Student Bursary Application Form

APPLICATION FOR AUSTRALEX STUDENT BURSARY (2013)

for the conference "Endangered Words, and Signs of Revival"

Name:
Address:
Email:
Affiliation:
Department:
Program of study:
Title of intended
presentation:

Abstract (400 words):

Please attach:

2-page prospectus of intended presentation (including some results)

Cover-note from supervisor/head of school confirming enrolment as a full-time student in program indicated above

Please check the terms of conditions of the bursary before applying.

Please return by 11 January, 2013 to:
the Australex Secretary, julia.miller@adelaide.edu.au
School of Education
10 Pulteney Street
The University of Adelaide
AUSTRALIA 5005

Ph : +61 8 8313 4721

Fax : +61 8 8313 3604