LDC Funding for Research ACTIVE STAFF NetWORKs

Application Form

PART A

Details:

Name:

Job Title:

Staff No:

Department/Centre/Unit/Faculty:

Departmental Administrator (name):

Purpose / Objective of the Research Staff Network:

Details of the Skills/ Development Activity(ies) (Max 500 words):

Date of your activity/event(s), if known:

If you have a website, please give the URL:

Please state which events will be open to other University of Warwick research staff:

Is this a new network or existing network? New / Existing

Scope/ Evaluation / Impact of activity(ies) proposed
(Please give us an estimate of the numbers of staff who will be involved and an indication of how you will measure the impact of the activity/activities. If you intend to follow up the activity by disseminating information, or using the outcomes to support other staff development activities, please also let us know this)
How do you plan to let research staff know about your events/meetings?
How do you plan to share the learning / best practice with other University of Warwick Research Staff Networks?
What is the benefit of your activity/activities to:
  • The University
  • Your department/organisation
  • Research agenda
Total amount of funding requested:
£
Breakdown of funding requested (approximate):
£
£
£

*Signature of Applicant: …………………………………………………………. Date: ………………………………...

Head of Department’s signature:
Head of Department:……………………………………………………
(please print)
**Signed:……………………………………………….…………….…Date: ……………………………...

Please send your completed form either in hard copy or electronically to Sandy Sparks () in the Learning and Development Centre, University House.

If you have any queries, please contact Sandy to discuss (either via email at the above address or on extn 74121).

*You can either sign a hardcopy, scan in your signature or email the application which will be taken as your signature.

**Your HOD can either sign a hardcopy, scan in their signature or send an email to Sandy Sparks stating they support your application.

Approved by: ……………………………………………………..……..….Date: …………………………….

(for LDC use)

Amount approved: £………………………………………….……………

PART B

Report:

Funding awards are conditional upon a report being produced after the event or activity which reflects on the value and impact of the activity in order to share best practice. We ask you to do this by completing Part B of this form within 2 weeks of the event or by 31 July 2013 for a series of events. (Please note that funding may be retracted where reports are not produced).

Please tell us:

How you felt the event/activity went:

How many research staff were involved in

a) the organisational process:

and

b) presenting at the event itself:

How it has contributed to the Department/ University/ Research Agenda:

What has been learnt:

What would be done differently next time:

Impact/results/benefits:

Budget (provide breakdown of amounts spent):

£

£

£

*Signature of Applicant: ……………………………………………………… Date: ……………………………………….

Please send your completed report either in hard copy or electronically to Sandy Sparks () in the Learning and Development Centre, University House.

*You can either sign a hardcopy, scan in your signature or email the report which will be taken as your signature.

Report received (date): ………………………………..Amount spent: £ ……………………………………

(for LDC use)

Sandy Sparks, LDCResearch Active Staff Network FundingSeptember 2012