ARUK Funding form

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Application for ARUK Network Funds for Conference Attendance
Please email completed form to wendy.noble@kcl.ac.uk
PLEASE NOTE: Requests for funding will not be considered if they are submitted less than 6 weeks before
the conference start date.
A. PERSONAL DETAILS:
NAME:
STATUS
PhD student
FT
PT
INSTITUTION:
Research Assistant
DEPARTMENT:
Postdoc
EMAIL ADDRESS:
Research Fellow
Other
Please state title:
SUPERVISOR/LINE MANAGER:
TITLE OF RESEARCH PROJECT:
B. CONFERENCE/WORKSHOP DETAILS
NAME:
Contribution to conference:
Oral Presentation
Poster Presentation
Are you the only presenting author? YES/NO
If you are presenting please complete the boxes below, otherwise continue to section C
HAS YOUR ABSTRACT BEEN ACCEPTED?
YES/NO
If yes, please attach confirmation of acceptance.
TITLE, AUTHORS AND ABSTRACT OF POSTER/ORAL PRESENTATION (expand box as necessary)
C. FINANCIAL DETAILS:
FUNDING SOURCE
(Research Council, Wellcome, Named Charity, etc)
You must list the source of your stipend/salary
ARE THERE TRAVEL FUNDS AVAILABLE FROM YOUR STUDENTSHIP OR RESEARCH GRANT?
YES/NO
ANNUAL TRAVEL FUNDS AVAILABLE
D. DETAILS OF FINANCIAL REQUEST:
ITEM
COST
AMOUNT REQUESTED
Travel
Registration
Accommodation
Subsistence
Other (please define other costs)
Total:
Any additional comments on the items requested:
E. HAVE YOU REQUESTED FUNDS FROM ANY OTHER SOURCE?
YES/NO
(Applicants are strongly encouraged to seek out external sources for funding before applying to the ARUK network)
If so, from what Funding Source:
ARUK network Jan 2014 v3
Amount Requested:
Outcome:
If not yet received, when will you learn the outcome of other applications?
F. CASE FOR SUPPORT:
(Please explain the importance of attending this conference/workshop and why funds are not available from other sources such
as research grants, external sources, personal funds. Expand this box as necessary).
APPLICANT SIGNATURE…………………………………………………………………………… DATE …………………………
PLEASE NOTE THAT FULL RECEIPTS MUST BE PRESENTED AS PROOF OF PAYMENT BEFORE ANY
FUNDS ARE REIMBURSED.
G. SUPERVISOR’S SUPPORTING STATEMENT (expand box as necessary):
Not required for applications made by PIs
SIGNED……………………………………………………………………….. DATE …………………….
(PhD supervisor or line manager)
H. NOTES
1. All questions in the form must be answered.
Incomplete applications will be rejected and may not be re-submitted.
2. The panel will not enter into discussion about submitted applications; the decision of the panel is final.
3. It is expected that applicants will be presenting data.
4. Decisions may take 6-12 weeks, so please apply in advance. Applications will not be considered within 6 weeks
of conference start dates.
5. Successful applicants must acknowledge the ARUK Network in their presentation at the conference using the
following wording:
Funding to enable attendance at this conference was provided by the Alzheimer’s Research UK London
Institute of Psychiatry Network Centre
6. Awardees should submit a final report detailing their use of ARUK network funds within two months of the
funds being used. Final reports should be submitted to Wendy.Noble@kcl.ac.uk
ARUK network Jan 2014 v3
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