Academic Application Form

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

This application is also available to download here

The deadline for applications is 31st March each year,

Please fill out all of the fields below


Title of Proposed Project



Personal Details

Email Address:   


Family Name


Christian Name(s)


Title


Marital Status


Place of Birth


Date of Birth


Nationality


Correspondence address


Phone Number


Fax Number



Next of Kin Details (Emergency Contact)

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 gained and the relevant institutions since completing your secondary education (also list training and other courses which may be relevant to your application):



Please give details of your professional career to date:



Have you ever visited the Falkland Islands?


If "Yes", please give details:



Have you ever studied or undertaken research on the Falkland Islands?


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



PROPOSED SUBJECT OF RESEARCH

Proposed Title


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.

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 the project

Project dates


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



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.