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The Colin Matthew Fund Application Form

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Surname*

Other Names:*

Date of Birth*

Email*

Phone number*

Address

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

College Name*

Degree Title*

Degree Subject*

Purpose for which award is sought: Please provide a short description (no more than 500 words) of your research and the reasons for seeking an award. You should indicate what difference an award would make to your research.*

Statement of Costs, please be specific and detailed:*

Other Sources of Funding: Include both existing sources and those to which you are now applying.*

Name of an Academic Referee*

Referee's contact email:*

Applications cannot be considered without a supporting statement from an Academic Referee. When submitting this form, Referees will be contacted to request their supporting statements. However, it is the Applicant's responsibility to ensure that Referees provide their references by 5pm Wednesday 29 May, 6th Week of Trinity Term, failure to do so will result in the application not being considered.