2013 SMALL GRANTS PROGRAMME FOR THESIS WRITING
APPLICATION FORM
File No. ……………………… (To be completed by CODESRIA)
SECTION A: PERSONAL DATA:
1. NAME OF APPLICANT: (Surname in capitals letters):
…………………………………………………………………………………
2. INSTITUTIONAL ADDRESS OF APPLICANT IN FULL:
……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………..
3. TEL:………………………………………………….FAX:………………………………..
EMAIL:……………………………………………………………………………………………
4. GENDER: NATIONALITY......
5. CIRCLE PREPARED DEGREE:
a. Ph.D.
b. Master
c. Other (Specify) ……………………………………………………………….
6. FIELD OF SPECIALIZATION: …………………………………………………………
………………………………………………………………………………………………..
…………………………………………………………………………
7. EMAIL OF THE DOCTORAL PROGRAMME: ……………………………………………
………………………………………………………………………………………………………
8. PROJECT TITLE: ...…………………………………………………………………..
………………………………………………………………………………………………….
……………………………………………………………………………………………………………………………………………………………………………………………..
SECTION B: PLEASE COMPLETE THE FOLLOWING SECTIONS USING 12 PTS/TIMES NEW ROMAN. PLEASE ADHERE STRICTLY TO THE GUIDELINES.
1. STATE OF THE PROBLEM (To include literature review):
2. OBJECTIVES OF THE STUDY:
3. THEORETICAL FRAMEWORK:
4. HYPOTHESIS (To be derived from the theoretical framework):
5. METHODOLOGY:
5a. RESEARCH DESIGN (Describe in full your methods for data collection -Sample/Sampling; Materials, Sources etc. in Full):
5b. ANALYSIS OF DATA (Describe how you intend to analyze data):
6. EXPECTED OUTCOMES:
7. SIGNIFICANCE OF THE PROJECT:
7a. TIME FRAME (Use a chart to illustrate indicating activities and time):
7b. BUDGET (Use a table which indicates expenditure items and cost in local and US Dollars):
8. REFERENCES (Cite only those used in the proposal):
Signature of Applicant: ………………………………………….
Date: ……………………………………………………………
Name and Full Address Supervisor: …………………………………………………..
…………………………………………………………………………………………
E-mail of Supervisor: ……………………………Telephone number :………………
Other Referees:
1. Name and Address : ………………………………………………………………..…
2. Name and Address …………………………………………………………………...
DOCUMENT TO BE ATTACHED:
a) A copy of institutional affiliation
b) Two letters of reference
c) A CV of the candidate
3
NB: PLEASE NOTE THAT YOUR PROPOSAL MUST NOT BE MORE THAN SIX PAGES
All applications must be sent on this address:
CODESRIA SMALL GRANTS FOR THESIS WRITING
BP 3304, CP 18524,
Dakar,
Senegal.
Tel.: +221-825 9822
Fax: +221-824 1289
E-mail:
Website: www.codesria.org
6
6
6