1. Surname: ........................................ Forenames: ....................................................... Title: ..............
Date of Birth: .......................
Educational qualifications (with dates):
Career Details:
Address to which correspondence should be sent:
2. Title of proposed research project in Edinburgh
3. Summary of Project (not more than 50 words in terms which will be understood by a non-specialist in the subject):
4. Name and address of the academic institution to which you are now attached,
or previous institution (as appropriate):
Tel.No.:................................................... ..............(office) ......................................................... (home)
Fax No.:................................................................ E-Mail:........................................................
Position held:
5. For how long would you wish the Fellowship to run? .................................................
Preferred Dates: 1st Choice:
2nd
Choice:
6. Date of any previous application made for a Fellowship of the Institute:
7. How did you hear of the Fellowships?
8. Major publications. (Please distinguish between books, articles and reviews,
giving full references and page-numbers.)
9. Describe (in 300-500 words, on a separate sheet) the nature and importance of your research project, its relationship to one or more of the current research themes of the Institute, and the contribution you would hope to make to the advancement of this theme
10. Give details of any contacts you have made with University of Edinburgh
researchers in relation to your research project, and (where appropriate) collaboration(s)
you would hope to undertake while at the Institute.
11. Names and addresses of two or more referees: (Candidates must ask that
their referees write IN CONFIDENCE directly to the Institute: The Institute
will not itself communicate with referees).
Signature of applicant:..........................................................
Date:..............................................