Addenbrooke’s Charitable Trust and Biomedical Research Centre
Nurses, Midwifes and Allied Health Professional (NMAHP)
Research Training Fellowship Application
Please send an electronic copy on this form to christideatonpa@medschl.cam.ac.uk by 12.00 midday on
Monday 1 December 2014.
This form is divided into five sections:
1.
2.
3.
4.
5.
Applicant details
Summary of proposal
Outline of proposal
Applicant CV
Supervisor/s CV
1. Applicant details
Lead applicant:
Surname, Forename, Title
Address for
correspondence:
E-mail address:
Landline number/s:
Mobile number/s:
Bleep (if applicable):
Current Position:
Address where
research will be
conducted:
University and
department where
doctoral studies will
be undertaken:
2. Summary of proposal
Title of
Research
Proposed
for
Doctoral or
PostDoctoral
Fellowship:
Proposed
Start Date:
Proposed
plan for
fellowship
Time and
activities to
support
Nurses, Midwifes and Allied Health Professional (NMAHP)
Research Training Fellowship Application
development of
award
application –
maximum 250
words
Summary
of
proposed
research:
maximum 250
words
Lay
summary
of
proposed
research
maximum 250
words
Salary
support
requested
Please check
costs with the
Medical
Staffing (CUH
employment or
Cambridge
University)
a) ..................................................................................................................................................................................... P
roposed employer
b) ..................................................................................................................................................................................... S
alary
c) ..................................................................................................................................................................................... N
I
d) ..................................................................................................................................................................................... S
uperannuation
e) .................................................................................................................................................... T
otal
A contribution towards consumable costs will be made if the application is successful.
Nurses, Midwifes and Allied Health Professional (NMAHP)
Research Training Fellowship Application
3. Outline of proposal
Please provide a one page outline (minimum font size 10) of your proposed research
Nurses, Midwifes and Allied Health Professional (NMAHP)
Research Training Fellowship Application
4. Applicant CV
ACT / BRC Nurses, Midwives and Allied Health Professional (NMAHP)
Research Training Fellowship Scheme
Applicant’s CURRICULUM VITAE
Name
Current position
Previous positions (please list in chronological order, starting with the most recent)
Degrees
Please describe any previous research experience, and describe how the fellowship will further the applicant’s
career (max 300 words)
Publications (list up to 5 publications)
Nurses, Midwifes and Allied Health Professional (NMAHP)
Research Training Fellowship Application
5. Supervisor/s CV
ACT / BRC Nurses, Midwives and Allied Health Professional (NMAHP)
Research Training Fellowship Scheme
Supervisor’s CURRICULUM VITAE (please duplicate this page for additional supervisor)
Name
Address
Email
Tel.
Current position
Previous positions (please list in chronological order, starting with the most recent)
Degrees
Research Support (please list research grants awarded during the last 5 years)
Graduate student supervision
Number of students supervised:
MPhil
PhD
Number of students who have completed their degrees:
MPhil
PhD
Publications (list up to 5 recent publications relevant to the proposed project)