IAS Reference:
RESIDENTIAL FELLOWSHIPS
APPLICATION FORM
Please refer to the Application Guidance for this programme before completing the application form. If in doubt
about the suitablity of this programme for your project, please consult with the IAS prior to submitting the
application. Equally, any queries regarding the completion of this document can be directed to the IAS via
IAS@warwick.ac.uk
SECTION ONE: COVER SHEET
Nominator/Principal Applicant
Department/Centre
Email
2nd Nominator
Department/Centre
Email
DETAILS OF PROPOSED RESIDENTIAL FELLOW
Name and Title
Organisation Name and Address
Email
SUPPORT REQUESTED
Level of support requested (select
as appropriate)
☐ UK Based: £100 contribution
☐ Travelling from Europe: £250 contribution
☐ Travelling from outside of Europe: £450 contribution
☐ Accommodation at Cryfield Grange only
PERIOD OF STAY
Visit Dates
Preferred Dates:
Start
Alternative Dates:
Start
End
End
AGREEMENT OF APPLICANT: The Principal Applicant a) confirms that the Nominated Residential Fellow
agrees to the submission of this application and b) agrees that a corresponding award will be managed
in compliance with University Financial Regulations and will adhere to IAS reporting requirements.
Name
Signature
Date
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SECTION TWO – CASE FOR SUPPORT - please provide a description of the purpose of the Fellowship. This
should include an overview of the collaboration to date and why the partnership would benefit from a period of
collaborative activity undertaken in the same location. Details of the nature of the specific activities and outputs
to be undertaken as part of the visit should be specified such as joint publications, development of collaborative
grant application(s), external and/or widening participation activities (500 words).
ANNOTATED CV OF PROPOSED RESIDENTIAL FELLOW - please attach separately as a Word document or
PDF, a CV (maximum 4 pages) of the nominated Residential Fellow. The CV should be annotated to highlight
publications, activities or achievements that are especially relevant to this application.
Include CV with submission documentation
ITEMISED BUDGET - the IAS contribution covers accommodation at Cryfield Grange and a contribution
towards travel expenses. To ensure that the proposed visit is financially viable, the nominator is requested to
provide a budget breakdown of the full costs, specifying the other sources of funding available to cover the
additional expenses.
Travel (flight & local
travel/transfers):
Other (specify):
Total cost of visit:
Funds to be provided by other
Source:
Amount:
sources (Department, GRP,
external contributions etc.)
IAS Bursary (amount sought):
APPROVALS – declaration of support from Head of Department / Research Centre (or authorised representative)
I support the bid; I agree that any overspend will be covered by my department; I agree to provide necessary
facilities; I confirm that the project would not entail a significant increase in use of any University services and that
any health and safety and ethical requirements would be addressed and covered as appropriate. I confirm that
the Principal Applicant is a permanent member of academic staff.
Name:
Department:
Signature:
Date:
Applications can be submitted electronically to IAS@warwick.ac.uk or sent via the internal mail to the Institute of
Advanced Study, Millburn House.
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