Grace Chisholm Young Fellowship Application Form

Applicant details

First Name

Last Name

Institution

City

Postal Code

Phone Number

Please describe, in not more than 30 words, the area of mathematics in which you work:

Please describe the circumstances that have interrupted your mathematical career:

Please give the names and contact details of at least two referees (one of them may be in the department where you wish to hold the fellowship)

Name	Institution	E-mail
Name	Institution	E-mail
Name	Institution	E-mail

Department details

Please give details of the department where you would like to hold a Grace Chisholm Young Fellowship.

In completing this application you confirm that the department is willing to accept you as a Grace Chisholm Young Fellow. Please ensure that the Department Head or relevant person has seen the ‘Information and guidance notes for applicants and host departments’.

Institution

Department

Head of Department's email address

Declaration

I am normally based in the UK

I confirm that the department named above has confirmed its support for this application in line with the 'Information and guidance notes for applicants and host departments’.

Grant

Amount Requested

Grace Chisholm Young Fellowship Application Form

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Grace Chisholm Young Fellowship Application Form

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