University of Birmingham
EPSRC Vacation Bursary application form
Applicant DetailsTitle: / Surname: / First name:
Email address:
HESA Number
University of Birmingham ID number (if applicable):
Name of university you are registered at as an undergraduate student?
Please note the vacation bursary scheme is open to students who are registered at a UK university only.
Are you registered as a Home/EU student at your undergraduate university?
Please note the vacation bursary scheme is open to Home/EU students only. / Yes/No
Nationality
Undergraduate Degree Details
Current degree programme (i.e. BSc Chemistry, MEng etc.):
Date degree programme commenced:
Year of programme (i.e. 2nd year of 3 year course = 2/3):
Please note students who are in the first or final year of their degree are not eligible for a vacation bursary.
Research Project Areas
Which research project area(s) are you interested in applying for?(please tick)
Strategic and critical materials
Quantum technology
Strategic and critical materials
Quantum technology
Gravitational waves
Particle physics
Combinatorics
Rail & vehicles
Buried infrastructure
Robotics for extreme environments
Energy and Energy storage
Mathematical Biology
Imaging & diagnostics
Healthcare Technology
Materials for health
Formulation engineering
Supporting Statements
Please provide a short statement explaining why you are interested in this area (or areas) and what you are hoping to gain from undertaking this project. (max. 500 words)
Please provide a short statement explaining why you would be suitable for a vacation bursary. (max. 500 words)
References
Please provide the details oftwo referees.
Referee 1
Name
Email address
Capacity in which known to you
Are you content for us to approach this referee? / Yes/No
Referee 2
Name
Email address
Capacity in which known to you
Are you content for us to approach this referee? / Yes/No
Undertakings
- The information in this application is accurate and complete.
- I agree to the conditions of the vacation bursary if awarded and am aware that the details may be published.
Signature
Please return this application to .
Please include with your application a copy of your CV and transcript of marks achieved in your degree programme to date.
Equality and Diversity DataThe EPSRC are seeking demographic statistics for the overall applicant pool for the purpose of equal opportunities monitoring. In order to comply with our reporting requirements, we would be grateful if you could complete the following information.
For each category you can select a ‘Prefer not to say’ option and the information collected in this form will only be used for the purpose of equal opportunities monitoring and may be shared with the EPSRC in an anonymised manner to this end.
Gender identity / Male
Female
Other
Prefer not to say
Age range / 0-24
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65+
Prefer not to say
Ethnicity / Asian British
Asian other
Black British
Black other
Mixed/multiple ethnic groups
Other
White British
White other
Prefer not to say
Disability / Known disability
No known disability
Prefer not to say
Sexual orientation / Bisexual
Gay man
Gay woman / lesbian
Heterosexual
Other
Prefer not to say