application form for history honours 2012 - University of Adelaide

APPLICATION FORM FOR HISTORY HONOURS 2012
Student.Number: …………………………………..
Name:…………………………………………………
Full time/part time (circle)
Home address:………………………………………………………………………..……..
…………………………………………………………………………………..……………
……………………………………………………………………………………………….
Telephone: (H)…………………….(B)……………………Mobile…………….…………
Email/s (print carefully)………………………………………………………………….…….
(Please list your most commonly used email account in addition to your uni student address.)
Term.address:………………………………………………………………………………
Telephone:……………………………………….
PLEASE ATTACH A PRINTOUT OF YOUR ACADEMIC TRANSCRIPT.
An ‘unofficial transcript’ can be downloaded from Access Adelaide.
P.T.O.

To help us organise the Honours Year 2012, please indicate:
A) YOUR CHOICE OF COURSEWORK SPECIAL SUBJECT
(Please indicate two choices in order of preference. Although we shall make every effort
to meet your choice of special subject, we cannot absolutely guarantee that you will get
your first choice. Special subjects may not be offered if there is insufficient demand.)
Special Subject - 1
Special Subject - 2
B) YOUR THESIS TOPIC OR AREA
(Nominate your thesis topic or area if you have a preference at this stage. If you have
discussed possible thesis topics with any of the History staff, please give their names.
Include your research question if you have thought of one.)
C) PREFERRED SUPERVISOR (this generally aligns with your proposed research
area)
(Please note some staff members will be on leave during the year and might already
have high supervision commitments, therefore you might not be allocated your first
choice of supervisor.
Please return this form to the School of History & Politics Office (4th floor Napier
Building) as soon as possible, but no later than 2 December 2011. If posting,
please use the following address: School of History and Politics, The University of
Adelaide, South Australia, 5005.
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