Northern Ireland Chest Heart & Stroke –PhD Studentship Application

Please sendfive copies including the original signed copy by post, and send one copy as an e-mail attachment to the addresses at the end of the document.

1. Applicants

1.1 Principal Applicant(the main contact for all matters pertaining to this application)

Title, first names and SURNAME
Institution
Email address
Telephone
Postal address
Post Code
Hours per week allocated to the project

1.2Alternate Principal Applicant/Second Supervisor

Title, first names and SURNAME
Institution
Email address
Hours per week allocated to the project

2. Summary of the Project

2.1 Title of investigation
2.2 Abstract
The abstract should be no more than 250 words. (See Guidance Section F, number 2, page 7)
The abstract should be no more than 250 words. The abstract should be no more than 250 words. The abstract should be no more than 250 words. The abstract should be no more than 250 words. The abstract should be no more than 250 words. The abstract should be no more than 250 words.
The abstract should be no more than 250 words. The abstract should be no more than 250 words. The abstract should be no more than 250 words. The abstract should be no more than 250 words. The abstract should be no more than 250 words. The abstract should be no more than 250 words.
The abstract should be no more than 250 words. The abstract should be no more than 250 words. The abstract should be no more than 250 words. The abstract should be no more than 250 words. The abstract should be no more than 250 words. The abstract should be no more than 250 words.
The abstract should be no more than 250 words. The abstract should be no more than 250 words. The abstract should be no more than 250 words. The abstract should be no more than 250 words. The abstract should be no more than 250 words. The abstract should be no more than 250 words.
The abstract should be no more than 250 words. The abstract should be no more than 250 words. The abstract should be no more than 250 words. THIS SAMPLE TEXT IS EXACTLY 250 words.
2.3 Proposed start date
2.4 Proposed duration(in months)

3. Lay Summary

Describe your proposed project in a way that will be clear to members of the public who do not have a grasp of medical or scientific terminology
The scientific committee places much emphasis on the information in this section
A plain English summary is a clear explanation of your research.
Reviewers may use this summary to inform their review of your application.
A good quality plain English summary providing an easy to read overview of your whole study will help:
  • those carrying out the review (reviewers, SRC and board members) to have a better understanding of your research proposal
  • inform others about your research such as members of the public, health professionals, policy makers and the media
  • the research funders to publicise the research that they fund.
If we feel that your plain English summary is not clear and of a good quality then your application may be rejected.
(See Guidance Section F, number 3, page 7)
The Lay summary should be no more than 250 words.
The Lay summary should be no more than 250 words. The Lay summary should be no more than 250 words. The Lay summary should be no more than 250 words. The Lay summary should be no more than 250 words. The Lay summary should be no more than 250 words. The Lay summary should be no more than 250 words. The Lay summary should be no more than 250 words. The Lay summary should be no more than 250 words. The Lay summary should be no more than 250 words. The Lay summary should be no more than 250 words. The Lay summary should be no more than 250 words. The Lay summary should be no more than 250 words. The Lay summary should be no more than 250 words. The Lay summary should be no more than 250 words. The Lay summary should be no more than 250 words. The Lay summary should be no more than 250 words. The Lay summary should be no more than 250 words. The Lay summary should be no more than 250 words. The Lay summary should be no more than 250 words. The Lay summary should be no more than 250 words. The Lay summary should be no more than 250 words. The Lay summary should be no more than 250 words.The Lay summary should be no more than 250 words. The Lay summary should be no more than 250 words.The Lay summary THIS SAMPLE TEXT IS EXACTLY 250 words.

4. Summary of support requested

Summary of support requested in £

N.B. NICHS does not usually support the cost of equipment

Year 1

/

Year 2

/

Year 3

/

Year 4

/

Total

Student Salary
University Fees
Travel & subsistence
Consumables
Exceptional items
TOTAL
Has the project received Ethical approval? / Yes No

Please use this space to indicate how you intend to spend the studentship budget

5. Proposed investigation (See Guidance Section F, number 5, page 7-8)

Continue on no more than 5 separate A4 sheets - applications which exceed this length will be returned as unacceptable. There may be up to two additional sheets with references

