CAVENDISH ASTROPHYSICS PhD APPLICATION - ALL APPLICANTS MUST COMPLETE
THIS FORM (Oct 2004 entry)
==============================================================================

(Information you supply here will be used only for the purpose of the
selection of Graduate Students for the Cavendish Astrophysics Group
and will be destroyed one month after the proposed starting date you
specify below, except for your contact information on page 1 which may
be recorded if you join the AP Group).



Surname: 

First names: 

Title (Mr, Ms, Miss, Mrs etc): 

Date of birth: 

Nationality: 

Country of normal residence: 

Preferred correspondence address: 






                                                    Postcode


Contact telephone number:
 
Mobile telephone number:

E-mail: 

Home address (if not as above):

                             
                             

                             
                                                    Postcode


Home telephone number: 


                                                                    
Do you wish to apply for   PhD   or  MPhil   (circle one)


Enter starting date if other than October 2004: 


Possible areas of interest for your research (tick one or more below -
these indications are not binding)

 THEORY
    Cosmic Microwave Background:
    Galaxy Evolution:
    Star Formation and Molecular Cloud Structure:

 OBSERVATION
    Cosmic Microwave Background:
    Galaxy Evolution:
    Star Formation and Molecular Cloud Structure:
    Optical and Near-Infrared Interferometry:

 TECHNICAL
    Cosmic Microwave Background:
    Sub-Millimetre Wave Instrumentation:
    Optical and Near-Infrared Interferometry:


Your university record - list institutions attended and qualifications
obtained in chronological order. Include the degree expected from your 
present course.

  Institution and dates attended        Qualifications and grade obtained

1.                                     1. 



2.                                     2. 


3.                                     3.



Details of any scholarships, prizes or other distinctions obtained:





Names, addresses and e-mail addresses of the two referees you intend to
nominate in your application to the Board of Graduate Studies. Please ask
each referee to send a copy of their testimonial as prepared for the 
Board of Graduate Studies directly to us by March 1. 

1.   Name: 
  Address: 

           

           
  E-mail:  

2.   Name: 
  Address: 

           

           
  E-mail:  


It is useful for us to know if you have undertaken any undergraduate
or vacation project or work experience.  Please list these with a
one-line description of each one below:








                                                                    
                                                                    
Please circle below ALL possible times when you are available for interview:


        Tuesday   March  2    9 - 11     11 - 1     2 - 4

        Wednesday March  3    9 - 11     11 - 1     2 - 4

        Thursday  March  4    9 - 11     11 - 1     2 - 4

        Friday    March  5    9 - 11     11 - 1     2 - 4

        Monday    March  8    9 - 11     11 - 1     2 - 4

        Tuesday   March  9    9 - 11     11 - 1     2 - 4

        Wednesday March 10    9 - 11     11 - 1     2 - 4

        Thursday  March 11    9 - 11     11 - 1     2 - 4

        Friday    March 12    9 - 11     11 - 1     2 - 4

 
Are you eligible for a PPARC (or EPSRC) Studentship?   Yes   No  (circle one)
(see our admissions website for further information)

If no, please complete one of the following:

  I have already obtained an award/scholarship/sponsorship (give
  details):

  I have applied /plan to apply for: 

  I have private funding (please tick if applicable).
  

Are you applying for any other Cambridge PhD's this year?  Yes  No (circle one)

If yes, give details: 


Please state year of any previous PhD application to Cambridge


Have you applied to other institutions this year?   Yes  No (circle one)

If yes, please list them (this will not prejudice your present application):





I confirm that the information given herein is complete and true.


Signed:                                            Date