EWB-UK Research Project Affiliation Form

Please complete this form to apply to affiliate your project with EWB-UK.

Please note that successful projects will be able to demonstrate how they meet EWB-UK's aims and long-term goals.

Contact Name(s): *

Contact Email: *

Contact telephone number: *

University Address: *

Home Address:

if applicable

Academic Institution: *

Course / Degree Title: *

Number of years completed of current degree: *

In what form is this Research Project being undertaken?: *

3rd and 4th Year Degree Project options cover projects which will contribute towards a student's degree. If the project is not going to contribute towards a student's degree, then the "extra-curricular" box should be selected.

Please give details of how this Project fits into your degree; or if it is to be undertaken as an extra-curricular project, please indicate the expected timespan and feasible outcomes: *

Project Title: *

Brief Project Description: *

Please also indicate expected goals

Project Academic Supervisor: *

Partner NGO (if applicable): *

Please also indicate if no NGO is involved.

Are you a member of EWB-UK, and if so which branch?: *

Would you be happy to be listed in our “Contacts” network?*: *

*EWB-UK Research are building up a database of projects, people, institutions and NGOs. This information may be used to help other projects in the future, and this contacts network is how we are able to provide support to you.

If you are listed in the contacts network and we receive an enquiry in the future where we believe you may be interested in providing help or knowledge to another project, we may forward the request to you. We will never pass on information about you to a third party.