Return the completed form via email to: 
            Adelaide Graduate Research School
            Level 10, Schulz Building 
            SA 5005 
            Email:  research.scholarships@adelaide.edu.au 
            The Ian Wilson Liberal Research Scholarship 2022 
         The scholarship is open to applicants undertaking research which will lead to 
         sound analysis and conclusions for reform capable of practical application and 
         advocacy in Australia. The Scholarship is intended to supplement the major 
         scholarship held by the recipient, subject to the terms and conditions of the 
         major scholarship. 
         Notes to Applicants 
           •  This application form should be returned, together with a certified academic transcript (for studies undertaken at a 
              university other than the University of Adelaide) and curriculum vitae, to the Adelaide Graduate Research School 
              by Friday 29 April 2022.  If you are emailing your application, please scan and submit as one document.
           •  The Adelaide Graduate Research School should be notified of any subsequent changes in the information 
              supplied, particularly changes to contact details.
          Title 
          Family Name 
          Given Name 
          Contact Address Line 1 
          Contact Address Line 2 
          Contact Address Line 3 
          Phone 
          E-mail
          Date of Birth 
          Citizenship 
            Updated 2 March 2022             Page 1 of 4 
           Study Details 
             Student ID (if you are currently or 
             have been a student at the 
             University of Adelaide) 
             Faculty/School/Discipline (in 
             which you are currently 
             enrolled/intend to enrol) 
             Program (in which you are 
             currently enrolled/intend to enrol) 
             Title of Research Topic 
           Supervisor Details 
             _______________________________________        ___________________________      ______________ 
             Supervisor’s name                              Signature here                   Date 
           Scholarship Details 
           Are you receiving any financial support for your program from any other source (eg: School/Discipline 
           funding / other scholarship funding)? 
                         Yes                    No 
           If yes, please give details 
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       Provide a description of your research topic to support your application for The Ian Wilson Liberal 
       Research Scholarship 2022 
       Please describe how your research topic meets the criteria and which sub-theme(s) are addressed as 
       outlined in the Ian Wilson Liberal Research Scholarship Rules (attached pg. 5 & 6) 
       Updated 2 March 2022      Page 3 of 4 
           Declaration 
           I declare that the information given above is to the best of my knowledge correct. I have read the rules relating to Ian 
           Wilson Liberal Research Scholarship and consider myself eligible to hold the Scholarship.  I authorise the Adelaide 
           Graduate Research School to obtain relevant information about me to support this application from educational and other 
           sources as required 
             _______________________________________        __________________________       ______________ 
             Name                                           Signature here                   Date 
           Applications should be lodged, together with a certified academic transcript and curriculum vitae by: 
           Friday 29 April 2022.  If you are emailing your application, please submit as one complete document. 
           Checklist 
           Please check to make sure you have provided the following information: 
           I have, completed and attached 
                         Personal Details: including contact address and telephone number. 
                         Study Details: including what program you have applied for/ have been accepted into at the 
                         University of Adelaide, as well as your supervisor’s name. 
                         Description of your research topic to support your application. 
                         Description of how your research topic meets criteria and which sub-theme(s) are addressed. 
                         Transcript (for studies undertaken at universities other than the University of Adelaide): check 
                         that you have attached a certified academic transcript to this application 
                         Declaration: make sure you have signed this application. 
           PLEASE NOTE: 
           ALL the above information is required to be provided. Incomplete applications will not be considered. 
                                                                           Further Information 
                                                                           Ph: (08) 8313 5882 
                                                                           Fax: (08) 8313 5725 
                                                                           Email: research.scholarships@adelaide.edu.au 
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