Doctoral Scholarship Programme
Application Form
To apply, please complete this application form and submit it together with the required documents to . All documents must be submitted in PDF format.
The deadline for applications is 31 March.
This application form must be accompanied by:
- A cover letter
- Your updated CV
- Personal Statement of Commitment1
- Copies of your graduate level academic transcripts, including a copy of your Masters diploma
- Copy of letter of acceptance to doctoral programme2
- Three letters of recommendation3
- Writing sample4
- Your doctoral research proposal
1This statement should be used to explain two things: i) the relevance of your proposed research topic to the IIS core research areas and/or the areas of interest of AKDN and/or the Jamati institutions; and ii) your commitment to contributing back to the IIS, ITREBs or AKDN.
2In exceptional circumstances, the IIS may consider an application that does not have a letter of acceptance attached. If this is your case, please explain the circumstances and submit a copy of your application, or application receipt, to your university together with this form.
3These letters must be sent directly from the referees to the IIS.
4The writing sample may be a paper you submitted as coursework. The maximum length of your writing sample should not exceed 2000 words.
Personal Details
Surname:
First name:
Correspondence address:
Telephone number including full code:
Mobile number:
Email address:
Gender: Female Male Date of Birth:
Country of Birth: Nationality:
Immigration status if residing in other than country of nationality:
Home address if different from correspondence address:
Home telephone number including area code if different from correspondence number:
Emergency contact
Name:
Address:
Telephone number including full code:
Relationship to you:
Research Details
What is your proposed area of research? (You may tick more than one)
Ismaili StudiesEducation
Shi’i StudiesPolitics
Qur’anic StudiesArt
HistorySocial Sciences
PhilosophyOther (specify below)
Theology
Other:
What is your proposed dissertation title?
Name of Institution:
City:
Country:
Department:
Potential Supervisor(s):
Duration of Doctoral programme in months and years:
Date of commencement:
Date of completion:
Have you received written notification of acceptance? Yes No
Please submit a copy of the letter with this form.
Income & Funding
Total fees for proposed course of study per academic year:
Have you previously applied for a doctoral scholarship from IIS? Yes No
If yes, please give the date of application:
Do you have any regular source of income? Yes No
If yes, what is the amount per calendar year?
Are you are planning to work during your Doctoral studies? Yes No
If you are currently working and intend to continue employment please give the details of your employer:
Your role:
Name of Employer:
Address:
Telephone:
How much do you expect to earn per calendar year?
Please give details of any financial aid you have been able to obtain. This could be from the university or other sources.
Please indicate if you have any financial dependants.
Education & Qualifications
Please provide details of higher education or equivalent in reverse chronological order. Continue on a separate sheet if necessary.
Institution name:
Institution address:
Dates attended:
Subjects:
Qualification obtained:
Institution name:
Institution address:
Dates attended:
Subjects:
Qualification obtained:
Institution name:
Institution address:
Dates attended:
Subjects:
Qualification obtained:
Institution name:
Institution address:
Dates attended:
Subjects:
Qualification obtained:
Language Skills
Please indicate the languages you speak, read and write and your proficiency in these languages
Language / Reading / Writing / SpeakingIf you were required to pass an English language test for admission to the Doctoral programme, please give details of the language test
Test name:
Test date:
Test result:
The University’s accepted pass level:
Referees
Please give the details of three academic referees
Name:
Position:
Organisation:
Postal Address:
Email Address:
Name:
Position:
Organisation:
Postal Address:
Email Address:
Name:
Position:
Organisation:
Postal Address:
Email Address:
Declaration
I declare that all the information provided on this application form is correct. I understand that my application may be rejected for withholding relevant details or giving false information. I understand that any offer will be subject to satisfactory references and evidence of qualifications.
Signature of applicant: Date:
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