MS Word document
advertisement
RSGS ref: / The Royal Scottish Geographical Society Small Research Grants Scheme Application Form 1. Name ....................................................................................................................................................... 2. Address for correspondence ................................................................................................................. .................................................................................................................................................................. Tel. no. ........................... Fax no. ............................... 3. Date of birth .............................. 4. 5. I am studying for a postgraduate degree E-mail: ........................................... RSGS Membership No. .......................................... Yes / No If yes: Name of Institution ................................................................................................................................. Degree Course ...................................................... Year of Study ............................................... Names of Supervisors ............................................................................................................................. 6. If employed, please state present appointment, including period of appointment and employing institution .................................................................................................................................................................. .................................................................................................................................................................. 7. Title of Research Project ...................................................................................................................... 8. Dates Dates when you intend to start ............................. and finish ............................ the research/fieldwork to which this application relates. 9. Summary of Research objectives (not more than 100 words) 10. What is the relevance or importance of your research? 11. Data Collection or Fieldwork for which grant is required (Please outline aims, methodology and outcomes. Use a separate page if required) 12. Why is an RSGS grant important for your research work? 13. Risk Assessment If appropriate, please enclose a brief risk assessment of the proposed work. 14. Future research Does this study contribute to the future development of a longer programme of research? If yes, please elaborate 15. Plans for publication of research or presentation of papers at conferences/symposia. Please provide brief details of plans for publicising the results of your research. 16. Particulars of other support Please state if you have applied for or have been offered funds to assist with any aspect of your proposed research work. 17. Breakdown of costs Please give a breakdown of total costs that will be incurred, specifying the particular items for which this application is being made. 18. 19. References Two references are required for each application. Please send each referee the attached forms, completing only the top two lines yourself, and ask them to return them to the Society by the dates stated in the Guidelines for Applicants. Reference A Reference B Name .............................................................. Name ......................................................................... Address .......................................................... Address ..................................................................... ........................................................................ ................................................................................... ........................................................................ ................................................................................... Tel. No. .......................................................... Tel. No. ..................................................................... Fax No. .......................................................... Fax No. ..................................................................... E-mail: ........................................................... E-mail: ...................................................................... Declaration. The information submitted in this application is to the best of my knowledge correct at the time this application was made. Should any significant developments arise since this application was made, I will keep the Society informed. Should the proposed study be cancelled, I undertake to return the grant award. Signature ............................................................................ Date ................................................ _______________________________________________________________________________________ FOR OFFICE USE Application received Referee report A received Referee report B received Review by Research Committee Ref: Approved Award Cheque sent Report received Yes / No £ / IN CONFIDENCE RSGS Ref: / The Royal Scottish Geographical Society Small Research Grants Scheme Application Form Referee's Statement APPLICANT'S NAME ...................................................................................................................................... PROJECT TITLE .............................................................................................................................................. The above applicant has applied to this Society for a research grant, and we would be grateful if you could give your opinion on the following points: a. b. c. d. e. the scholarly importance of the research proposal, the applicant's capacity to carry-out the research, whether the proposed research can reasonably be expected to be carried-out in the time outlined, the proposed costs provided, any other information that you feel might be helpful to those screening the grant application. This reference will form part of the above applicant's grant application to the Society in support of data collection and/or fieldwork. Please could you return the form to: Administrative Officer, Research Grants Scheme, The Royal Scottish Geographical Society, 15-19 North Port, Perth, PH1 5LU by 31st January. We would like to thank you for your cooperation. This referee's statement will not be acknowledged unless requested. Referee's Name (capitals) ..................................................................................................................................... Address ................................................................................................................................................................. ............................................................................................................................................................................... Tel. No. ................................... Fax No. ................................... E-mail: ......................................................... Signature ........................................................................................... Date ................................................ REFEREE'S STATEMENT (A separate sheet may be attached if this is more convenient) IN CONFIDENCE RSGS Ref: / The Royal Scottish Geographical Society Small Research Grants Scheme Application Form Referee's Statement APPLICANT'S NAME ...................................................................................................................................... PROJECT TITLE .............................................................................................................................................. The above applicant has applied to this Society for a research grant, and we would be grateful if you could give your opinion on the following points: a. b. c. d. e. the scholarly importance of the research proposal, the applicant's capacity to carry-out the research, whether the proposed research can reasonably be expected to be carried-out in the time outlined, the proposed costs provided, any other information that you feel might be helpful to those screening the grant application. This reference will form part of the above applicant's grant application to the Society in support of data collection and/or fieldwork. Please could you return the form to: Administrative Officer, Research Grants Scheme, The Royal Scottish Geographical Society, 40 George Street, Glasgow, G1 1QE (Tel. 0141 552 3330, Fax: 0141 552 3331) by 31st January. We would like to thank you for your cooperation. This referee's statement will not be acknowledged unless requested. Referee's Name (capitals) ..................................................................................................................................... Address ................................................................................................................................................................. ............................................................................................................................................................................... Tel. No. ................................... Fax No. ................................... E-mail: ......................................................... Signature ........................................................................................... Date ................................................ REFEREE'S STATEMENT (A separate sheet may be attached if this is more convenient)
