Thesis Application Form, (Research) Master History

I - Personal details

Given name *

Prefix (if applicable)

Last name *

Student number (without s) *

uMail address *

II - Thesis

Note I: Please make sure to discuss expectations regarding the intensity and frequency of the supervision (e.g. strict deadlines vs. a laid-back approach) with your supervisor.

Note II: If a member of staff is missing from the list below, please send an e-mail to mahistory@hum.leidenuniv.nl before filling out the form.

Which programme? *

Master

Research Master

Which specialisation? *

Who is your thesis supervisor? *

Please list University and full name of External supervisor *

Please list the e-mail address of your External supervisor *

Who is your suggested second reader (after consultation with your supervisor)? *

Please list University and full name of External supervisor *

Please list the e-mail address of your External supervisor *

Please describe your thesis topic (max. 100 words). *

When do you expect to hand in your thesis?

Have you finished your Thesis Seminar? *

Yes, I have finished my Thesis Seminar

No, I am a Master student, but have not finished my Thesis Seminar

No, I am a Master student, but was exempted from the Thesis Seminar by the Board of Examiners

No, the Thesis Seminar is not a part of the Research Master programme

III - Confirmation

This form will serve as the start of your Graduation Procedure. The Board of Examiners will use the answers to this form to check your thesis supervisor and assign a second reader. The contents of this form can only be viewed by the Board of Examiners for the (Res)MA History, the Coordinator of Studies from the (Res)MA History and the selected first and second reader. Either of these parties may contact you in case of additional questions regarding your Thesis or programme.

I have read and agree with the conditions specified above. *

* = Input is required