Willow House (4th floor)
17-23 Willow Place
London SW1P 1JH
020 7821 7880
andrea.tilouche@alcoholresearch.org
www.alcoholresearch.org
Registered Charity no. 1140287
Registered with Companies House 07462605
Application for a research grant
1.
Applicant 1
Name
Job title
Address
Telephone
Fax
E-Mail
Name
Job title
Address
Telephone
Fax
E-Mail
Applicant 3 Name
Job title
Address
Telephone
Fax
E-Mail
Applicant 2
2.
Organisation (administering grant if approved)
Address
Tel No:
Fax No:
Project supervisor (if applicable)
E-mail address
Department accommodating project
Address (if different from above)
3.
Brief title of research project
4.
Abstract of research (up to 150 words: avoid technical jargon)
5.
Proposed duration (in months)
6.
Summary of support requested
Proposed starting date:
Ye
ar
1
£
Year 2
£
Year 3
£
Total
£
Personal support of applicant
Scientific Assistance
Number of staff
Whole/part-time
Technical/other assistance Number of staff
Whole/part-time
Addition for superannuation, National Insurance
Equipment, materials
NB costs of computer equipment and furniture are ineligible)
Travelling and subsistence
Other expenses (specify)
NB University overheads and accommodation costs are ineligible
Do not include dissemination costs
Total Costs
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7.
Estimated incidence of total expenditure in each financial year (1 April-31 March)
2011/12
2013/14
2012/13
2014/15
8.
PUBLICATION AND DISSEMINATION OF RESULTS
Alcohol Research UK will wish to be involved in the dissemination of the results of the research. Please state how you
intend to disseminate the results of the project.
9.
FINANCIAL ADMINISTRATION
The financial aspects of this proposal have been reviewed and agreed by the Finance Officer of the Organisation that
will be responsible for administering the grant. The staff gradings and salaries quoted are correct and in accordance
with the normal practice of this institution.
Signature ________________________________________
(Finance Officer)
Date ____________________________________________
Tel No:
Initials, name and address:
E-mail address
Fax No:
10. DECLARATION
I have read the guidance documents that are listed in the call for proposals and agree to abide by them. I shall be
actively engaged in the project.
Name
Signature
Date
Applicant 1
Applicant 2
Applicant 3
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Appendix 1
PROPOSED INVESTIGATION
Word limit – 3,000 words.
State clearly the programme of research you intend to follow. Indicate the level of
support that will be provided by the supporting organisation / department.
Show how the research meets the aims and objectives set out in the call for
proposals and what practical applications might follow.
Please use the following structure:
a) Title
b) An explanation as to why you think this study is important and the impact it will
have in the field.
c) An explanation as to how you will measure progress:
- expected start and end dates
- key milestones throughout the period of our funding and beyond (if relevant),
with dates
- targets for quantifiable elements of the project (e.g. participation rates, no.
beneficiaries or users)
d) Plan of investigation. You could include some initial thoughts as to questionnaire
design, sampling frame and evaluation outputs as well as how you might liaise
with the schools recruitment team
e) Plan of dissemination/implementation
f) A description of the relevant experience that you have in undertaking this kind of
research/ working in this field
g) References
h) A lay summary (up to 200 words) which focuses upon the practical value of the
study
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CURRICULUM VITAE OF APPLICANT
1
Surname
APPENDIX 2
Forename(s)
Age
Full postal address
Tel No
2
3
3
4
Qualifications (subject, award, institution, date)
Posts held (with dates)
Relevant recent publications
Duplicate this for other applicants
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