POPULATION & SOCIAL HEALTH RESEARCH PROGRAM Mid-Career & Senior Researcher Grant Scheme Applicant Details Name: Position: APPLICATION FOR FUNDING School/Area: Contact Phone Numbers: Email: Additional Information Required Please attach the following: 5 page (max) application detailing the proposed research (see criteria on info sheet) CV of Mid-Career or Senior Researcher CV of Early Career Researcher CVs of any other team members Supporting statement from Head of School (where applicable) Office Use Only Financial Assistance Funds Requested: Amount Granted: Approved by: Position: Signed: Date: Reporting Requirements Project Summary Date: ECR report on Mentoring Date: Seminar to PSHRP Date: GHI conference presentation Date: Additional Outputs Manuscripts submitted Number: Grant applications Number: Other conference presentations List: MCSR Grant Scheme Application