POST 20th Anniversary Open Fellowship 2009

Application Form
Please print or type clearly in black ink. Please keep to two pages.
1. Details of Applicant

Surname:
Forename: Title:
Year of Study:
Institution:
Division/Department:
Address:

Telephone:
Email:

2. Details of PhD

Title of PhD:
Summary of Project:

3. Brief explanation of why you are applying for the Fellowship:

I confirm that the above particulars are correct.
Signature. Date.

This part to be completed by your Supervisor:

I confirm that the above particulars are correct. If this application is successful, I give my
permission for the above applicant to suspend their PhD studies for 3 months.
Name (please print):
Signature: Date:

This part to be completed by your Funding Organisation

I confirm that the above particulars are correct. I understand that POST will pay the
student a sum equivalent to three months of their existing PhD stipend (up to a maximum
of £5,000) during the placement and POST will agree reimbursement terms with the
student for any additional travel and/or accommodation costs incurred.
Name (please print): Funding Organisation’s Grant Number:

Signature: Date:

University/Institute/Organisation Stamp:

4. POSTnote proposal
Please use Arial 11 font and keep to two pages. You may submit this on a separate
sheet if preferred.