THE MBRS SCHOLARSHIPIN PARTNERSHIPWITH SIBELCO AUSTRALIA APPLICATION FORM

PART A ADMINISTRATIVE INFORMATION

A1ORGANISATIONAL UNIT TO ADMINISTER THE GRANT (i.e. UQ School/Centre/Institute)

A2PROJECT TITLE

A3APPLICANT SUMMARY

Family name / Initials / School/Centre / Faculty/
Institute

A4 PROJECT SUMMARY

A plain language summary of the aims, significance and expected outcomes (approx. 100 words)

A5 RESEARCH CLASSIFICATIONS

  • List from highest % to lowest %, and in multiples of 10.
  • FOR and SEO Codes are available from: http://www.uq.edu.au/research/rid/info-codes-classifications.
  • Do not use codes ending in either ‘00’ or ‘0000’, as these are category headings.

Field of Research (FOR) / % / Socio-Economic Objective (SEO) / %

A6ETHICAL/OTHER CLEARANCES

  • If this application is successful, will you require ethical clearance?Yes No

If yes, what category:

Animal / http://www.uq.edu.au/research/rid/animal-welfare
Biosafety / http://www.uq.edu.au/ohs/index.html?page=29969
Other / Please specify:
If UQ Ethical Clearance already exists, insert UQ Clearance No:

PART B APPLICANT DETAILS

Family name

/ Role / CI

First name

/ Second name

Title

School/ Centre/Institute

Faculty

Current Degree Program

Year commenced / Expected completion
Email: / Telephone:

B2ARE YOU ENROLLED ON A SCHOLARSHIP?Yes No

B3ACADEMIC HISTORY

Previous university degree history (attach transcripts)

Degree program / University attended / Year completed

B4A STATEMENT OF PREVIOUS RESEARCH CONDUCTED (e.g. Honours), IF ANY

Outline previous research conducted with outcomes, maximum of half an A4 page.

B5REFEREED PUBLICATIONS, IF ANY

PART C OTHER ACADEMIC SUPPORT

  • Provide the details of any other scholarships or grants awarded or applied for, applicable to your current degree program

Asterisk (*) refers to any items that are in the same area of research as this application.

  • Support types (Sup type) are ‘C’ for current support, ‘R’ for requested support, ‘P’ for past support.

Description
(All named investigators on any grant held by a participant, project title, source of support, scheme) / (*) / Sup type / 2013
($’000) / 2014
($’000) / 2015
($’000) / 2016
($’000)

PART DPROJECT DESCRIPTION

Provide the following information in no more than 4 A4 pages and in the required format.

D1PROJECT TITLE

D2AIMS AND SIGNIFICANCE

Describe the aims and background to the project; how the research is significant and whether the research addresses an important local problem; how the anticipated outcomes will advance the knowledge base of the discipline in general and relevant local issues in particular;and why the project aims and concepts are novel and innovative.

D3APPROACH AND METHODOLOGY

Outline the conceptual framework, design and methods and demonstrate that these are adequately developed, well integrated and appropriate to the aims of the project.

D4REFERENCES

Include a list of all references within the page limit of 4 A4 pages. This list may be in 10 point font.

D5BUDGET AND BUDGET JUSTIFICATION

Provide a table outlining the budget expenditure for the project. Note: It is expected that a minimum of 75% of scholarship will be spent at MBRS on accommodation and other MBRS provided services. The remaining 25% may be used towards purchasing equipment that directly supports the approved project. Justification for spending must be provided.

PART E PROPOSED TIMETABLE

Provide a proposed timetable of research activities at the station with an indication of the degree of flexibility available in case of conflict with the station schedule. Include facilities, equipment and boating services required.

PART FAPPLICATION CERTIFICATIONS

CERTIFICATION BY APPLICANT

I certify that:

i) To the best of my knowledge, all the details on this application form are true and complete.

ii) I will comply with all necessary UQ policies and procedures in discharging my responsibilities under this scholarship.

iii) I understand and agree that all ethical clearances must be met before the proposed research can commence.

iv) In submitting this application, I consent to its referral to internal (UQ) and community assessors for consideration.

CERTIFICATION BY ACADEMIC SUPERVISOR

I certify that:

i) I am prepared to have the project, if supported under this scholarship application, carried out in my organisational unit under the circumstances set out by the Applicant.

ii) I have noted the amount of time that the Applicant will be devoting to the project and agree that it is appropriate to the degree program.

iii) Sufficient funds are available from my resources to cover those costs not covered by the scholarship and also costs the student is expected to incur while completing components of the proposed project not based at MBRS.

Signatures of Applicant and Academic Supervisor

Person / Surname, title and initials (printed) / Signature
Applicant
Supervisor

Submit this application to:

Science Research Facilities
Phone: (07) 3443 2071
Email:

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