This form should be completed either in typescript or BLOCK CAPITALS using black ink. Please read the notes of guidance before completing this form.

SURNAME ……………………………………………………………TITLE…………………………

FORENAME(S) …………………………………………………………………………………………

APPOINTMENT HELD………………………………………………………………………………….

SECTION ………………………………………………………………………………………………..

PAYROLL NUMBER ………………………………………….STUDENT NUMBER………………

BANK DETAILS FOR DIRECT PAYMENTS ……………………………………………………….

……………………………………………………………………………………………………………

CHEQUES TO BE MADE PAYABLE TO …………………………………………………………..

Please state why you are not eligible to apply to the University Learned Societies Fund:

…………………………………………………………………………………………………………….

SPONSOR OF CONFERENCE/MEETING ………………………………………………………….

CONFERENCE/MEETING TITLE …………………………………………………………………….

VENUE …………………………………………………………………………………………………..

DATE(S) …………………………………………………………………………………………………

NUMBER OF NIGHTS ACCOMMODATION ………………………………………………………

REASON FOR ATTENDANCE ……………………………………………………………………….

PLEASE GIVE TITLE OF WORK …………………………………………………………………….

…………………………………………………………………………………………………………….

& AUTHORS NAME(S) ………………………………………………………………………………..

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HAS THE MATERIAL BEEN PRESENTED PREVIOUSLYYES / NO

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HAS FUNDING BEEN SOUGHT FROM ELSEWHERE YES / NO

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IS FUNDING AVAILABLE IN YOUR RESEARCH CONTRACT YES / NO

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EXPENDITURE DETAILS

CONFERENCE REGISTRATION FEE / £
TRAVEL / £
ACCOMMODATION AND/ OR SUBSISTENCE / £
TOTAL COST / £
TOTAL CLAIM / £

NOTES

  1. The Research Committee currently has limited resources to provide an allowance to ScHARR staff not eligible to the Learned Societies Fund 1 towards expenses for attending meetings to further research aims as follows: "to give an oral account or a poster presentation of original research work, of which the member of staff is the author or joint author, at a meeting of a learned society of national or international standing with a view to publication of the work"
  2. Contribution to the total cost of the meeting will be £150 maximum for the UK and £300 maximum abroad.
  3. All claims must be signed by the appointed member of the Travel Fund Committee
  4. All claims for such expenses must be accompanied by appropriate documentary evidence.
  5. Claims normally will be assessed on a first come, first served basis. However preference will be given to claimants whose presentations will enhance the national or international profile of ScHARR.
  6. Forms must be completed in full and returned to Georgina Jones as soon as possible after the paper/poster has been accepted. Retrospective claims will be considered under exceptional circumstances if they meet the requirements and if there should be money available at the end of the budgetary period (see 7 below)
  7. The amount of money available from the University for this purpose is approximately £2.000 each year. The budgetary period will be divided so that £1,000 is available every six months.
  8. Copies of this form are available on the N Drive and may be emailed to or sent to Georgina Jones General Practice, NGH

1 i.e. Everyone who is not an established member of the University staff or a registered postgraduate student. Please consult the staff handbook if you are unsure.