If Successful, the Applicant Will Be Required to Sign a Printed Copy of the Application

/ FACULTY OF SOCIAL AND BEHAVIOURAL SCIENCES
School of Social and Policy Studies
RESEARCH STUDENT MAINTENANCE (INDIVIDUAL)
APPLICATION FORM
Closing Date for applications is the last working day of April and September each year.

Please refer to the Research Student Maintenance - Guidelines for advice about the scheme and applicant eligibility. Applications, including all supporting documentation, must be submitted electronically to Jan Sidford, School Research Administration Officer, email:

Section 1: APPLICANT DETAILS
Surname / Given Name(s) / ID
FAN / Discipline / Degree:
Date commenced: / Anticipated completion Date:
Proposed study in 2015 Full-time / ☐ / Part-time / ☐ / Do you intend intermitting in 2015? (YES/NO)
If YES, when do you intend intermitting? Start Date: / End Date:
Supervisor(s)
Project Title:
Are you in receipt of a Scholarship? (YES/NO) / If YES please specify
(e.g.FFP, Aus Aid, APA, FURS)
Section 2: FUNDING REQUIREMENTS
Please specify your funding needs:
Large Scale Survey work / ☐ / Extraordinary maintenance costs beyond the standard base allowance / ☐ /
Fieldwork or Travel / ☐ / Specialist software packages/licence fees / ☐ /
Other / ☐ / Please specify:
If you have ticked Fieldwork above please confirm if you have applied for the Overseas Field Trip Award / YES / ☐ / NO / ☐ /
If NO please provide a comment: /
Please provide Fieldwork/Travel dates:
Category / Description / Amount requested from School / Contribution from other sources
Personnel
Equipment
Maintenance
Travel
Conference
Other
TOTAL
Section 3: AIMS and BUDGET JUSTIFICATION
Note: This is a justification of the costs likely to be incurred during the next year. Please indicate clearly why you need the items and how they relate to your research plan. Where costs can be covered from other sources (e.g. by an external funding agency) this must be disclosed.
Section 4: ETHICS APPROVAL
Does this grant application require Ethics approval from any of the following Committees? (Tick if YES)
Animal Welfare Committee / ☐ / Flinders Clinical Research Ethics Committee / ☐ /
Biosafety Committee / ☐ / Social and Behavioural Research Ethics Committee / ☐ /
Date application lodged: / Ethics clearance Project number
Where approval is still to be obtained please forward a copy of approval(s) to the Research Administration Officer as soon as available.
Section 5: SUPERVISOR COMMENTS
Comments from Principal Supervisor (it is the supervisor’s responsibility to ensure that the funding is used in the student’s best interest).

END OF FORM

Important information: Applicants should refer to the attached ‘Checklist of Attachments’ prior to submitting their form electronically. Completed applications should be submitted to the School Research Administration Officer, Jan Sidford, email: by the last business day in April or September.

If successful, the applicant will be required to sign a printed copy of the application.

CHECKLIST OF ATTACHMENTS

for

RESEARCH STUDENT MAINTENANCE (INDIVIDUAL) APPLICATION FORM

Section 2: Funding requirements - include amounts requested from School and any contribution from other sources

Information attached in relation to:
☐ / Personnel
☐ / Equipment
☐ / Maintenance
☐ / Travel
☐ / Conference

Section 5: Ethics Approval

Note: Where approval is still to be obtained, forward a copy of the approval(s) to the Research Administration Officer as soon as available.

SSPS - Research Student Maintenance (Individual) Application Form – updated 04/2015