SVF1617/CONFIDENTIAL
Application for a Senior Visiting Fellowship 2016-17
Please read the Guidance Notes for Senior Visiting Fellowships before completing this form.
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
2 SUMMARY OF ACADEMIC CAREER
Current position at University
3 TITLE OF PROJECT AND SUMMARY OF RESEARCH (in not more than 50 words)
-
Are you applying for a 3 month or 6 month fellowship? At which CBRL Institute(s) do you wish to be based? Please provide proposed dates for residency.
Amman (delete as appropriate)
Jerusalem
3 or 6 months (delete as appropriate)
Start date:
5 SCHEME OF RESEARCH
Please describe in the space provided 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 FINANCIAL DETAILS
Details of the award are provided in the guidance notes. There is an allowance of £3,000 towards replacement teaching. If you wish to use this for other research related expenditure during the Fellowship please provide budgetary details below. Please note that if you select this option, CBRL may award the Fellowship without awarding the full £3,000.
8 SUMS REQUESTED FROM OTHER SOURCES
Fund/Organisation Amount requested Result (or date expected)
9 PREVIOUS GRANTS AWARDED
Please list previous grants, with dates, awarded by both the CBRL and other bodies for this scheme of research. Please indicate where publications / reports/ dissertations, etc. have resulted from the grants awarded.
10 PUBLICATIONS
Please list your principal 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 referees must NOT be from your Institution or University, or 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 –Senior Visiting Fellowship 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 from your Institution or University, or members of CBRL Committee or CBRL staff or a current applicant for a CBRL award
Referee
Please complete section 5 in typescript, sign and return the completed form to cbrl@britac.ac.uk
by 15 JANUARY 2016
2 Title of Project Present (or most recent) appointment
4 Address of Referee
E-mail address
-
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
Signature Date
Completed references must be received by 15 JANUARY 2016
E-mail to cbrl@britac.ac.uk or post to CBRL, 10 Carlton House Terrace, London SW1Y 5AH, UK
References will only be acknowledged on request. We thank you for your co-operation
COUNCIL for BRITISH RESEARCH in the LEVANT
Reference Request – Senior Visiting Fellowship 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 from your Institution or University, or members of CBRL Committee or CBRL staff or a current applicant for a CBRL award
Referee
Please complete section 5 in typescript, sign and return 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
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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