Application form - CSIRO Alumni Scholarship in Physics

Deadline for applications: Friday 4th December 2020

Please complete all details.

Personal details

Full name *

Postal address *

Email *

Phone number *

Mobile number

Academic record

Name of high school and key school results *

Name of university and key university results *

Prizes and awards received

Relevant employment experience

Publications and/or presentations

Other achievements

Current research project

Project Title *

Australian Project Supervisor *

Supervisor email *

Supervisor Phone *

Proposed host Institution – using the scholarship to travel

Responsible person / title *

Supporting letter of application

A PDF or Word document please.

Host web page URL

Optional Proposed activities using the scholarship to develop career

Due to the uncertainty over international travel, the 2021 scholarship funding can be used for alternative non-travel activities, such as courses, training, attending online conferences and other undertakings to develop your career.

If you are not applying to travel with this scholarship, please list your planned activities with as much detail as possible to show how the scholarship funding will be spent.

Non-travel activity

Case supporting scholarship funding

Please state your case to support scholarship funding application *

maximum of 750 words

Declaration

I declare I am an Australian citizen / resident and that the information supplied by me on this form is true and correct in every particular. *

I authorise any person, educational institution or other body to supply information to CSIRO Alumni concerning this application and/or any subsequent administrative action connected with it. *

I have read and understand CSIRO’s privacy policy. *

Read our full Privacy Policy.

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