Invest in ME Research Charity Number 1153730 RESEARCH GRANT APPLICATION FORM A. PROJECT INFORMATION: Project Title Date of Application Proposed Start Date Proposed Completion Date B. PROPOSED PROJECT TEAM : Primary: Secondary: Other team members: C. DETAILS of ORGANISATION Name of Organisation where research is to be performed Address Email Telephone Nr D. PROJECT DESCRIPTION 1. Brief Description Please include objectives, significance and timescales Invest in ME Research, PO Box 1 561, Eastleigh SO5O OGQ, Hampshire, UK Telephone: 02380 251719 – 07759 349743 Web: www.investinme.org Email: info@investinme.org Page 1 of 7 Invest in ME Research Charity Number 1153730 2. Background: Please provide a brief background to this project. Invest in ME Research, PO Box 2 561, Eastleigh SO5O OGQ, Hampshire, UK Telephone: 02380 251719 – 07759 349743 Web: www.investinme.org Email: info@investinme.org Page 2 of 7 Invest in ME Research Charity Number 1153730 3. Program of work. Please include descriptions of Patient selection and sample collection, Assessment, Analysis performed, Statistical analysis: Use separate page(s) as necessary Invest in ME Research, PO Box 3 561, Eastleigh SO5O OGQ, Hampshire, UK Telephone: 02380 251719 – 07759 349743 Web: www.investinme.org Email: info@investinme.org Page 3 of 7 Invest in ME Research Charity Number 1153730 3. Expertise of the team: 4. How Does This Align With IiME Objectives/What is the Justification for Project D. REFERENCES (up to 5) Invest in ME Research, PO Box 4 561, Eastleigh SO5O OGQ, Hampshire, UK Telephone: 02380 251719 – 07759 349743 Web: www.investinme.org Email: info@investinme.org Page 4 of 7 Invest in ME Research Charity Number 1153730 F. STATISTICAL SUPPORT E. G. ETHICS: FUNDING What arrangements for ethical approval/regulations will be made Required funding for this project: Please provide breakdown of costs Conditions of funding (eg Home/EU) Are there any other costs associated with this project? Year 1 Details amount home/EU Year 2 amount Year 3 Amount Invest in ME Research, PO Box 5 561, Eastleigh SO5O OGQ, Hampshire, UK Telephone: 02380 251719 – 07759 349743 Web: www.investinme.org Email: info@investinme.org Page 5 of 7 Invest in ME Research Charity Number 1153730 Will the staff be lab based? I. SUBJECT AREAS AND KEYWORDS Which subject area does the project fall within (select one only): applied economics others in allied to medicine applied microbiology others in medicine and dentistry cell biology parasitology clinical medicine physiology immunology pre-clinical medicine medical microbiology psychology nutrition virology Biological & Medical Sciences Agricultural Sciences Endocrinology Biochemistry Bioinformatics Biomedical Engineering Biophysics Biotechnology Botany / Plant Science Cancer / Oncology Cell Biology Dentistry Ecology & Conservation Evolution Food Science / Nutrition Genetics Immunology Marine Biology Medical / Biomedical Physics Medical / Clinical Science Microbiology Molecular Biology Neuroscience / Neurology Obstetrics, Gynaecology & Reproduction Parasitology Pathology Pharmacology / Toxicology Physiology & Sports Science Public Health & Epidemiology Structural Biology Veterinary Medicine Virology Zoology / Animal Science KEYWORDS. Please list below keywords for use when advertising projects. OTHER FUNDING SOURCES. Please provide details of funds for this project secured elsewhere, or any applications made elsewhere to fund this project. Invest in ME Research, PO Box 6 561, Eastleigh SO5O OGQ, Hampshire, UK Telephone: 02380 251719 – 07759 349743 Web: www.investinme.org Email: info@investinme.org Page 6 of 7 Invest in ME Research Charity Number 1153730 OTHER RELEVANT INFORMATION. Invest in ME Research, PO Box 7 561, Eastleigh SO5O OGQ, Hampshire, UK Telephone: 02380 251719 – 07759 349743 Web: www.investinme.org Email: info@investinme.org Page 7 of 7