RSA Early Career Application Form - Final Round 2015

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Regional Studies Association
Early Career Grant Scheme
Application Form Final Round
Application forms should be submitted via email to aureliane.beauclair@regionalstudies.org by
31st July 2015 3pm GMT.
In addition, we will require:
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A summarised CV listing a maximum of 5 relevant publications
A Higher Education Institution (HEI) letter of support
A research plan (max 1000 words) as outlined in point 7/A below
A copy of your PhD certificate
1. Applicant information details
Title:
Name:
Surname:
Early Career RSA membership Expiry date:
Post held:
(please note that only RSA Early Career members are
eligible to apply to this scheme)
Address for
correspondence:
Town :
Country:
Telephone:
Mobile
E-mail address:
Date on the PhD certificate:
day/month/year
Postcode:
Fax:
Institution awarding the PhD:
Name:
Address:
Telephone number:
Name of PhD supervisor:
E-mail of the PhD supervisor:
2. Higher Education Institution (HEI)
Name of the Institution
Name of the Department
Name, surname and contact details of the
head of the department
Address:
Town :
Country:
Telephone:
E-mail address:
Postcode:
Fax:
3. Title of the research project
4. Timings of the research
Expected duration of the research
Expected start date of the research
day/month/year
Expected end date of the research
day/month/year
5. Summary details of research and the advances it is hoped to make
Research applications should demonstrate how the proposed research fits with the Association’s research
strategy and priority areas available from the list of Related Documents.
A.
Summary of the main aims (max 200 words):
B.
Summary of why the research is important and timely (max 150 words):
C.
Summary of the research methods (max 200 words):
D.
Timetable for the research (max 150 words):
E.
Summary of who might benefit from the research outcomes and how (max 150 words):
F.
What contribution would the grant make to your career (if awarded) and what you
would hope to achieve next (max 200 words):
G.
Provide a statement setting out the support given by your department/institution to your
career development (max 200 words):
6. Regarding your research proposal
A. Is your related research currently being supported by any agency other than your employer?
If so, which organisation; what is the value of the support provided and its duration?
B. Are you currently applying elsewhere for support of work that forms part of this proposal?
If so, to which organisation and by what date is a decision expected?
C. Is the proposed research likely to lead to commercially exploitable results? Briefly outline
the nature of the possible intellectual property.
7. Research proposal
A. Research proposal:
Please attach a research plan to be assessed by expert reviewers (max 1000 words).
A free-standing word processed document is acceptable.
Applications should adhere to the following headings:
a. Purpose of the proposed investigation and statement of scientific value
b. Background
c. Details of research methods and outcome measures
d. Evidence that outcomes are likely to be robust
e. An explicit timetable for each stage of the research, indicating anticipated
milestones of progress and contingencies to address possible obstacles
f. Details of any potential collaborators
g. Proposals for dissemination
h. Description of how exploitation of results could be pursued, including:
i. evidence of existing links with or interest from commercial parties
ii. an outline of the nature of any potentially patentable outcome
iii. the name of at least one independent academic referee that the Association
may choose to approach.
8. Research Budget
A budget plan with detailed justification of the financial support requested (particular attention
should be paid to this section). Please indicate the nature and level of any institutional and other
background support available.
I have read the Terms and Conditions applying to the RSA Early Career Research Grant
Scheme and, if my application is successful, I agree to abide by them.
Signature of applicant
Date
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