APPLICATION FOR BABCP RESEARCH FUND 2014 2014

Applicant’s Name/s      

Form to be typed, not hand-written Ensure word-counts are adhered to Provide your CV, and a CV from your Research Mentor or PhD Supervisor and include references on separate sheet Refer to the Criteria and Guidelines for Application for BABCP Research Grant when completing the application form

1ST APPLICANT’S DETAILSFull Name      

Title Mr Mrs Ms Miss Dr Prof Other (state)      

BABCP Membership No.      

Profession      

Job Title      

Address       Post Code      

Tel Work      

Tel Home / Mobile      

E-mail      

CO-APPLICANT’S DETAILSFull Name      

Title Mr Mrs Ms Miss Dr Prof Other (state)      

BABCP Membership No.      

Profession      

Job Title      

Address       Post Code      

Tel Work      

Tel Home / Mobile      

E-mail      

V1-0610 1

RESEARCH INFORMATION

Project Title      

Main Applicant’s Involvement with any Previous Research      

Co-applicant’s Involvement with any Previous Research      

Host Institution Name and Address      

Research Mentor / PhD Supervisor Name      

Research Mentor / PhD Supervisor Contact Details      

Applicant’s CV/s attached Yes Mentor / Supervisors CV attached Yes

Summary of Proposed Research      

Application for Research Grant for:(check ONE box as applicable)

Research project Three year PhD

RESEARCH PROPOSAL

A. Relevant of this project to the advance of CBT      

B. Aim of the project      

C. Research background      

D. Research methodology      

E. Project plan / timetable      

F. How the findings will be disseminated and/or built upon

     

G. List of references attached Yes

V1-0610 2

H. Costings

Descriptor Cost £

           

           

           

           

           

           

           

           

           

           

Total Funding Requested      

I. SUGGEST UP TO TWO REVIEWERS

Full Name      

Title Mr Mrs Ms Miss Dr Prof Other (state)      

Job Title      

Address       Post Code      

Tel Work      

E-mail      

Full Name      

Title Mr Mrs Ms Miss Dr Prof Other (state)      

Profession      

Job Title      

Address       Post Code      

Tel Work      

E-mail      

V1-0610 3

DECLARATIONSHost InstitutionWe, the Host Institution, confirm that the above represents an accurate costing and that all employment salaries are correct. Further, it is agreed that the Host Institution will not attach Full Economic Costing to this Research Grant

Signature (authorised Finance Officer of the Host Institution) Date      

Full Name       Position      

1st ApplicantI confirm that I have read and understood the Criteria and Guidelines relating to BABCP Research Grants and if awarded a Grant can provide evidence of support from the named Host Institution. I further understand that BABCP Research Grants do not contain any contingency figure for Full Economic Costing

Signature Date      

Co-applicantI confirm that I have read and understood the Criteria and Guidelines relating to BABCP Research Grants and if awarded a Grant can provide evidence of support from the named Host Institution. I further understand that BABCP Research Grants do not contain any contingency figure for Full Economic Costing

Signature Date      

Remember to attach CVs of applicants and references

V1-0610 4