AF Pillow Applied Mathematics Trust

AF Pillow Applied Mathematics Trust PhD Top-Up Scholarship

APPLICATION FORM

PART A: TITLE PAGE

INSTITUTION
CANDIDATE
1.  Family name
2.  Given names
(as shown on evidence of status as permanent resident)
3.  Proof of Australian nationality or permanent resident status
(Attach a photocopy of Australian Birth Certificate, or Certificate of Citizenship, or first page of Australian Passport)
4.  Present department and address
Telephone no:
Facsimile no:
Email address:
5.  Proposed commencement date

(Note: your application may be sent to two (2) or more independent assessors)

Supervisor

6.  Family name
7.  Given names
8.  Position and title
9.  Department and address
Telephone no:
Facsimile no:
Email address:


REFEREES

10.  Name and address of at least two (2) referees from whom reports have been sought
a.
b.
11.  Contact person for notification of applicant’s result (this is the administrative officer in the Research Office of your Institution)
Name
Position
Department and address
Telephone no:
Facsimile no:
Email address:

PART B: CURRICULUM VITAE

Attach your curriculum vitae:

(Provide information as requested in Scholarship Guidelines):

a)  Details of academic background including degrees, prizes, distinctions and/or other special qualifications awarded and where and when they were awarded

b)  Details of scientific discipline involvement including membership of societies

c)  Details of any bursaries, scholarships, or grants

d)  Details of publications, conference papers or abstracts (if any)

e)  Details of any other relevant data to support your application including evidence of Australian Citizenship and/or Permanent Residency Status.

PART C: THE RESEARCH PROJECT

PROJECT TITLE:

  1. LAY SUMMARY OF PROPOSED RESEARCH (up to 200 words):
  1. DETAILS OF RESEARCH PROJECT

(Provide information as requested in the guidelines. Maximum of 2 A4 pages):

i.  Aims of the Project: List the specific aims and potential significance of the project. Hypotheses to be tested should be clearly stated.

ii.  Background and Research Approach

iii.  Expected Outcomes and Significance

iv. Relevance to Applied Mathematics as outlined in the article “What is Applied Mathematics” by AF Pillow

iv.  References / Relevant Publications