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2013-2014 UQ Summer Research Program Application Form

Application Instructions
STEP 1 If you would like further information about a project, you should speak to the contact officer in the research unit (Faculty, School, Centre, Institute) you are interested in applying for to obtain advice. STEP 2 Complete the entire application form electronically, and submit together with your studies report/Academic Transcript. a) This file should be named in the following way, for example: Smith_John_UQ_SummerResearchProgram_Application_Form. This simply means adding your name to the front of the document title as it is currently named. b) Attach your Studies Report/ Academic Transcript named in the following way, for example: Smith_John_UQ_SummerResearchProgram_Transcript STEP 3 Email the completed documents to the contact officer in the faculty/school/centre/institute to which you are applying prior to 5pm on Friday 30 August, 2013. Late or incomplete applications will not be considered.

Applicant Details Title (Mr, Miss, Ms, etc) Given name Family name/s UQ student number (if applicable) Date of birth (Day/Month/Year) Local Term address (for summer semester)

Home address (if different from above)

Residential College name (if applicable) Home phone number


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Mobile phone number Email address Program/Degree Faculty/School University Cumulative GPA Current year of study Expected Graduation Date Have you participated in the UQ Summer or Winter Research Programs previously (Yes/No)? If so, please indicate which one and when.

Research Project Details With which School, Centre or Institute do you wish to undertake your research project? Provide the project title, a brief description of research topic and the details of your proposed supervisor. Project Title Supervisor Name Supervisor Location Supervisor Email

Brief description of research topic (100 words max)

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Curriculum Vitae Summary Provide a one page summary of your resume or CV, highlighting any previous research activities.

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Personal Statement Provide a statement addressing why you want to participate in the Summer Research Program, what you can contribute to the research project, and your suitability to be a member of the project team. (maximum 200 words)

Declaration I have: Answered all questions on this application form truthfully Read the Guidelines, specific requirements related to my study area of interest, and understood the eligibility criteria and my obligations in relation to this scholarship. I understand that The University may vary/cancel any decision it makes if the information given is incorrect or incomplete. I am expected to participate in an ongoing research project or to undertake a substantial piece of supervised research work with a workload stipulated by the project supervisor. Title and Name Date

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