SHACKLETON SCHOLARSHIP FUND

Academic Application Form

The Shackleton Scholarship Fund in the Falkland Islands is administered by the Shackleton Scholarship Committee.

Please note the form can be downloaded in Microsoft Word (RTF) format - Academic Form

Please fill out all of the fields below.

Email Address

Personal Details:

Name
Title
Marital status
Place of birth
Date of birth
Nationality
Correspondence address
Phone number
Fax number

Next of kin Details (who should be contacted in an emergency):

Name
Relationship
Date of birth
Correspondence address
Phone number
Fax number

 

Where are you currently working or studying?:

 

If you are currently working, please give brief details of your post, grade and main responsibilities:

 

If you are currently studying or engaged in academic research, please give brief details:

 

Please list academic qualifications obtained and the relevant institutions since completing your secondary education: (also list training and other courses which might be relevant to your application)


Please give details of your professional career to date:

 

Have you ever visited the Falkland Islands?

Visited Falklands

 

If 'Yes', please give details:

 

Have you studied or undertaken research on the Falkland Islands and/or the South Atlantic region or related topics?:

Studied FI related topics?

 

If 'Yes', please summarise the subject and results of your research including any publications


PROPOSED SUBJECT OF RESEARCH

Please describe the purpose of your research, including the proposed methodology, the results you hope to achieve and how you think it will benefit the Falkland Islands and the South Atlantic region.


Title

Purpose of the research and project overview:

 

Proposed Methodology:
(include work carried out in the Falkland Islands and any supporting work elsewhere)

Outputs expected:
(include estimated delivery time and any degree or course which the project will contribute to)

Likely benefits to the Falkland Islands and the South Atlantic Region

 

Timescale of project

Project dates

 

Cost of the project (please give breakdown of £ cost)

 

Amount sought from Shackleton Scholarship Fund: (Please indicate where other funding will come from)


Please note letters from two academic or professional referees in support of your application for Shackleton scholarship will be required.