Research bursary application form

Submitted by lct29 on 28 May, 2009 - 20:44

Note that this form cannot be saved before you submit it. You may find it useful to, for example, answer the questions in a separate text editor offline before copying and pasting your answers into this form for submitting.

This form will be used by EWB-UK to assess the potential learning opportunity and the suitability of the applicant. Upon the information provided in this application form, EWB-UK Bursaries will make a decision on whether the learning opportunity is in line with EWB-UK’s charitable objectives and worthy of a funding opportunity. Please include all information you feel is relevant.

Applications can be submitted at throughout the year and will be reviewed periodically. The date of the next review can be found here. EWB-UK will make a decision within 4 weeks of this date. EWB-UK may contact you to request more information on the proposed project.

Please ensure you have read and understood the terms and conditions before submitting your application.

Name: *

Age: *

Gender: *

Male

Female

Email (personal): *

This will be used if your university/work email does not work.

Email (university/work): *

Occupation: *

Student

Employed

Others

Phone: *

If student, area and level of study:

e.g. Civil Engineering 3rd Year Undergraduate (BEng)

If working, year of graduation, job title and organisation:

Others, please provide a brief description of your work:

Conflict of interest:

Please disclose if you know or are related to any members of the bursary team (name and branch).

Have you received an EWB-UK Bursary before?: *

Yes

Location of research study: *

Target group(s): *

Aims and objectives: *

Describe briefly the main aims and objectives of your research, and how they are consistent with EWB-UK’s mission statement. (Word limit: 200)

Institute/organisation and name of supervisor: *

Contact details of supervisor: *

Please provide an address, email, phone number and website (if possible).

Other involved persons/organisations:

Please provide the name, details and description of other persons or organisations involved.

Impacts: *

Describe who the outcomes of your research will benefit, and how. How will your findings be disseminated? (Word limit: 400)

Research start date: *

Research end date: *

Timeline of activities: *

Please describe the activities you will undertake during the project. List the start date, end date, activity and involved persons/stakeholders.

Health and safety: *

Describe any security issues in the country or region that EWB-UK should be aware of. Please give thought to your personal welfare in terms of security, health and safety, and the precautions you are taking. (word limit: 200)

Amount requested: *

Please state an amount, 'maximum' will not be accepted.

Budget details: *

Please a breakdown your total budget for personal costs. Do not include project costs. Please list the description, amount, and source for each expense.

Other sources of funding:

Please list the amount and sources of other funding, including pending applications.

How did you become involved in the project?:

(word limit: 100)

Why have you chosen to do this project?:

(word limit: 100)

Is there anything else you feel EWB-UK should be aware of?:

Terms & Conditions: *

Agree

I confirm that the information submitted is given in good faith and is accurate to the best of my knowledge. I also agree to the terms and conditions herein.

Groups:

Bursaries

Research bursary application form

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