Newcastle University Institute for Ageing
Responsive Mode - Project Application Form
Project title:
Proposed start date:
Proposed end date:
Lay summary of
proposed activity
(maximum of 150
words.
NB: This lay summary
may be included on
the NUIA website)
List of key words:
(maximum 6)
Is this a
resubmission?
Yes 
If yes, when was this previously submitted: …………………………….
No 
Cross Faculty – tick all that apply
Strategic fit:
Medical Sciences
HASS
SAGE
Cross societal challenge themes – tick all that apply
Ageing
Social Renewal
Explain links (maximum 50 words)
Sustainability
Cross NUIA themes – tick all that apply
How do we age?
Understanding the mechanisms of ageing
Causes of age-related illness
How can we age better?
Ageing across the life-course
Living well with chronic illness
How can we meet the global challenge of ageing?
Enabling environments
Economic and social impact
Please describe in <100 words in what way your project contributes to
the societal challenge or research themes you have indicated above.
SECTION 1: Applicant details
Title/name
Position
Department/Institute
Faculty
Email
Telephone
Name of approving
Head of Department/
Director of Institute
*Lead Applicant Institute only
Other team members 1. Name:
(numbered list with
Position:
name, position,
Department/Institute:
Department/Institute,
Faculty:
Faculty)
2. Name:
Position:
Department/Institute:
Faculty:
3. Name:
Position:
Department/Institute:
Faculty:
4. Name:
Position:
Department/Institute:
Faculty:
SECTION 2: Details of proposed project, objectives and methods (maximum 500 words)
a) What research question is to be addressed and why is it important?
b) What are the objectives of the proposed activity? (Provide a list*).
c) Briefly describe your research methods, indicating your statistical design and experimental
power.
d) Briefly describe any patient/public involvement in this research (if applicable).
(*After the close of the project you will be asked to report on the progress (success or otherwise)
against the list of objectives.)
a)
b)
c)
d)
Collaboration (maximum 300 words)
a) How will this proposed project support the strategic aims of NUIA?
b) Is this an existing or a new collaboration? Please explain (if this is an existing collaboration,
what is the added value of the proposed work?)
c) What is the role and extent of the involvement of each participant/organisation in the
proposed activity?
a)
b)
c)
Future Funding or Impact Opportunities (maximum 300 words)
a) What are your plans (including timescales) if any, for securing substantial further external
funding for your work?
b) What, if any, potential is there for generating impact and/or commercial opportunities arising
from your work?
a)
b)
Outcome and Deliverables (maximum 300 words)
What are the outcomes/deliverables for this proposed activity?
(Please provide a time line for the proposed activity and the outcomes/deliverables.)
Other supporting information (if required) (maximum 100 words).
Resources: justification of resources requested (maximum 100 words).
SECTION 3: Proposed budget: detailed breakdown of costs
Total Budget contribution requested: ………………………………
Provide a breakdown of the costs for the proposed activities in the table below.
Salaries
Details of post(s)
Basic salary
(£s)
NI
(£s)
Superann
(£s)
Total requested
(£s)
Total Salaries (Transfer total to budget table below)
Equipment
Details
Total requested
(£s)
Total Equipment (Transfer total to budget table below)
Consumables
Description
Total Consumables (Transfer total to budget table below)
Total requested
(£s)
Travel
Details
Total requested
(£s)
Total Travel (Transfer total to budget table below)
BUDGET TABLE
Details
Total requested
(£s)
Salaries
Equipment
Consumables
Travel
Total Requested
NOTES TO APPLICANTS
Before submission, please check you have:

Read the project funding guidelines.

Attached a copy of each investigator’s CV (maximum of 1 page, minimum font size 11).

Attached a letter of support from your Head of School/Director of Institute.
By submitting this application I commit to the reporting requirements given in Section 2 above.
Signed ……………………………………..………………………………………… Dated ………………………………………..