Application for a PhD Studentship

Section A: Applicant Details
Name*
Title First name Surname
Address*
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Phone*
Email*
Education history and qualifications gained*
Employment History*
Prizes and awards
Publications
Section B: PhD Details
Title of PhD*
Describe in plain English your objectives to a lay reader (max. 250 words)*
Describe the overall aim and purpose of your PhD (max. 500 words)*
Explain how your PhD accords with the Aims & Objective of the Society: To add to and promote the scientific understanding of addiction and problems related to it. To advocate the use of the evidence-base in policy and practice. (max. 500 words)*
Outline of PhD study plan (to be written by the candidate). (max. 2000 words)*
Use the following section headings:
- Introduction and underlying hypothesis
- Aims and objectives
- Studies that will be carried out
- Outputs
Any references may be listed in any format and do not count towards the word count.
Describe the product/output of your PhD (max. 300 words)*
Detail and justify all costs requested*
A total* of £21,692 (inside London) /£19,692 (outside London) is available per year to successful PhD studentship recipients, comprising up to £4,407 towards fees and a stipend of up to £17,285/£15,285.

*as at academic year 2020-21

(An additional £1,000 pa is available with prior approval and on receipt of invoices & receipts to cover expenditure such as IT equipment, conference attendance and other incidental costs.)

Use the ‘+’ button to right of boxes to enter details for each year of study

Year (eg, 2021-2022) University fees Stipend required
Section C: Institution Details
Name of the UK University providing your study*
Address of the university*
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Name of supervisor(s)*
Title First name Surname
Lead supervisor’s email address*
Lead supervisor’s title & department*
Summary of lead supervisor’s history in/connection with the addictions field. Please provide information on the number of PhDs for which the supervisor has been First Supervisor, and as Co-supervisor (max. 250 words)*
Please include the number of supervised PhDs which have been completed.
Please describe your host institution’s monitoring process for PhD students (max. 250 words)*
Date of commencement of study*
Date Format: MM slash DD slash YYYY
Date of expected completion of study*
Date Format: MM slash DD slash YYYY
Have you applied for/been granted funding by any other source for your study? (Please give details)*
Section D: Referees
Referees*
Please provide the names and contact details (including email addresses) of two referees who will be able to comment on your suitability for an SSA academic fellowship. This would ordinarily include your current senior supervisor (or equivalent), and one referee from outside your supervisory team.

Name Position Address Email
Section E: Attachments
Projected PhD timeline, year by year*
Accepted file types: pdf, xls, xlsx, doc, docx.
Please upload in Gantt chart format
A letter of confirmation of suitability for the PhD Studentship award from academic supervisor at the university*
Accepted file types: pdf, xls, xlsx, doc, docx.
A copy of the university’s letter to you – on headed paper, with signature – confirming their offer of a PhD place.*
Accepted file types: pdf, xls, xlsx, doc, docx.

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Year (eg, 2021-2022)	University fees	Stipend required

Name	Position	Address	Email

Section A: Applicant Details

Section B: PhD Details

Section C: Institution Details

Section D: Referees

Section E: Attachments