GWS form 2 Your Name Your ac.uk email (ac.uk address required) Your department/institution Title of your proposal Details of Supervisor or Head of Department, whom we shall contact to offer a reference in support of this application: Name Email address Is this person your: SupervisorHead of School/Department Please note, we do not consider your application complete until we receive the reference REQUIRED: I consent to scudd.org.uk collecting my data from this form only for the purposes of forwarding it via email. I understand that none of my personal information will be stored on this website's server. Your proposal was uploaded successfully. Thank you. Please contact Glenn Odom if you have any queries about this form