Oxford Biomedical Research Centre Enabling translational research through partnership Application for the Oxford Biomedical Research Centre Saïd Business School Scholarship Scheme Name: Click here to enter text. Home address: Click here to enter text. Employer: Choose an item. Full/part time: Choose an item. Current post start date: Click here to enter a date. Current post end date (if known) Click here to enter a date. Course: Choose an item. We would expect that the offer of funding for management training at the SBS would attract the following staff groups who will be employees either of Oxford University Hospital Trust or Oxford University: Senior central administrative staff such as those within the Joint Research Office; Trust Divisional staff such as Senior Business Managers or Operational staff having significant research responsibility; NIHR-funded staff with research management responsibilities; Research nurse managers; Academic clinicians in management positions; Allied Health Professionals with research management responsibilities; Senior Trainee doctors with research management responsibilities Current position: Responsibilities: Click here to enter text. Please explain in no more than 500 words why you have chosen this particular course rather than others that are available locally or nationally. Click here to enter text. Please explain in no more than 500 words how your receipt of this training will have a real impact on how research is managed/carried out at Oxford. What are the benefits to you and to Oxford? Click here to enter text. Please explain in no more than 200 words how this training will benefit the National Institute for Health Research and their mission to maintain a health research system in which the NHS supports outstanding individuals, working in world class facilities, conducting leading edge research focused on the needs of patients and the public. Click here to enter text. Have any other funders or organisations been approached for funding? If so what was the outcome? Click here to enter text. Have you already applied to the Saïd Business School? If so at what stage is your application? Click here to enter text. Oxford Biomedical Research Centre Enabling translational research through partnership Please note any successful candidate will be required to commit to the following: a) b) c) d) e) f) To complete the course To pay a nominal sum (£100) towards the course fees To pay any application fee To pay for books and materials etc. To pay for any travel and associated maintenance costs To remain in the employment of the Trust or University for three years or pay a falling proportion of the costs back (minus 33% for each full year post the final day of the course) g) To represent the Trust or University, where appropriate, at relevant meetings or other appropriate methods of dissemination, to discuss the course and their work within the partnership h) To reimburse the OUH if funding is obtained from another source I agree, if successful in my application to the commitment as outlined on page 2 of my application. Click here to enter a date. Applicant’s signature Date Supporting testimonial statement from Applicant’s Senior Manager Please outline how the training applied for by this applicant will benefit the delivery of research services in your area of the organisation. Click here to enter text. Date Click here to enter a date. Senior Manager’s Name & Signature Position Click here to enter text. Click here to enter text. Declaration by Applicant’s Manager responsible for operational delivery (this may be a line manager or someone more senior; it is important that they are in a position to give permission for the applicant to attend the course): I am content for the applicant to apply for the named scholarship and, if successful, attend the course chosen. I note the conditions above. Date Manager’s Name & Signature Position Click here to enter text. Click here to enter text. Click here to enter a date. Oxford Biomedical Research Centre Enabling translational research through partnership Advisory Board Use Only Date Received Interview? Successful? Click here to enter a date.