HONOURS SCHOLARSHIP APPLICATION Office Use Only Approved Declined ............................................... / / (Director) (Date) Notified ..................................................... NB: Please read the Guidelines for Eligibility before completing this form *denotes Required Field Applicant Courtesy Title * First Name * Last Name * Please select Telephone No. * Email * Student ID * Are you intending to undertake a full-time Honours Degree at CSU? Yes No Have you enrolled yet? Yes No Have you applied for and /or been awarded Honours scholarship funding from any other source? Yes No Supervisors Applicants are required to have joint supervision by academic staff members of CSU, together with an appropriately qualified staff member of NSW DPI (where available) and required within the project scope. At least one supervisor must be a member of the National Wine & Grape Industry Centre. NAME OF SUPERVISOR #1* AFFILIATION* CSU Is this person a National Wine & Grape Centre Member?* NSW DPI Other Yes No NSW DPI Other Yes No NSW DPI Other Yes No I have discussed my application with this supervisor NAME OF SUPERVISOR #2* AFFILIATION* CSU Is this person a National Wine & Grape Centre Member?* I have discussed my application with this supervisor NAME OF SUPERVISOR #3 AFFILIATION CSU Is this person a National Wine & Grape Centre Member? I have discussed my application with this supervisor Research Project Does your research project account for at least 50% of your Honours year?* Yes No NB: Character/word limit – the fields below have a maximum character limit which includes spaces ( and an estimated maximum word limit) Project Title: (max 335 characters – approx 50 words)* Please provide a description of your project (max 1000 characters – approx 185 words)* Please describe the specific aims of the project (max 700 characters – approx 120 words)* Please describe how these aims can be achieved within the scope of an Honours degree* (max 700 characters – approx 120 words)* Are resources available at CSU &/or NSW DPI to support the project?* If yes, please provide details (max 700 characters – approx 120 words) Yes No Unsure Alignment with National Wine and Grape Industry Centre Platforms and Research Priorities Which of the following research priority areas does the project relate to and to what extent?* %* Disease Management (molecular biology) Grape, wine composition & sensory science (Analytical chemistry, sensory, chemometrics, PHWDERORPLFV Environmental impacts on grape quality (climatology, wine physiology, anDlytical chemistry, FKHPRPHWULFVPHWDERORPLFV Wine making, wine styles and consumer preferences Decision making tools; remote sensing; modelling, processes Other (please specify) [Total must equal 100%] Declaration In making this application I declare (by ticking the box provided) that: • I have read, understood and agree to the information and conditions described in the Honours Scholarship. • To the best of my knowledge, all information provided in this application is true and correct and no information is false or misleading. • I have the agreement of all supervisors to include their details within this application. I agree* Name* Submit Form Date* Save Form Clear Form If you experience any difficulty in submitting your application, please use the Save Form Data button, save the file to your computer and the send as an email attachment to [email protected]
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