Crook Public Service Fellowships 2016 Application form Name: Position: Organisation: Organisation address: Have you permission from your supervisor/manager to participate in this Fellowship scheme, if successful? Please briefly detail the area or specific issue related to ‘The Housing Challenge’ that you would like to consider in more detail as part of this Fellowship scheme (max. 150 words). This can be a very preliminary idea, to be developed more fully with your academic collaborator: If you have already identified a potential mentor/academic partner to collaborate with, please provide their details (Note: it is not a requirement of application to have identified a mentor and mentors are only confirmed once applicants are accepted onto the Fellowship scheme): Please provide details of up to two referees, who would be able to attest to your suitability to this Fellowship scheme. (Note: contact with referees will be decided on a case by case basis) Any additional comments: Please attach a short CV (no more than 3 pages) and send to Claire Williams by the 31st May 2016: claire.williams@sheffield.ac.uk Social Sciences Partnerships, Impact and Knowledge Exchange Team (SSPIKE) Faculty of Social Sciences Fourth Floor, Interdisciplinary Centre of the Social Sciences (ICOSS) University of Sheffield S1 4DP 2