the application form

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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,
[email protected] 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
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