CHSS Research 2014-15 Project Grant application form

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CHEST HEART & STROKE SCOTLAND

RESEARCH GRANTS 2014/15

Applications are invited for funds for support of research leading to the advancement of knowledge concerning the aetiology, prevention, treatment and/or social aspects of heart disease, stroke and respiratory illness.

Projects will be funded up to a maximum of £90,000 over up to three years. Salaries will be paid on the appropriate national scale of a member of staff, and increments made during the period of the research project will be honoured, up to the maximum award. Grants will cover a maximum period of three years.

Please contact us for guidelines for smaller sums (up to £5,000) for minor assistance, including assistance for a student’s research project.

Completed forms to be returned to Chest Heart & Stroke Scotland, Rosebery House, 9 Haymarket Terrace,

Edinburgh EH12 5EZ , no later than 10 th October 2014 for consideration at the next meeting of the Research

Funds Committee.

Applications will only be considered from those living and working in Scotland.

CHSS does not support projects involving the use of animals.

Applicant(s):

Degrees/qualifications:

Contact telephone number(s):

(lead applicant)

Present appointment:

Email:

(lead applicant)

Address for correspondence:

Title of proposed research:

Place of intended research:

Proposed start date: Proposed end date:

Other grants currently held and directly related to this project area:

(please summarise on separate sheet if necessary)

Value of other grants:

Other grants applied for:

Other CHSS grants held (please give dates, project title, and amount awarded) :

Publications arising from other CHSS awards:

PROPOSED RESEARCH PROGRAMME

The application must give:

1. Title of project

3.

2. Purpose of proposed investigation (not more than 250 words)

Background of project

6.

4.

5.

Plan of investigation

Detailed justification for support requested

Feasibility

7. Significance, including potential direct or indirect benefits to patients

(Items 3 – 7 inclusive should not exceed 1,000 words, including appendices and references. Please include a word count.)

8. Description of proposed research and potential benefits in layman’s terms, i.e. suitable for general publication (not more than 100 words) .

CHSS Research Grants 2014/15

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DECLARATION

“I attach a full statement of the intended research programme, together with relevant details of personnel to be employed, or equipment, expenses, etc., and a statement of the Departmental Head in support. I will inform

Chest Heart & Stroke Scotland of any change in employment or finance which affects this application. If it should be successful, I agree to submit appropriate reports to the Research Funds Committee, and to submit evidence that this project has been approved by the local Ethics

Committee.”

Signature of applicant(s) Date

This application should be submitted by/through (i) the Head of Department, and (ii) the officer who will be responsible for administering any grant that may be awarded.

HEAD OF DEPARTMENT

Name:

Title:

Institution:

Address:

Phone number:

ADMINISTERING OFFICER

Email:

Name and initials:

Title:

Address:

Phone number: Email:

“I confirm that I have read this application and, if granted, the work will be accommodated and administered in the

Department/Institution in accordance with Chest Heart & Stroke Scotland’s regulations. The staff gradings and salaries quoted are correct and in accordance with the normal practice of this institution .”

Signature: HEAD OF DEPARTMENT Date

Signature: ADMINISTERING OFFICER Date

WHEN SUBMITTING, PLEASE SEND ORIGINAL PLUS THIRTEEN COPIES OF THIS APPLICATION

CHSS Research Grants 2014/15

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SALARY

NI and Super.

Point on salary scale

Hours per week

EQUIPMENT

EXPENSES – e.g. reagents, materials

OTHER

– e.g. travel.

Open Access: CHSS will meet the actual charges for one main article arising from the study, not exceeding £2,500

£ Name, age and qualification

£

(all items must be listed and costed)

(all items must be listed and costed)

(all items must be listed and costed)

(if known)

APPLICATION TOTAL

(not exceeding £90,000)

£

£

£

£

£

TOTAL £

FIRST YEAR

NB Salaries will be paid by employing authority, who will be reimbursed by CHSS

CHSS Research Grants 2014/15

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£

£

£

£

£

£

SECOND YEAR

£

THIRD YEAR

£

£

£

£

£

£

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