APPLICATION FORM
(Maximum 5 pages)
NAME:
HOME ADDRESS:
WORK ADDRESS
HOME PHONE: FAX:
WORK PHONE: FAX:
EMAIL:
_______ Student Sponsorship ______ Seeding Grant
(Please tick category)
Please use the following headings in your application:
TOPIC:
RESEARCH QUESTION :
SIGNIFICANCE TO FIELD: AIMS:
METHODS: TIMELINE:
OUTCOMES OF THE RESEARCH: BUDGET & JUSTIFICATION :
RELEVANT WORK HISTORY AND RESEARCH EXPERIENCE TO DATE:
NAMES, ADDRESSES & TELEPHONE NUMBERS OF TWO (2) REFEREES
FOR THE PROJECT: SOURCES AND AMOUNT OF OTHER FUNDS AVAILABLE FOR
THE PROJECT: BIBLIOGRAPHY: (List major references only)
Send to:
Dr Allan Yarrow
Director, Professional Experience Unit
Queensland University of Technology
Victoria Park Road
Kelvin Grove Qld 4059
Closing Date: 30 September 1999
