Research Grant Application Question Title * 1. Lead applicant name Question Title * 2. Lead applicant email address Question Title * 3. Academic qualifications Question Title * 4. Professional qualifications Question Title * 5. Your job title Question Title * 6. Specialist area of practice Question Title * 7. Primary place of work Question Title * 8. Brief outline of your research experience Question Title * 9. Please list the name and designation of other members of the research team Question Title * 10. Expected start date (subject to necessary HRA, NRES, R&D approvals) Date / Time Date Question Title * 11. Expected end date Date / Time Date Question Title * 12. Detalied costings: Please include a precise breakdown of costs you with to be covered by the £3000 grant Question Title * 13. Outline of your proposed research (Max 750-words)Please ensure your proposal:· Is text only (i.e., no graphs, diagrams);· Is double spaced;· Contains a minimum of three and up to a maximum of 10 references;· States the total wordage (word limit excludes the title & references). Please structure your research proposal under the following headings:TitleBackground to the research problemResearch question or aim(s)Research methodologyResearch methodsExpected outcomesReferencesTotal work count Question Title * 14. Detail name and e-signature for:Lead ApplicantLead Applicant's Line ManagerMentor/Supervisor (if applicable) Done