Royal Society of Chemistry: North East Region Analytical Division Student Bursary Application Form The North East Region of the Analytical Division (NERAD) is pleased to be able to offer postgraduate research students and early career researchers* to present (poster or oral contribution) at national and international conferences with a significant analytical theme. In the UK, for example, this would include the annual RSC/AD Analytical Research Forum. [Note: * this includes members in public and privatesector organisations]. Eligibility criteria: Membership of the Royal Society of Chemistry (in one of the following categories: Affiliate, Associate, Member or Fellow) Postgraduate research student or resident / working within the boundaries of the NE Region of RSC/AD Abstract accepted/submitted for the proposed conference Evidence that other financial support is being provided Maximum contributions from NERAD are: £150 for conferences in the UK; £200 within mainland Europe; £350 for the rest of the world. Fully completed application form signed by supervisor or line manager. Confirmation that applicant has attended the conference. Unless evidence is provided the bursary will not be paid [please note that this scheme is therefore a reimbursement bursary post-attendance and confirmed contribution]. Applicants can only apply once within a 12 month period Applications to be received by the Honorary Secretary (NERAD) by 5 November (in any year) for conferences taking place between 1st January and 31 July; by 5 May for conferences (in any year) taking place between 1st August and 31st December. [NOTE: As funds for bursaries are limited the NERAD Committee reserve the right to award or not based on the above criteria]. 1 Application Form Full name (underline the family name): Address for correspondence: Contact telephone number: Email: Membership of the RSC (indicate as appropriate): Affiliate / Associate / Member / Fellow RSC membership number: Brief title of research programme / area of interest (guideline 50 words): Conference details Name of conference: Date(s) of conference: Location of Conference (including country): Type of contribution (indicate as appropriate): poster: yes / no accepted: yes / no submitted: yes / no oral: accepted: yes / no submitted: yes / no yes / no Conference Abstract (as submitted / accepted by conference organisers): 2 Estimated expenditure (in £ sterling) Air fare £ Train / bus fare £ Registration fees £ Accommodation and meals £ Total £ Financial support (in £ sterling): Source(s) (provide details) £ Amount requested from NERAD £ Details of whom cheque should be made payable to: Applicant signature: .................................................................................................................. Supervisor / Line Manager signature:......................................................................................... Return the fully completed application form (via post or email) to: Professor John R. Dean, Honorary Secretary, NERAD, The Graduate School, Northumbria University, Wynne Jones Building, Newcastle upon Tyne, NE1 8ST. Email: JohnDean@northumbria.ac.uk 3