An open research university Research with people at the centre http://www.open.ac.uk/blogs/per Engaging Research Award Scheme: Application Form Title Name Position Telephone Email Faculty/Department Research Centre Category of entry (please highlight) Postgraduate Research Student Early Career Researcher Research Leader Title of entry Are you applying as an individual or a team? If you are applying as a team, please list the names and organisations of the other people involved. (optional) When did your project start? (Please also list the completion date, if appropriate.) Please outline your engaged research activity and demonstrate the underpinning research excellence. Your summary should describe the main contributors to the activity and the aims and objectives. It should describe any evidence you have to demonstrate innovation and/or quality in engaged research, e.g. in terms of effects, changes or benefits to those who participated. (Free text; up to 500 words) Supporting materials: please list any outputs from the engaged research (e.g. research papers, pamphlets, testimonials, and/or other media). (Free text; up to four examples, including links.) How will you use the funds to further your engaged research if you were to win an award? (Free text; up to 200 words) Your signature confirms the information you have entered is original, true, and accurate. Print name Date Approval by Associate Dean, Research (or equivalent), or PGR supervisor (delete as appropriate) Print name Date Position Submitting your application: Your application must be submitted by 14 February 2014 at 5pm. Please submit your application electronically via email to: Fiona.McKerlie@open.ac.uk 1