THE THOMAS WIEDEMANN MEMORIAL FUND

Application Form

A - Your details

Name
Address
Postcode
E-mail
University
Department/College
Course
Year of course
Thesis topic
(research postgraduates only)

Supervisor/course-director's name
Supervisor/course-director's e-mail

Reference

N.B. Please ask your supervisor/course-director, or another referee to send a brief statement in support of your application by e-mail to the secretary of the Fund, Dr Jonathan Prag (secretary @ thomaswiedemann.org.uk). Referees should comment on the relevance of the proposed visit to your research, and the availability of other (e.g. departmental) sources of funding.


B - Your proposed visit

Destination
 

N.B. Awards will not be made for travel to countries other than the UK.

Date(s) of visit
 

N.B. You should normally apply at least one month before intended date of travel.

Purpose of visit
Brief statement of reasons how & why you think the visit will assist your research or career development

C - Grant sought

Breakdown of costs of visit:

(a) travel
(b) other (if any)
Contribution from your institution or other source
If you have not sought or have been refused support from your own institution, please give reasons why
Sum sought from the Wiedemann Fund

Return to home page

Please note that applications will not be directly acknowledged, but you can expect to receive a decision within 2-3 weeks of submission.

Last updated: 12 December 2011