COLLEGE OF ARTS AND SOCIAL

SCIENCES

Humanities Research Centre

Visiting Fellowship Application 2017
Deadline: 30 April 2016

PERSONAL PARTICULARS
Title

Given Names

Surname

Country of Citizenship

Date of Birth

BUSINESS MAILING ADDRESS

Department
Institution
Town/City
Country

Postcode/Zipcode

PERSONAL MAILING ADDRESS

No/Street
Town/City
Country

Postcode/Zipcode

Email address
Telephone

Day

Evening

Mobile

Fax

Current Appointment
FELLOWSHIP CATEGORY (tick)
Visiting Fellow - Grant
Visiting Fellow - Partial Grant
Visiting Fellow - No Grant
Visiting Fellow Gender Institute
PROPOSED DURATION OF VISIT (from 6 to 12 weeks, between 1 February and 30
November 2017)
NOTE: The committee will consider applications for visits of fewer than 6 weeks in
cases where personal circumstances prevent the applicant from staying any longer.
(Please include an explanation immediately below the proposed dates.)
To:

HRC VF 2017 Application Form

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Yes

No

Yes

No

HAVE YOU PREVIOUSLY BEEN A VISITOR TO AUSTRALIA (tick)

HAVE YOU PREVIOUSLY BEEN A VISITOR AT THE ANU (tick)
If yes please provide details
Date(s)

Capacity

RESEARCH PROJECT
TITLE
Provide a detailed Research Proposal, ATTACHMENT A. Details at end of document.

Yes

No

Yes

No

Do you consider you Research Project fits within the Annual Theme?
APPLICATION ACCOMPANIED BY
Yes
No
Current CV (including a
list of publications)

Attached

CONTRIBUTION TO THE HRC AND THE AUSTRALIAN NATIONAL UNIVERSITY PROGRAMS

Please select categories to which you are willing to contribute
Work-in-Progress

Presentation at Workshop

Conference or Symposium participation

Graduate Master Class

CONTRIBUTION TO OTHER AUSTRALIAN UNIVERSITIES AND TO AUSTRALIAN PUBLIC

LIFE
Please select categories to which you are willing to contribute
Presentation at Festival or public event

Public Lecture

Conference or Symposium participation

Graduate Master Class

Other?
ACCOMPANYING FAMILY MEMBERS
Yes
Are family members accompanying the Visitor
Name
Relationship
DOB:

Passport Number

No
Birth Country

HOW DID YOU HEAR ABOUT THE HRC VISITING FELLOWSHIP PROGRAM? (tick)
HRC Website
Flyer
advertisement
Email
Friend
HRC VF 2017 Application Form

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SCIENCES

Newspaper (which one?)

Other (details)

REFEREES (Names of three referees)

Referees Name
Position/Appointment
Relationship to
Applicant
Email address
Referees Name
Position/Appointment
Relationship to
Applicant
Email address
Referees Name
Position/Appointment
Relationship to
Applicant
Email address
APPLICANTS SIGNATURE
Name
Signature

Date

Please post or email the application attention to:

Professor Will Christie
Head, Humanities Research Centre
Research School of Humanities and the Arts
A.D Hope Building #14
Ellery Crescent
The Australian National University
Canberra, ACT, 2601
Australia
E: colette.gilmour@anu.edu.au

Attachment A
RESEARCH PROPOSAL
Please detail the research to be undertaken during your visit to the Humanities Research Centre at
the ANU (800 words).
In your proposal, please include reference to
HRC VF 2017 Application Form

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(a) the innovation and scholarly significance of the project;

(b) its links to the HRCs annual theme;
(c) any research interests connected with work being undertaken in the HRC and/or the ANU more

HRC VF 2017 Application Form

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