LMS-CMI Research School application form

Name and contact details

Question Title

* 1. Name and contact details

Do you require accommodation? (If so, this will be provided Sunday-Thursday nights inclusive, beginning 12 August 2018)

Question Title

* 2. Do you require accommodation? (If so, this will be provided Sunday-Thursday nights inclusive, beginning 12 August 2018)

Do you have any special dietary requirements?

Question Title

* 3. Do you have any special dietary requirements?

Please indicate your status by ticking one box only

Question Title

* 4. Please indicate your status by ticking one box only

Institution currently attended/employer

Question Title

* 5. Institution currently attended/employer

Year of PhD study or year doctoral degree was awarded

Question Title

* 6. Year of PhD study or year doctoral degree was awarded

Please give a brief description of your research interests, your current research, and a list of publications (if any)

Question Title

* 7. Please give a brief description of your research interests, your current research, and a list of publications (if any)

Please provide the name and email address of the person providing a letter of reference; please indicate whether this is your doctoral supervisor.

Please make a copy of your application before submitting it to send it to your referee and ask your referee to complete the online referee form: https://www.surveymonkey.co.uk/r/RS36RefereeForm

Question Title

* 8. Please provide the name and email address of the person providing a letter of reference; please indicate whether this is your doctoral supervisor.

Please make a copy of your application before submitting it to send it to your referee and ask your referee to complete the online referee form: https://www.surveymonkey.co.uk/r/RS36RefereeForm

Is he/she your doctoral supervisor?

Question Title

* 9. Is he/she your doctoral supervisor?

How did your hear about this Research School? (please tick all relevant answers)

Question Title

* 10. How did your hear about this Research School? (please tick all relevant answers)

Would you be interested in hearing of future Research Schools and of any other LMS events for Graduate Students?

Question Title

* 11. Would you be interested in hearing of future Research Schools and of any other LMS events for Graduate Students?

If you are not a member of the LMS, would you be interested in joining the Society? Further information about the Society and how to join the Society can be found at http://www.lms.ac.uk/content/membership

Question Title

* 12. If you are not a member of the LMS, would you be interested in joining the Society? Further information about the Society and how to join the Society can be found at http://www.lms.ac.uk/content/membership

T