SIR ROBERT HART SCHOLARSHIP

Application Form

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Your application may not be considered if the information given in this form is incomplete or incorrect. Please type or write legibly using black ink.

The completed form, should be returned by email via your Head of School toTheGraduate School (Postgraduate Awards), to byFriday 01 June 2018.

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(1)Surname:(2) First Names Mr/Mrs/Miss/Ms

(3) (a)Student Number:(b) Email:

(4)Addresses:

(a)Term Time (if applicable)(b) Home:

(5)Your Primary Degree* (refer to notes about Evidence of Qualifications on page 3):

DegreeUniversitySubjectClassDate Awarded

(6)Additional or subsidiary subjects studied as part of your degree:

(7)Any postgraduate qualifications* already obtained:

Qualification/DegreeUniversity/InstitutionName of CourseDate Awarded

(8)Course for which you are currently enrolled*:

Qualification/DegreeSubjectYear of StudyFull-Time/Expected Date

Part-Timeof Completion

(9)Course for which you are applying for the Scholarship (if different from (8) above):

(10)Please give a brief outline of your research and how you intend touse the scholarship, if successful, indicating the anticipated/added benefit to your research.

Please indicate your research area(s) delete as applicable: literary, historical, legal, linguistic, anthropological or sociological

(i)Is there a connection with the Far East?Yes / No (please give details)

(ii)Does this application relate to specific travel or a research trip? Yes / No (If yes, please give details)

(iii)Please provide a breakdown of costs, funding applied for/already secured and proposed travel dates where appropriate.

(iv)Please specify how your research will assist in your planned career.

(11)Source of funding for your postgraduate study:

(i)Do you receive a maintenance grant?Yes / No

(ii)If yes, how much is this worth per annum?£

(iii)Are your tuition fees paid by a funding body or third party?Yes / No

(v)If yes, please name the body responsible for paying your fees and/or maintenance/stipend:

(12)Please give details of any other awards or studentships which you currently hold.

(13)Please give details of any other awards or studentships for which you have applied and the anticipated date when the outcome will be known.

(14)Have you been awarded a Sir Robert Hart Scholarship previously? Yes / No

Data Protection Statement

In order to comply with the provisions of the Data Protection Act, I hereby authorise Queen's University Belfast (QUB) to process my personal data supplied on this form for the purposes of assessing my eligibility for this studentship. I confirm that, to the best of my knowledge and belief, the information given on the application form is true, complete and accurate and that no information requested has been omitted. I accept that if any information is inaccurate, has been omitted, or if I do not provide a transcript (if applicable), the University reserves the right to cancel the application and I shall have no claim against the University in relation to this.

I accept the Data Protection Statement.

*Evidence of Qualifications

I understand that evidence of my qualifications and transcripts for undergraduate and postgraduate study (previous and current as applicable) is required as part of the application and selection process. I understand that for non-Queen’s qualifications applicants are required to email their non-Queen’s transcript(s) to The Graduate School on (please use Subject Header Hart Application 2018). I understand that for Queen’s qualifications (current/previous) it will be necessary for Queen’s staff to access student transcript(s) via Queen’s Online to facilitate the selection process. I accept that Queen’s will review my transcripts to ascertain exact marks achieved by me in my undergraduate and/or postgraduate degrees to facilitate with the selection process for this studentship.

I agree to provide evidence of my non QUB qualifications and /or I authorise Queen’s to access my QUB transcript(s) via Queen’s Online.

Recommendation from Head of School or Nominee

I note that it is my responsibility in advance of the closing date to forward my application to the School to and to ensure that the Head of School returns the completed form by email to The Graduate School (Postgraduate Awards) at by the specified closing date, Friday 01 June 2018.

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Signature:Date:

Name in Capitals:

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Please ensure you submit the completed form to your Head of School well in advance of the closing date to facilitate the completion of the recommendation section of the form. The onus is on the applicant to ensure that the Head of School returns the completed form toGraduate School (Postgraduate Awards), by email to by Friday 01 June 2018.

Please note that any applications submitted after the closing date maynot be considered.

The information contained in this form is fed into a database compiled by The Graduate School (Postgraduate Awards) to facilitate the Larmor-University Studentship competition. A copy of the application will be held in The Graduate School (Postgraduate Awards) in accordance with the Graduate School retention schedule.

SIR ROBERT HART SCHOLARSHIP

Recommendation from Head of School

To be completed by Head of School* and emailed toGraduate School (Postgraduate Awards) at by Friday 01 June 2018.

NAME OF APPLICANT ......

SCHOOL......

Please comment on the applicant’s academic standing and source(s) of funding:

This Scholarship is awarded on the basis of the research or advanced work which the student is doing/proposes to do. Please comment below on the merits of the applicant’s topic.

SIGNATURE......

DATE......

POSITION......

*The Head may nominate a Supervisor or other member of staff who is familiar with the work of the applicant to complete this form, but the Head of School must countersign it.

Sir Robert Hart Scholarship Regulations

This scholarship was founded in 1914 in memory of Sir Robert Hart, Pro-Chancellor of Queen's University of Belfast from 1909 to 1911. The scholarship will be offered for award annually. It will be of the value of approximately £650 per annum subject to availability of funds. The scholarship is tenable for one year but may at the discretion of the Graduate School (Postgraduate Awards) be awarded a second time to a candidate.

The scholarship shall be awarded to a graduate of Queen’s University who is engaged upon research or other advanced work of a literary, historical, legal, linguistic, anthropological or sociological nature, which, in the opinion of the Graduate School, is worthy of special encouragement, preference being given to persons engaged upon such research or other advanced work in connection with the Far East.

The scholarship, which is open to full-time or part-time students, may be held with any other studentship or scholarship of the University.

Application must be made on the prescribed form to the Graduate School (Postgraduate Awards) by the advertised closing date.