Applicant Name
Student ID
Study Program
Principal Supervisor
Degree course
Current year of candidacy / ______
I study Full-time I study Part-time
Contact telephone
Date
Number of attached sheets
SIGNATURE OF PRINCIPAL SUPERVISOR
Comments from Principal Supervisor
Signature of Principal Supervisor ______Date ______
SIGNATURE OF APPLICANT
Signed ______Date ______
Office use only
School Research Committee decision
Funded Not funded
Signed by Chair of SRC ______Date ______
APPROVAL by Dean of School
Signed Date
STUDENT CONFERENCE SUPPORT FORM (Please check the Student Conference Support Guidelines )
Type of conference leave requested / National Conference Support Overseas Conference Support
Conference title
This is a significant conference in my area for the following reasons
Title of the paper I will be presenting
Location of conference
Dates of conference
Period of absence from the University
My paper has been accepted for presentation / Yes (confirmation attached) No
I will be publishing a paper derived from my presentation following the conference. / Yes.I have completed an outcomes template (attached)
FUNDING SUPPORT
The costs of my attendance at the conference are:
I have attached quotes for these figures / Airfare / Travel costs:
Registration:
Accommodation:
Yes
Have you applied for other funding support for your attendance at this conference? / Yes No
List contribution(s) sought from other sources (detailing amount and source)
Project Outcomes Template
Project/Conference TitleJournal Publications
Indicative title of article:Journal(s) to which article will be submitted:
Status of journal in your research area/discipline: / Planned date of submission: / Accepted for publication?
Book Chapter Publications
Indicative title of chapter:Indicative title of book
Publisher:
Status of publisher in your research area/discipline / Planned date of submission: / Accepted or contracted for publication?
Type of output / Indicative title of output / Planned date of submission or completion
Other Research Outputs