Postgraduate Industrial Placement Programme Application Form

Applicant details:

First name *

Last name *

University *

PhD Programme *

CDT Programme

PhD Year *

Email *

Academic Supervisor details: Name *

First name *

Last name *

University / Institution *

Role *

Industrial Supervisor details: Name *

First name *

Last name *

Company

Role

Academic supervisor agreed * I certify the Academic Supervisor has agreed with this application

Conflicts of interest * I certify there are no conflicts of interest between other funding and the proposed industrial placement *

Project Title *

Project description *

Qualifications / Experience relevant to the project *

Justification of the resources *

Fit of the project with the CCP5 remit *

Are you a member of CCP5?* YesNo

If a CCP5 member, since when?

Gender

Ethnic background

Your research area Soft Matter (including polymers, liquid crystal, surfactants, liquids but excluding biophysics)Solid stateBiophysics (including protein, lipids)Molecular DynamicsRare eventsMonte Carlo methodsQuantum Mechanics methodsMesoscopic methods (including coarse-graining, DPD and LB)Continuum modellingMultiscale modellingNumerical modellingTheory (including SAFT, EoS)Machine LearningOther

If you answered Other above

Privacy * I consent to having STFC collect my details via this form for the purpose of reviewing this CCP5 Industrial Placements application.