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* 1. Lead applicant name

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* 2. Lead applicant email address

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* 3. Academic qualifications

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* 4. Professional qualifications

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* 5. Your job title

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* 6. Specialist area of practice

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* 7. Primary place of work

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* 8. Brief outline of your research experience

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* 9. Please list the name and designation of other members of the research team

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* 10. Expected start date (subject to necessary HRA, NRES, R&D approvals)

Date

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* 11. Expected end date

Date

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* 12. Detalied costings: Please include a precise breakdown of costs you with to be covered by the £3000 grant

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* 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:
Title
Background to the research problem
Research question or aim(s)
Research methodology
Research methods
Expected outcomes
References
Total work count

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* 14. Detail name and e-signature for:
Lead Applicant
Lead Applicant's Line Manager
Mentor/Supervisor (if applicable)

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