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Philip Law scholarship application form

Your application will go to Hazel Goodson, ecch Project Officer, who is contactable for all information relating to scholarships.
e h.goodson@ecch.com
t +44 (0)1234 756418

Please ensure that all 10 sections of the form are completed. If in doubt, please contact ecch for guidance.

This form should be submitted to ecch for receipt by any one of the following deadlines:

31 March
30 June
30 November

1. Principal Applicant:

Title:
First name: *
Last name: *
Date of birth:
Place of birth:
First language:
Permanent Address: *
Telephone: *
Email: *

2. Department and institution of principal applicant and affiliated institution for all correspondence

Department: *
Organisation: *
Full address: *
Official telephone:
Fax:
E-mail:*

3. Applicant's educational history with chronology of higher education *

4. Applicant's employment history to date

5. Title of formal research project or thesis submitted for assessment by affiliated institution *

6. Date of submission or completion of formal research project or thesis

7. Description of case study proposal for Philip Law Scholarship
Please outline the scope, subject areas, concepts, and learning objectives to be embodied, the data available and any further research requirements that might be necessary. Also included in this section should be the type and level of course for which the case would be suited. A maximum of 300 words is allowed for the response to question 7. *

8. Supervisors

Research supervisor
Name: *
Job title: *

Case writing supervisor (if different)
Name:
Job title:

9. Copyright
Please state the name of the body or person(s) to whom ownership of the completed case study and teaching note should be ascribed. Where this is not the author's affiliated institution, supporting documentation should be supplied (this would normally take the form of an official letter from the institution). *

10. Declaration *

I confirm that the applicant, case writing supervisor & ecch representative at my organisation have read the terms and conditions of grant and agree to abide by them and any additional conditions attached to a Philip Law Scholarship offered and accepted as a result of this application. We have not entered into obligations which conflict with the conditions of a Philip Law Scholarship, including obligations to third parties incurred in regard to ownership and use of research. *