Internship Supervisory Support and Bursary form

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The information on your PIPS provided in this form will be sent to members of the BBSRC DTP Management Board for approval.

Current BBSRC Doctoral Training PhD students may apply for an Internships Bursary. This is a competitive scheme aimed at covering travel costs or alternative accommodation away from your usual address. A financial contribution from the internship host will be viewed positively.

Email *

Your Name *

Your University Email *

Does your lead supervisor support this application? Please note that we will require evidence of this - please send this to bbsrcdtp@liverpool.ac.uk. *

Yes

Please give the name and address of the organisation you are arranging this internship with. *

We may need to contact your host organisation - please indicate how they should be contacted. Use the boxes below to give contact details.

Phone

Clear selection

Name of contact in host organisation *

Phone number of contact

Email address of contact

Have you agreed dates for your internship?

Yes

Clear selection

Internship Start Date (if known)

YYYY

Internship End Date (if known)

YYYY

Please provide an explanation of what you will be doing on this internship e.g explain what your role will be.

Please indicate whether you need the bursary to cover all of your expenses or whether there will be some support from the host organisation or elsewhere. It is hoped that host organisations will be willing to support expenses in recognition of the value that the intern will bring. This bursary is intended to top up financial support from the host organisation or provide support when the host organisation is unable to do so. There is no formal limit to the costs you may apply to the DTP for, but we expect any costs to be reasonable. *

Bursary Only

Bursary + support from host organisation

Bursary + other additional funds

Bursary not required

Required

Please indicate the total amount required from the bursary.

Is a deposit for accommodation required? *

Yes

Please use the space below to give an approximate breakdown of costs.

Please indicate how you think this internship will improve your skills and support your professional development.

Please describe your future career aspirations and how taking part in this internship might improve your career prospects.

DATA PROTECTION STATEMENT: Information that you provide on this form will be kept until the end of the NLD BBSRC Doctoral Training Partnership. Please tick to agree you have read and agree with our Data Protection Statement *

Agree

Required

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