Expression of Interest Form (Staff funding)
Please complete this form and, after sign off by your Head of Department, return a signed
hard copy via internal mail to The Academic Manager,
IATL, Senate House.
An additional electronic copy should be sent to iatl@warwick.ac.uk
Required fields are marked *
All applicants are encouraged to discuss proposals with the IATL team before
submitting their applications.
*Name of lead applicant / co-applicant
*Department / Centre
*Email address
*Telephone
*Title of project
*Total amount requested
Names of others involved (if applicable)
Name
Department/Centre
Name
Department/Centre
*Please indicate which funding stream you think is most appropriate for your application
An Academic Fellowship
Pedagogic Intervention grant
Strategic Project grant
*Estimated start date
*Estimated completion date
*This project is focused on students from which discipline(s) and year(s) of study?
Discipline(s):
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Year(s) of study:
Module title (if applicable):
*Executive Summary
This section should be around 250 words and include a summary of what the project is, who is
involved, the anticipated outcomes, potential student impact, timescale, overall budget, scope
and any other pertinent details. This will be used, if your application is successful, in creating a
profile page about your project on our website.
*Outline of proposed project
Please describe your project including answers to the following:
 What do you want your project to achieve?
 How many students will your project reach?
 Which stakeholders will you involve? (Projects are normally expected to engage students
at all stages.)
 What is the intended legacy of your project?
 What support do you need?
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IATL aims to foster teaching and learning that is committed to innovation,
interdisciplinarity, inclusiveness, internationalisation and diversity. IATL seeks to achieve
this via methodologies that promote student leadership, including (but not restricted to)
Open-space Learning, and the Student as Researcher.
*How does your project address these aims?
*Timescale
Milestones and targets throughout the duration of the project:
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What are the specific anticipated outcomes and outputs of the project? How can they be
embedded and sustained in the University? [Not required for applications for Pedagogic
Intervention funds]
What is your dissemination plan for the work of your project, both within and outside the
University? [Only required for Strategic funding. You should include details of public engagement
activities, internal and external dissemination events and activities, dissemination of written outputs, tool
kits, etc]
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*Budget
Please give a detailed breakdown of all the costs associated with the project, with estimated
dates when expenditure will be incurred and any resource implications for your department.
Notes on estimating costs for teaching replacement are available at
www.warwick.ac.uk/go/iatl/funding/staff
Risk Assessment
If your project involves any activities that require the completion of a risk assessment, please visit
the University’s webpages here:
http://www2.warwick.ac.uk/services/healthsafetywellbeing/guidance/riskassessment and ensure
that all of the necessary paperwork has been completed.
Statement of ethics
By signing below, you are confirming that your project conforms to the University’s Guidelines on
Ethical Practice, which are available to view at
http://www2.warwick.ac.uk/services/rss/apply_funding/ethics_governance/statement/guidance
*Signature of applicant
Signature:
Name (please print):
Date:
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*Approval by Chairs of Department/Directors of Centre of the applicant/co-applicant.
Please ensure that you have consulted with your Head of Department/Director of Centre before
submitting your application.
Comments (optional):
I support this application and confirm that resource implications for the department/school have
been discussed and agreed with the applicant(s).
Signature:
Name (please print):
Date:
Brief information about yourself
This will be used, if your application is successful, in creating a profile page about your project on
our website, which will be publicly accessible. Please provide:
A sentence or two about yourself:
The URL of your departmental profile page:
A profile photograph of yourself (minimum of 150 pixels wide; please either insert the image here
or attach it to your email alongside this form).
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