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VF-VS1617/CONFIDENTIAL

COUNCIL for BRITISH RESEARCH in the LEVANT



Application for a Visiting Fellowship or Visiting Scholarship 2016-17

Please read the Guidance Notes for Visiting Fellowships /Scholarships before completing this form. Please use the form for Senior Visiting Fellowships where appropriate.




Please type throughout (minimum 10 pt), confining your answers to the spaces provided. Two references are required. Complete sections 1-4 of the Reference Request Forms and send them along with a copy of your completed application to the referees.

Completed application forms should be e-mailed by applicants and completed references by referees to cbrl@britac.ac.uk


CLOSING DATE FOR APPLICATIONS AND REFERENCES IS 15 JANUARY 2016



1 PERSONAL DETAILS Address for Correspondence


F

ull Name (Surname underlined) and title




Nationality / Dual Nationality


Please confirm that you are ordinarily resident in the

United Kingdom, the Isle of Man, or the Channel Islands E-mail Address

Please confirm your PhD status




Currently registered for PhD at: (University)
If so, full or part time:
PhD submitted and viva to be held on: (date)

or

PhD completed: (date)




2 SUMMARY OF ACADEMIC CAREER





What is your current position/affiliation/employment




3 TITLE OF PROJECT AND SUMMARY OF RESEARCH (in not more than 50 words)




  1. PARTICULARS OF VISITING FELLOWSHIP


Are you applying for a 6 month or 12 month Fellowship or At which CBRL Institute(s) do you wish to be based? Please

Scholarship? provide proposed dates for residency.


Amman (Delete as appropriate)

Jerusalem

6 or 12 months (delete as appropriate)
Start date:

5 SCHEME OF RESEARCH


Please describe in the space provided (and no more than 900 words) the research proposal for which you are seeking a fellowship. Where applicable, please address the question that appropriate permission has been obtained to carry out the research.


Are non-English languages required for the research? If so, please provide a statement on whether you have the necessary language skills, or what alternative strategy will be adopted to undertake the research.




6 ETHICAL PROCEDURES

CBRL requires that you follow the code of ethics for field research recommended by your academic institution. Could you please confirm, by ticking the following box, that you have read and will follow the ethical guidelines of your institution: [ ]




Are there any ethical issues not covered in your institution’s code of practice that you would like to be considered?



7 OPTIONAL ARABIC TRAINING

Please indicate if you wish to undertake Arabic language training at the Qasid Institute in Amman or al-Quds University in Jerusalem.

If you wish to take the Arabic language training offered, please indicate your level of Arabic language ability.




8 SUMS REQUESTED FROM OTHER SOURCES


Fund/Organisation Amount requested Result (or date expected)


9 ANY OTHER GRANTS OR SCHOLARSHIPS HELD




10 PUBLICATIONS


Please list your relevant publications (to a maximum of six)

List any extant unpublished projects and their publication states.





11 REFEREE (a)

N


ame

E-mail Address




REFEREE (b)


N

ame


E-mail Address




Please note that suitable referees include your supervisor and external examiner. They must NOT be members of CBRL Committee or CBRL staff or a current applicant for a CBRL award.


12 MEMBERSHIP


Are you presently a CBRL member?


To be eligible to apply you must be a CBRL member (you may apply for membership when you submit your application for the award)

13 SIGNATURES
Applicant’s signature and date

Institutional authorisation (where applicable)

P

osition
Date


D


ate





Completed applications must be received by 15 JANUARY 2016
E-mail to cbrl@britac.ac.uk

COUNCIL for BRITISH RESEARCH in the LEVANT



Reference Request – Visiting Fellowship/Scholarship 2016-17

How to complete the form

Applicant


Please complete sections 1-4, and forward the form to your referee together with a copy of your completed application. Please note that referees must NOT be members of CBRL Committee or staff or a current applicant for a CBRL award. They may include your PhD supervisor or your external examiner if you have completed your PhD.

Referee


Please complete section 5 in typescript, sign and e-mail the completed form to cbrl@britac.ac.uk

by 15 JANUARY 2016


1 Name of Applicant 3 Name of Referee



2 Title of Project Present (or most recent) appointment

4 Address of Referee

E-mail address




  1. Reference

Please give in the space provided your comments on the scholarly importance of the project, the estimated cost and the applicant’s ability to carry it out.


Reference continued overleaf

Reference continued
























































6 SIGNATURE AND DATE


Signature Date

Completed references must be received by 15 JANUARY 2016

E-mail to cbrl@britac.ac.uk
References will only be acknowledged on request. We thank you for your co-operation

COUNCIL for BRITISH RESEARCH in the LEVANT



Reference Request – Visiting Fellowship/Scholarship 2016-17

How to complete the form

Applicant


Please complete sections 1-4, and forward the form to your referee together with a copy of your completed application.

Please note that referees must NOT be members of CBRL Committee or staff or a current applicant for a CBRL award. They may include your PhD supervisor or your external examiner if you have completed your PhD.

Referee


Please complete section 5 in typescript, sign and e-mail the completed form to cbrl@britac.ac.uk

by 15 JANUARY 2016


1 Name of Applicant 3 Name of Referee



2 Title of Project Present (or most recent) appointment

4 Address of Referee

E-mail address




  1. Reference

Please give in the space provided your comments on the scholarly importance of the project, the estimated cost and the applicant’s ability to carry it out.


Reference continued overleaf

Reference continued
























































6 SIGNATURE AND DATE


Signature Date

Completed references must be received by 15 JANUARY 2016

E-mail to cbrl@britac.ac.uk
References will only be acknowledged on request. We thank you for your co-operation




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