CATHOLIC RECORD SOCIETY Registered Charity No. 313529 Form of Application to the David Rogers Research Fund [ ] or Michael Williams Research Fund [ ] (tick as appropriate) STYLE/NAME ______________________________________________________________ ADDRESS _________________________________________________________________ _______________________________________________________ POSTCODE ________ TELEPHONE _________________ EMAIL ______________________________________ DATE OF BIRTH ________ PRESENT OCCUPATION_____________________________ SCHOOLS AND UNIVERSITIES ATTENDED: DEGREES & DIPLOMAS [stating in what subjects] PREVIOUS PUBLICATIONS FORTHCOMING PUBLICATIONS HAVE YOU RECEIVED AN AWARD FROM THE CRS PREVIOUSLY? YES/NO WHEN? __________ Note. No application will be considered until three calendar years have elapsed since the date of the most recent award. GIVE THE SOURCE(S) AND AMOUNT(S) OF ANY GRANT(S) YOU HAVE APPLIED FOR OR HAVE BEEN AWARDED IN CONNECTION WITH YOUR PROPOSED RESEARCH: PURPOSE OF PROPOSED RESEARCH [100-200 words]: Note. The Awards Committee expects to receive a well-presented, detailed statement. Use, or continue on, a separate sheet if necessary. TRAVEL PLANS AND ESTIMATED COSTS. (Note. The applicant must specify which archives/libraries are to be visited and for how long. Although it is understood that an applicant may not be able to give precise figures, a breakdown and reasoned estimation of travel costs, extra subsistence costs, and any other costs is required.) TOTAL ESTIMATED AWARD BEING SOUGHT IN THIS APPLICATION: £ _______ NAMES AND ADDRESSES OF TWO REFEREES: (Note. Their references must be enclosed with your application. The referees must not be members of the CRS Council.) DECLARATION. If I receive an award, I will submit to the Hon. Secretary of the CRS an account [500-1000 words] of my research in the archives and libraries specified within one year of the receipt of the award, and a copy of any publication, (embodying an acknowledgement of the support of the CRS) arising from the research as soon as practicable after its appearance. Signed ______________________________ Date ______________ Four copies of the completed application and references must be received by Prof Alan McClelland at 91 St Catherine's Drive, Leconfield, Beverley, HU17 7NY, or by email: [email protected] no later than 1 July in the year leading to that of the intended travel (late or retrospective applications will not be considered.) A receipt will be sent by e-mail. The result of the application will be communicated to you as soon as possible.