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Undergraduate Summer Vacation Studentship Application

Students: please complete your section of this form and save it as a draft, then pass it onto your supervisor to complete their section. If you are logged into the website, you can save a draft and return to the form at any time.

Supervisors: please check your student's section of the form and complete yours. Once you are satisfied, just click 'submit'. If you are logged into the website, you can save a draft and return to the form at any time.

Part 1: To be completed by the student

Personal details

Title: *

Forename: *

Surname: *

Address: *

Postcode: *

Country: *

Email: *

Telephone (daytime): *

Current course details

Department/Institution: *

Course type (BSc, BA, HNC etc): *

Course title: *

Year of study: *

Module information: *

Please provide details of examination performance, including all individual module marks, to date.

Additional information: *

Please provide details, stating duration, of any projects/achievements or other previous work or study, including any laboratory-based research conducted as part of your degree programme (max 100 words).

Summary of costs

Living expenses are expected to cover the cost of accommodation in university halls of residence or comparable student accommodation, if the student is not living at home for the period of the project, plus a subsistence allowance.

Living expenses per week: *

Number of weeks: *

Other expenses (please give details): *

Total amount requested from The Physiological Society: *

I have read the terms and conditions and agree to abide by them: *

Yes

Part 2: To be completed by the supervisor

Personal details

Title: *

Forename: *

Surname: *

Membership number: *

Department and Institution: *

Address: *

Postcode: *

Country: *

Email: *

Telephone (daytime): *

Publications: *

Please list up to three recent publications

Proposed project

NB: If this project depends upon procedures carried out under a Home Office Licence, please indicate whether the student has a personal licence and clarify the aspects of the project they will be able to undertake. Similarly, please state whether local ethical approval is required, and whether it has been granted.

Description of project (800 word max): *

In the summary of the scientific work, please include details of any training the student will receive.

Why have you chosen this student?: *

Please justify the living expenses that have been requested: *

I have read the terms and conditions and agree to abide by them: *

Yes

Part 2: To be completed by the supervisor

The rest of the form should be completed by the Ordinary Member of The Society that will be supervising this project

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Undergraduate Summer Vacation Studentship Application

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