Higher Education Innovation Fund

Social Sciences Knowledge Exchange Fellowships

2017/18 Application Form

INSTRUCTIONS
Please complete all relevant fields and submit with the accompanying documentation via your departmental administrator /research support officer. The deadline for applications is 5pm on 06 October 2017.
Related documents: Call specification and guidance for applicants (Call document A), Additional information for administrators (Call document B). References [A.x] direct applicants to the appropriate sections of the guidance in Call Document A.
PROJECT INFORMATION [see A.4]
Project Title
Project start date / Project end date
KE Fellowships career stage strand [see A.3 and A.4] Please select one. / Early Career Researcher
Established Researcher
Is this application is connected to another submitted in this call? / No
Yes, details…
ACADEMIC LEAD [see A.5] The person who will take overall responsibility for the conduct of the project. Early Career Researchers should not apply as Academic Lead and should ask their mentor to serve as Academic Lead.
Surname / Name / Title
Post/Job title
Department or Faculty
Email address / Telephone
KE FELLOW (if not the Academic Lead) [see A.5] Include details of the person who will undertake the fellowship,
visiting or having a placement with an external non-academic organisation
Surname / Name / Title
Post/Job title
Oxford Department/Faculty
Email address / Telephone
Early Career Researcher status: (If applicable i.e. within 4 years of DPhil/PhD completion)
Date PhD/DPhil awarded / Date of thesis submission
NON-ACADEMIC PARTNERS Please list here any partner(s) organisations. All applications should have at least one Non-Academic Partner. Attach separate sheet for additional Non-Academic Partner organisations.
Non-Academic Partner 1
Organisation name
Organisation web address
Name(s) of Contact(s)
Email of Primary Contact / Telephone
Have you worked with this partner before? / Yes No
Non-Academic Partner 2
Organisation name
Organisation web address
Name(s) of Contact(s)
Email of Primary Contact / Telephone
Have you worked with this partner before? / Yes No
Non-Academic Partner 3
Organisation name
Organisation web address
Name(s) of Contact(s)
Email of Primary Contact / Telephone
Have you worked with this partner before? / Yes No
RELEVANT/RELATED RESEARCH PUBLICATIONS [see A.8] List up to 5 academic publications.
1. 
2. 
3. 
4. 
5. 
RESOURCES [see A.7 and A.9] Please give a clear breakdown of the resources requested up to a maximum of £25,000. Attach separate sheet for additional budget items. You are also asked to provide an FEC costing (X5) as an attachment.
Category (e.g., travel & subsistence, catering, consultancy, staff cost, etc.) / Itemised description / Amount
Total requested (should match PRICE on costing output)
ADDITIONAL BUDGET INFORMATION [see A.7 and A.9]
Total university project costs
Should match FEC on your costing output
Details of any matched grant funding sought/received (£ and source):
Departmental/College support:
(direct contributions only e.g. support for event costs, but not FEC contribution)
Cash contributions from partners: (£ and description of what this covers):
In-kind contributions from partners: (estimated £ and description of contributions)
OTHER INFORMATION [see A.9]
Declaration of Interests: If applicable
Does the project require ethical review? / Yes No / Approved CUREC number If applicable
All projects supported by this funding must adhere to the University’s Code of Practice and Procedure for Academic Integrity in Research, and comply with appropriate legal and regulatory requirements. If any form of licence is needed (e.g. Home Office, Intellectual Property, Radiation Protection) these must be in place before the project commences. Please check this box to confirm that you have read and agree to these terms.