Application for Summer Scholarship Office Use Only Approved Declined …………………………………………………… Director I I (Date) Notified ......................................... NB: Please read the Guidelines before completing this form. Character/word limit- certain fields have a maximum character limit which includes spaces (and an estimated maximum word limit) *denotes required field Applicant: Student ID* Full name* Postal address* Email * Telephone* Degree Course in which you are currently enrolled* Full-time Part-time Stage of completion (eg. starting 3 yr)* rd Any other relevant information? (max 280 characters- approx 50 words) National Wine & Grape Industry Centre Priorities Please select no more than two (2) of the following Research Priorities which best describe the areas you are interested in. Disease Management (Molecular biology, Vine Pathology) Grape, wine composition & sensory science (Analytical chemistry, sensory, chemometrics, metabolomics) Environmental impacts on grape quality (climatology, wine physiology, analytical chemistry, chemometrics Market insights (marketing, consumer science, food science) Workforce Development & Extension (deucation, professional training, research extension & adoption) Other (please specify) Please provide a brief statement describing why you are interested in these areas (max 280 charactersapprox 50 words) Research Project Do you have a project already identified for this scholarship (if successful) * Yes No If yes, please provide the project name (if known) or a brief project description (max 450 characters- approx 75 words) NAME OF SUPERVISOR #1 AFFILIATION CSU Is this person a National Wine & Grape Industry Centre Member? NSW DPI Yes Other No I have discussed my application with this supervisor NAME OF SUPERVISOR #2 AFFILIATION CSU Is this person a National Wine & Grape Industry Centre Member? NSW DPI Yes Other No I have discussed my application with this supervisor Please describe your interest in undertaking an Honours project in the future. (max 450 characters- approx 75 words) In making this application I declare (by licking the box provided) that: • I have read, understood and agree to the information and conditions in the Summer scholarship Guidelines • To the best of my knowledge, all information provided in this application is true and correct and no information is false or misleading I agree* Date * Name* Save Form Submit Form Clear Form If you have any difficulty in submitting your application, please use the ‘Save As’ button, save the file to your computer and then send as an email attachment to [email protected]
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