copy of ID/Passport 2. Proof of Temporary Registration for qualification 3. Proof of completion of two coursework modules towards their coursework Masters degree (Academic Record/Statement of Results) (If the results are not yet available at submission please submit no later than 5 March 2014.) 4. Supervisor’s report (Section F) 5. Individual student’s report (Section G) on progress made the previous year 6. A research budget needs to be submitted where applicable Applications open: 26 November 2013 Closing date for application: 14 February 2014 (should results not yet be available by this date, the results can be submitted until 5 March 2014 – only if an application was submitted by the closing date Late or incomplete applications will not be considered. Any false information provided will disqualify you from receiving this bursary and will result in the immediate withdrawal of any approved bursary. You will be responsible to pay all required fees as determined by Unisa. Unisa Student Number -- -- p r Surname Initials e v i Please initial each page of this document to indicate thatoall pages have been read and understood u ____________________ s Student Initials a c a d Page |1 SECTION A: BURSARY CRITERIA i) ELIGIBILITY Candidates may be eligible for a bursary if they comply with the following criteria: 1. Have passed two modules of the Coursework Masters. 2. A supervisor’s report that recommends financial support on grounds of academic performance in the coursework modules already completed. 3. Approval by the Masters and Doctoral Research Bursary Committee (MDRBC) based on coursework modules already completed and supervisor’s report. 4. Preference will be given to Natural Sciences, Engineering and Mathematics, but not to the exclusion of the social sciences or humanities. ii) BURSARY CONDITIONS 1. All bursaries will be awarded subject to the academic performance of the student and a positive report from the supervisor upon completion of the required coursework modules. 2. A submitted application form does not guarantee funding being awarded. 3. Awards will not be granted to: a. Permanent staff members of UNISA. They should apply for the master’s and doctoral support programme (MDSP) (Please contact the Research Directorate on (012) 429 2286). b. Students who are registered for a second/third masters degree. c. Students who have already completed a doctorate. d. Students who have not successfully completed two modules towards the Coursework Masters. e. Students registered towards an MBA or MBL qualification. 4. This bursary will ONLY fund students registered for a Coursework Masters qualification. 5. The bursary is awarded to South African and non-South African citizens, but preference will be given to South African students. 6. Continued receipt of the bursary is dependent on academic performance and a favourable supervisor’s report indicating that the recipient is progressing with his/her studies. Preference will be given to existing bursary holders, especially those close to completion. 7. Students need to submit a student’s report (Section F) before the application will be submitted for consideration to the Masters & Doctoral Bursary Committee. 8. Students will be advised of the outcome within 4 weeks of the closing date. Please initial each page of this document to indicate that all pages have been read and understood ____________________ Student Initials Page |2 9. If the application for funding is unsuccessful, it remains the responsibility of the student to settle any fees due to Unisa. 10. By signing this application form, the student indicates that he/she agrees with and accepts the conditions contained herein. 11. The closing date for applications is 14 February 2014. 12. No late or incomplete applications will be considered (only where results were not available by the closing date of applications, will late submission of these results be considered). 13. Awards will only be made dependent on available funding. iii) THIS BURSARY COVERS: 1. Tuition fees for a maximum of 3 (three) years. 2. Research funds not exceeding R20,000 while the student is registered for the dissertation module. iv) RESEARCH BUDGET 1. A detailed budget indicating expenditure needs to be submitted each year upon re-application. 2. Research funds will only be paid out according to the submitted and approved budget. 3. Submitted research budgets will be approved by both the supervisor and the MDRBC. Please initial each page of this document to indicate that all pages have been read and understood ____________________ Student Initials Page |3 SECTION B: PERSONAL PARTICULARS Title: Mr Mrs Miss Ms Dr Rev Other (Specify): First Names: Gender: Nationality: Race: Physical Address Postal Address Home Tel: Cell: Fax: Email: Please attach certified copy of identification document SECTION C: ACADEMIC DETAILS Master’s programme for which funding is applied for: Masters by coursework and mini-dissertation Field of Specialisation College Department Please initial each page of this document to indicate that all pages have been read and understood ____________________ Student Initials Page |4 Dissertation topicand brief outline of proposed research: Supervisor’s Details: Name Telephone number Email address Please ensure that Division Student Funding (DSF) receives a referee’s report from your supervisor. SECTION D: FINANCIAL DISCLOSURE Please provide information regarding any additional funding for which you have applied, or awards that you have received. Funding applied for or awards received 1. Application only (x) Guaranteed () Rand Value 2. 