sinetwork20.wildapricot.org€¦ · web viewplease present an estimated breakdown and the total...
TRANSCRIPT
SI Network Small Project Grant Application form
Please refer to the application guidance notes when completing this application form.
www.sensoryintegration.org.uk
document.docx2015
1 of 12
Title of Proposed Research
www.sensoryintegration.org.uk
document.docx2015
2 of 12
Applicant detailsName of Applicant:
Current job title:
Professional/Research and SI qualifications/experience:
SI Network Membership No.:
Contact address:
Email:
Telephone:
Co-applicant(s):
Current job title:
Professional/research and SI qualifications/experience:
Contribution to project:
Contact address:
Email:
Telephone:
Institution / organisation supporting application:
www.sensoryintegration.org.uk
document.docx2015
3 of 12
Sponsor Details:
Name of Supervisor/Sponsor
Name of Institution supporting application
Have you completed the Sponsor Declaration: Y/N
Address of institution
Cost
Please present an estimated breakdown and the total cost of your project/research. Please only include those permissible in accordance with the T&C’s.
Equipment:
Materials: Training/ CPD event
Researcher’s time/ additional staff
Total Cost: (£/Euro)
Materials
Dissemination
Total Cost: (£/Euro)
4. Proposed timeline of Project
Start date:
End date:
www.sensoryintegration.org.uk
document.docx2015
4 of 12
5. Other applications for funding
Date submitted
Funding body Value Date outcome will be known
Stipulate which SI Research Strand your study relates to:
Evidence from within the field of Neuroscience Assessment and Measures of SI and Sensory Processing Difficulties Evidence for the treatment of Sensory Processing Difficulties:
-Ayres Sensory Integration Therapy -Sensory Strategies.
Explain how your project/conference presentation addresses the identified priority area:
www.sensoryintegration.org.uk
document.docx2015
5 of 12
Lay summary (word limit: 200)
8. Expected value of findings
9. Conference Attendance
Conference Title:
Date/s of Conference:
Type of Presentation (Paper/Poster/Workshop/Seminar)
Justification/rationale for applying for funding to attend Conference:
www.sensoryintegration.org.uk
document.docx2015
6 of 12
Website address of Conference:
www.sensoryintegration.org.uk
document.docx2015
7 of 12
Background to the project (literature review) (word limit: 500)
www.sensoryintegration.org.uk
document.docx2015
8 of 12
Research Question, including aims of study
Study design and methodology (word limit: 500)
www.sensoryintegration.org.uk
document.docx2015
9 of 12
Ethical considerations
Methods of dissemination
References
www.sensoryintegration.org.uk
document.docx2015
11 of 12
Declarations a) Applicant
I declare that I have completed the application form in accordance with the SI Network guidance notes. I have read and will comply with the SI Network Terms and Conditions and consent to the information I have provided in this application being used accordingly. If successful, I agree to acknowledge the S.I. Network UK & Ireland on all publications and to publish a summary of the study, including the results, in Sensornet and/or a peer reviewed journal and to be prepared to present at the SI Network annual conference. I consent to my results may be used for education purposes, for which I would be acknowledged. I also agree to advise SI Network of any change to my work role which might affect the research.
FULL NAME:
INSTITUTION:
SIGNATURE:
Date:
b) Co-applicant(s) (duplicate as necessary)
I declare that I will participate in the project described in this document as a co-applicant should the application be successful.
FULL NAME:
INSTITUTION:
SIGNATURE:
Date:
www.sensoryintegration.org.uk
document.docx2015
13 of 12