Surname
Jacobsen Studentships and Royal Institute of Philosophy Bursaries Application Form
Please complete this form, print it out and send it to Dr. James Garvey, The Royal Institute of Philosophy, 14 Gordon Square, London WC1H 0AR, to arrive by 16 June 2017. You must ensure that the letters of two referees arrive at the same address by the closing date. Please ensure that letters and application forms arrive by post and are not stapled or printed double-sided.
1. Personal Information
Title Forename Middle name(s) Surname
2. Permanent Address Correspondence address
We will use this address to contact you from 1/10 onwards, if this address is different from your permanent address.
Telephone number E-mail address
3. Ongoing Education
Will you be registered full time in the UK for a higher degree in philosophy in year 2017 – 18?
State the course you will be registered for in 2017 – 2018, the year of the course, and when you expect to complete your course or submit your PhD (e.g. 3rd year PhD at Sheffield University, submitting 11/4/19).
4. Past Education
Dates attended University Subject Type of Degree Class awarded
5. Other sources of funding
Please give details of any award of more than £3,000 which you expect to receive in the academic year 2017 – 2018, including fees only awards. If your circumstances change, you must inform the secretary immediately.
6. Research Proposal
Please give details of your research plans for the academic year 2017 – 2018. You are limited to 500 words.
7. Referees
Please give the names and contact details of two referees who you have asked to write directly to the secretary of the Institute on your behalf.
I hereby confirm that the information I have provided in this application is complete and accurate to the best of my knowledge at this date.
Signature Date