3. No External Funding: No Awards received Please initial each page of this document to indicate that all pages have been read and understood ____________________ Student Initials Page |5 SECTION E: PROPOSED RESEARCH BUDGET1 Year Item2 No. of units Cost Price per Total unit 150 pages R12 pp Non research 20xx Module code / name Research module 20xx Example Editing R1,800.00 Tuition Academic activities Copying Printing Language Editing Translation Technical Editing Questionnaire administration Statistical Analysis Technology e.g. Computer/Software Binding Purchase of online articles Equipment needed Chemicals required Additional Support3 Conference attendance: Travel Costs Conference fees 1 The items on the proposed budget template are not exhaustive and will be determined by the type and scope of research being conducted. 2 All items included in the budget should be accompanied by an interim quotation. 3 Conference attendance fees will only be paid upon approval by the MDRBC. Please initial each page of this document to indicate that all pages have been read and understood ____________________ Student Initials Page |6 SECTION F: SUPERVISOR REPORT For Office Use (to be filled out and signed by the supervisor) Supervisor appointed: Yes Validation by M & D Office. Signed: No If No, please continue to Section G. Supervisor’s name Student name: Student number: Qualification: Report on the student’s progress as (indicate with an X) Supervisor Co-supervisor NB: Please note that since this is a merit based bursary, the supervisor’s comments should focus on the academic progress or lack thereof as well as academic strengths and weaknesses of the research of the candidate. Briefly assess the student’s progress 1. Assess progress made by the student taking the start date of the qualification into consideration Marks obtained for completed modules: 2. Please provide a statement on the quality of work submitted Quality of research proposal: Number of chapters submitted for dissertation: Quality of chapter(s) submitted: Please initial each page of this document to indicate that all pages have been read and understood ____________________ Student Initials Page |7 3. Discuss the student’s capacity to deal with methodological issues. 4. Does the budget submitted by the student relate to the research being conducted? 5. What is the likelihood that the student will be able to complete the research within 4 years as prescribed by the Admission policy? 6. Please provide an estimated completion date (if student will not be able to complete within prescribed period), and motivate why the student will not be able to complete within the prescribed period.. In view of your assessment, do you recommend the student’s application for a bursary for 2014 academic year? YES NO Final awarding of the bursary will be considered by the Postgraduate Bursary Committee. SUPERVISOR’S SIGNATURE: DATE: Please initial each page of this document to indicate that all pages have been read and understood ____________________ Student Initials Page |8 SECTION G: STUDENT REPORT STUDENT REPORT Supervisor’s name Student name: Student number: Qualification: Reporting as (indicate with an X): New Student Returning student Briefly assess your own progress during the previous academic year: If your progress was not satisfactory, reasons for slow progress: Topic not approved Unable to reach supervisor Unable to gain access to research materials Slow return of questionnaires from respondents Late registration Other (please specify) Final award of the bursary will be considered by the Masters & Doctoral Bursary Committee. STUDENT SIGNATURE: DATE: Please initial each page of this document to indicate that all pages have been read and understood ____________________ Student Initials Page |9 SECTION H: YOUR BANKING DETAILS Name of bank: Name of account holder (as it is registered with the bank) Branch Branch Code Account number Type of account Savings Account Cheque Account Transmission Account Credit Card If foreign bank: CVV no. Bank’s physical address Swift code: IBAN number: Banking details are mandatory and these must be your banking details and not those of your spouse/partner/family member. A bank stamped copy of your banking details must accompany this form. Unisa assumes no responsibility for incorrect or expired banking details. It remains the student’s responsibility to ensure that the correct banking details are on record. Please initial each page of this document to indicate that all pages have been read and understood ____________________ Student Initials P a g e | 10 SECTION H: DECLARATION BY STUDENT I declare that I have read the conditions that apply to this award. I acknowledge that I understand and accept these conditions in full and I agree to abide by them. I also agree that I will reimburse Unisa if the conditions as set out are not met. Furthermore, I hereby confirm that the above information is true and correct. APPLICANT’S SIGNATURE___________________ DATE:_____________ Send your complete application form accompanied by the requested supporting documents to UNISA M & D ADMINISTRATIVE SUPPORT, Cnr Steve Biko and Justice Mohammed Streets, Sunnyside, Es'kia Mphahlele Registration Hall B, 1ST Floor, P O Box 392, UNISA, 0003. Application forms can also be submitted electronically to: vdlinl@unisa.ac.za NB: Incomplete Application Forms will not be processed. Please contact Leonie van der Linde (+2712) 441-5626/5502 or vdlinl@unisa.ac.za for queries. Please initial each page of this document to indicate that all pages have been read and understood ____________________ Student Initials