INSTRUCTIONS FOR THE APPLICANT Please complete ONE of these forms for EACH of the (up to) 5 publications or other work that you wish to submit as evidence of high quality work. Copy additional forms for each publication, as necessary. Applicants are strongly encouraged to complete this form electronically. Download the form at http://www.flinders.edu.au/scholarships/ Cite all publications that you have authored, co- authored or edited, and detail your contribution and that of all other co-authors and/or co-editors. If the publication is in press, provide evidence of acceptance for publication, and/or date of publication. If the manuscript has been submitted pending acceptance provide evidence of the date of submission. An example of how to detail your contribution to a publication is given below. Smith, J., Jones, F. and Roberts, S (1998) "An Analysis of Flinders University Scholarship Applications", Journal of Higher Education Research, Vol 21, No 6, pp 34-64 Ms F Jones and myself (Ms S Roberts) collected data from past year's applications. Ms F Jones entered these into the computer. I undertook preliminary analysis of the data and drafted sections 2 and 3 of the article. Dr J Smith completed analysis of the data, and produced a final draft article. Where information regarding your contribution to a publication is not provided, the Scholarships Committee may assume that your contribution was negligible. You must attach: A copy or offprint of the complete publication, if it is fewer than 25 pages in length; or Photocopies of the first 25 pages of the publication showing all bibliographic information (ISBN, title, author(s), publisher, all dates referring to copyright, publication, printing, distribution). Electronic applications may include full work regardless of length. An abstract in English if the publication is in a language other than English.
For Faculty use only: Recommended score: Comments:
PUBLICATION DETAILS 1 Author(s):
2 Type of Publication:
National or international conference abstract
Refereed journal article
Commercially published small monograph Refereed conference publication
Edited book
Chapter in commercially published book Textbook Book containing original research/creative work
Other. Please specify below:
3 Provide a full citation and details of each author's contribution to the publication overleaf 4 Publication Title:
5 Journal/Book Title:
6 Pages: 7 Publisher:
8 Year of Publication: If not yet published: 9 Date of Submission:
10 Date of Acceptance:
Provide a full publication citation and details of each author's contribution to the publication:
CERTIFICATION I declare that the information I have given in this document is true, accurate and complete. Signature of Applicant:
Name of Applicant: (please PRINT)
Date:
CRICOS Registered Provider: The Flinders University of South Australia CRICOS Provider Number: 00114A
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