Ref: MPHD16/ PRELIMINARY APPLICATION BLF MESOTHELIOMA PHD STUDENTSHIP RESEARCH GRANT - 2016 Applicants should refer to the accompanying guidelines before completing this form. The BLF operates a paperless grants application system. An electronic version of the application should be e-mailed to the Head of Research, Ian.Jarrold@blf.org.uk in the form of a SINGLE Microsoft Word of PDF file under 3MB where possible before 5pm on Monday 1 February 2016. Please do not use any font size smaller than 10. 1a) Principal Investigator/Supervisor1 incl. title: Qualifications: Post held: Department address: Department telephone no.: b) Co-applicant 1/Second Supervisor incl. title: Qualifications: E-mail: Post held: Co-applicant 2 Incl. title: Qualifications: Post held: PhD student details (if known) Incl. title: Qualifications: Post held: Additional co-applicants can be added where appropriate by copying and pasting the above box. 2) Scientific Abstract/Summary of Research Proposal 2.1) Title of proposed research project: 2.2) Abstract of project (not exceeding 500 words). Please include: Introduction/research context All correspondence will be addressed to the principal investigator. Unless otherwise specified, the salary of the principal applicant or one of the co-applicants should be guaranteed throughout the duration of the grant. Please give title and full name. 1 British Lung Foundation . BLF Mesothelioma PhD Studentship Grant . Preliminary Application 2016 . Page 1 Study aims & objectives Study methods/design Nature of outputs and outcomes/results expected Potential impacts of the work (e.g. for patients/carers and science) 2.3) Category of research (please tick) 2.4) Please describe how your research will tackle a previously unanswered question (100 words) : Clinical 2.5) Please describe suitability of the project and research environment for a PhD Student and how their training will be supported (200 words): 2.6) Proposed starting date: Laboratory Epidemiology / other 2.7) Duration (months) : 3) Lay Summary – Please provide a detailed summary of this project in language and style that will be understandable to the lay members of the British Lung Foundation Scientific Committee and British Lung Foundation Board of Trustees. Considerable attention should be given to this section. The summary should clearly set out the rationale for the study, the methods to be used, and the anticipated benefits of the research to people with lung disease. It is recommended that you show your summary to local carers and people with lung disease for their comments. Your summary will be placed on the Foundation website as well as used for fundraising and PR purposes should be application be successful. THIS SECTION WILL BE EVALUATED AND SCORED BY THE BLF – THIS SCORE WILL CONTRIBUTE TO THE OVERALL GRADE GIVEN TO YOUR APPLICATION DURING THE SELECTION PROCESS. 3.1) Lay title of proposed research project: 3.2) Please describe why your study focuses on this area of research, the rationale for your study and the methods you will use to meet your objectives (not exceeding 300 words) : 3.3) In practical terms, how does the proposed research aim to British Lung Foundation . BLF Mesothelioma PhD Studentship Grant . Preliminary Application 2016 . Page 2 contribute to the prevention, diagnosis, alleviation, treatment and/ or outcome of lung disease (not exceeding 300 words) : 3.4) Please provide 3 bullet points summarising the potential impact of the work on the lives of people living with this lung disease in the short, medium and long term. : 4) Finance 4.1) Finance sought – please double-check all calculations for accuracy. Applications may include costs of personnel, equipment and consumables where appropriate. The BLF does not normally make provision for researcher travel expenses, but if a travel budget is justifiable and directly relevant to the success of the study, please include this with an explanatory note in the description below. Budget to cover travel costs for study participants is allowed. All travel must be standard class travel only. Grant sought for - Year 1 Year 2 Year 3 TOTAL approximate figures may be given Personnel/Student £ £ £ £ Stipend PhD Fees £ £ £ £ Equipment £ £ £ £ Consumables £ £ £ £ Other £ £ £ £ TOTAL £ £ £ £ 4.2) Please provide a brief description of how the funds would be used to support the research (not exceeding 300 words, e.g. the nature of personnel will be funded, equipment/consumables purchased, other spend): 5) Declaration I declare that the information given on this form is complete and correct. Signature of Principal Investigator: Date: For administrative purposes only: Please tell us how you became aware of this grant scheme or where you saw it advertised. : British Lung Foundation . BLF Mesothelioma PhD Studentship Grant . Preliminary Application 2016 . Page 3