  • Applicants should outline the background to the research, describing limitations identified in the evidence base that the research is trying to address.
  • Outline previous work undertaken in this field and reasoning behind proposal.
  • Please provide evidence explaining why this research is important and its suitability for PhD project training.
  • Please explain how this research meets the criteria set out in Section D in the Guidance Doc.
  • Please also explain the size and nature of the problem to be addressed.
  • Describe the proposed research plan, providing descriptions of the overall research design and a strong justification of sampling strategies, methods of data collection and analysis.
  • Applicants are encouraged to seek professional research design and statistical advice before submission. The Scientific Research Committee is paying particular attention to this requirement and has very high standards and expertise in this field.
  • It is vital to add as much detail as possible on design and methodology, including justification of sample size, power calculations and sample selection and exclusion criteria where applicable. Please provide enough information to allow the sample size calculation to be independently verified.
  • Please outline how you envisage NICHS’s involvement in this project

6. Study registration

Will the proposed project be registered on a publicly available database? If YES, please name the database, and give the Registration Number, if available. If NO, please explain why not.
Yes No

7. Involving /People

Will members of the public be activelyinvolved in the proposed research? / Yes No
If yes, please indicate the ways in which the public (in this case, young people and others) will be actively involved in the proposed research (design, implementation and dissemination).

8. Related applications

8.1 Is this application or a related applicationcurrently being submitted elsewhere?
If YES please indicate:(i) to which organisation, (ii) by what date is a decision expected
Yes No
8.2 Has this application or a related application previously been submitted elsewhere?
If YES please indicate:(i) to which organisation, (ii) what was the outcome of this decision
Yes No

9. Commercial involvement

Are there any commercial companies involved or in partnership in relation to this research? If YES, please give full details on a separate sheet including any potential gains, the names of the directors of the company and the projected timescale to market. Any other relevant information would be appreciated.
Yes No

10. Project management

10.1 Management plan. Please outline the key roles and responsibilities of the Principal Applicant (Supervisor) and secondary supervisor for the project, and describe any contingency plans.
10.2 Project milestones. Please provide an anticipated time scale for the project. This should include the proposed start and end date for different stages of the project, e.g. study number, sample selection, data collection, data analysis. Please indicate the date by which these will likely to be achieved. (See Guidance Section F, number 10, page 8)
Milestone / Project month / Person Responsible
10.3 Project deliverables
Nature of deliverable / Month of delivery / Person Responsible

11. Justification of resources.

Describe how the funding will be used to achieve the aims of the research. (250 words maximum)

12. Dissemination plan

Describe how you plan to assist NICHS in any publicity aimed at raising the profile of the project; also outline your plansfor dissemination of results within Northern Ireland and further afield. Please quantify outputs and provide timelines. (250 words maximum)

13. Potential Impact of the project

Please describe the potential impact of your research for the people of Northern Ireland. Refer to Section D in the Guidance Document.

14. Supervision and Training

Describe the suitability of the research project and research environment for a PhD student and provide details of training that will be provided for the student; this should include subject specific training, training in research skills and transferable skills.

15. Institution/Authority

Name
Role
Addresses at which work will be carried out
Tel / Fax

16. Curriculum vitae

Submit a one page CV
CVS must be appended below to the application form (See Guidance Section F, number 16, page 9)
17. Declaration
This application should be submitted by /through the
a)Head of Department and
b)The Chief Financial Officer of the Health Trust, University or other organisation who will be responsible for administering any grant that may be awarded.
Each should sign the following declaration:
I confirm that I have read this application and that, if granted, the work will be accommodated and administered in the Department/Institution in accordance with the conditions in the notes “Research Conditions for Grant Holders”. The staff gradings and salaries quoted are correct and in accordance with the normal practice of this Department/Institution and account has been taken of anticipated cost of living increase and employer’s contributions.
(a) Signature of Head of Department/Institution / (b) Signature of Chief Financial Officer
Title: / Title:
Name and initials: / Name and initials:
Department/Institution: / Department/Institution:
Address: / Address:
Date: / Date:

Please return one copy of this application by e-mail to d five copies by post with all relevant signatures to:

Interim Research and Impact Manager

Sinéad Reid

Northern Ireland Chest Heart & Stroke

21 Dublin Road

Belfast BT2 7HB

Closing date – Friday 5th May 2017

Final Version

NICHS

06.03.17 Page 1 of 13