Project title:
Proposed start date:
Lay summary of proposed activity
(maximum of 150 words)
NB: This lay summary will be included on the NUIA website.
Proposed end date:
List of key words:
(maximum 6)
Strategic fit: Cross societal challenge themes – tick all that apply
Ageing Social Renewal Sustainability
Explain links (maximum 50 words)
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 ways your project contributes to the societal challenge or research themes you have indicated above.

SECTION 1: Applicants
Title/name
Position
Department/Institute
Faculty
Email
Telephone
Name of approving
Head of School /
Director of Institute
Co-applicants
(numbered list with name, position,
School / Institute)

b) c) d)
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. d) Briefly describe any patient/public involvement in this research (if applicable).
The list of objectives will be used to measure success at the end of the funded period.
(NB: You will be asked to provide an interim report half-way through your project and at the close of the project you will be asked to report on the progress (success or otherwise) against this list of objectives.) a)

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) b) c)
Future Funding or Impact Opportunities (maximum 300 words) a) What are your plans (including timescales) if any, for securing 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)

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)
Total Salaries (Transfer total to budget table below)
NI
(£s)
Superann
(£s)
Total requested
(£s)
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 Travel (Transfer total to budget table below)
BUDGET TABLE
Details
Salaries
Equipment
Consumables
Travel
Total Requested
Total requested
(£s)
Total requested
(£s)
NOTES TO APPLICANTS
Before submission, please tick that you have:
 Read the project funding guidelines.
 Attached a copy of each applicant’s CV (maximum of 1 side of A4, minimum font size 11).
 Attached a letter of support from your line manager.
By submitting this application I commit to the reporting requirements given in Section 2 above.
Signed ……………………………………..………………………………………… Dated ………………………………………..