Strategic PhD Scholarship – Realizing the Potential of Australia’s High Capacity Students (REAP): Analysis of Teacher Intervention Program

Expression of interest (EOI) form

PERSONAL DETAILS

Name
Address
Phone Number
Mobile Number
Email

RELEVANT ACADEMIC QUALIFICATIONS AND RESEARCH EXPERIENCE

Please list prior tertiary qualifications and degrees completed (most recent first):

Degree / Major / Year completed / Length (years) (Pt/Ft) / University/ institution / Final year grade / Course average grade

*insert additional rows as required

NB: All applicants need to satisfy the University of Melbourne PhD – Education entry requirements.

Please list any previous academic awards, scholarships or prizes:

Title/Awarded by: / Year

*insert additional rows as required

Do you anticipate undertaking a PhD full-time commencing in 2017? Y N

Have you completed any substantial pieces of research and writing as part of your previous degrees? Y N

If yes, please provide a brief description including, where applicable: the title; the year research was completed; degree and year level of the project; the minimum word length of the research output; the number of points or proportion of year’s assessment; and the nature or type of research undertaken (max 250 words):
Please list any research publications you have authored or co-authored, with full bibliographic details:
Please outline any study (including research training such as research method subjects) or work experience that is relevant to your PhD proposal or that has required you to develop relevant research and writing skills (100 words):

References

Referee 1:

Title and name
University and department
Address
Telephone
Email
Relationship to applicant

Referee 2:

Title and name
University and department
Address
Telephone
Email
Relationship to applicant

APPLICATION INSTRUCTIONS

For instructions on how to submit your EOI, please visit the How to apply section on the Graduate Research Scholarships page on the MGSE website.

Please note: Your application for admission to the degree of PhD at the University of Melbourne must be submitted separately to the EOI. For more information on the PhD admission application process for the PhD – Education please visit How to Apply.

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