IAS Reference:
DELIVERING RESULTS
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
Principal Applicant
Department/Centre
Email
Warwick Co-Applicant(s)
Department/Centre
Email
External Partner name
Organisation
Location
DESCRIPTIVE TITLE OF PROJECT
ACTIVITY SUMMARY – Briefly outline the nature research related activity to be undertaken e.g. public
engagement, widening participation, cross-sector partnerships, policy briefings (100 words).
ACTIVITY DATES
Start Date:
End Date:
AGREEMENT OF APPLICANT – in submitting a signed application to the IAS, the Principal Applicant agrees that
a corresponding award will be managed in compliance with University Financial Regulations and adhere to IAS
reporting requirements.
Name
Signature
Date
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SECTION TWO – RATIONALE - Please detail the objective(s) of the proposed activity, the significance of the
project and/or anticipated impact of the outputs (500 words).
DELIVERY – Please identify the target audience, outlining the activity implementation plan (250 words).
PARTNER DETAILS – If relevant, please detail the contribution of the project partners and the added-value of
their input (250 words).
OUTPUTS – In addition to the primary output from this proposal please identify whether there is scope for any
longer-term engagement/partnerships that may emerge from this activity (250 words).
Continued
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RESOURCES – Indicate below the breakdown of the amount requested from the IAS. Travel and subsistence
costs must be claimed in accordance with University Financial Regulations
http://www2.warwick.ac.uk/services/humanresources/payroll/expenses
Cost item(s)
Travel and subsistence:
Accommodation:
Catering:
Room hire:
Other (itemise):
Total cost of activity:
Other income
Source:
Amount:
Confirmed: YES/NO
Funding requested from IAS:
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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