PHD APPLICATION FORM – SECOND HOPE

Title of Project

Abstract of research (200w)

Please provide a succinct summary of your research proposal.

The abstract should be laid as follows: 1) background,2) Aims, 3) techniques and methodology 4) impact on secondary breast cancer

Lay Summary (200w)

Proposed Start date Xx/xx/xxxx

Note: PhD studentships are awarded for a fixed period of 3 years

Will this research be supported by other bodies: Y/N

If yes, please give details

Details of applicant

Name
Host Institution
CV details
Total number of Publications
Total – First author
Total Last author
Total number of current PhD students
Total number of completed PhD Students

Details of co- applicant

Name
Institution
CV details

Collaborators:

Name
Institution
Expertise

Recommended reviewers/ excluded reviewers

Costs:

Budget headings / Y1 / Y2 / Y3
PhD Stipend
Tuition fees
Materials and consumables
Minor equipment
Animal costs
Other
Conference cost

Research Proposal (2500 w) (Can be attached separately)

1)Aims and purpose of proposed investigation

2) Background to the project

3) Plan of investigation and methodology

4) Potential risks/challenges

5) Timescale

6) Outline the expected value to the secondary breast cancer community

(Wordcount does not include references or figure legends)

Additional details:

IP body

Give details of your host institutions

IP body

Patentable results: Outline the results of this research are likely to have a commercial partners. State whether there is previously been any patent filed or commercial interest expressed in the research related to this application

Experiments using animals:

Justification and animal numbers

Animal licence number

Ethics

Stem cells

Outline the training environment

Please provide details of the training offered

Data sharing plans

Research category: Common scientific outline

Declaration

I understand that submission of an application indicates full acceptance of the terms and conditions of award as detailed in the grant conditions.

Sign & Date

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