SI Network Small Project Grant

Application form

Please refer to the application guidance notes when completing this application form.

Title of Proposed Research

Applicant details

Name of Applicant:

Current job title:

Professional/Research and SI qualifications/experience:

SI Network Membership No.:

Contact address:

Email:

Telephone:

Co-applicant(s):

Current job title:

Professional/research and SI qualifications/experience:

Contribution to project:

Contact address:

Email:

Telephone:

Institution / organisation supporting application:

Sponsor Details:

Name of Supervisor/Sponsor

Name of Institution supporting application

Have you completed the Sponsor Declaration: Y/N

Address of institution

Cost

Please present an estimated breakdown and the total cost of yourproject/research. Please only include those permissible in accordance with the T&C’s.

Equipment:
Materials: Training/ CPD event
Researcher’s time/ additional staff
Total Cost: (£/Euro)
Materials
Dissemination
Total Cost: (£/Euro)

4. Proposed timeline of Project

Start date:

End date:

5. Other applications for funding

Date submitted / Funding body / Value / Date outcome will be known

Stipulate which SI Research Strand your study relates to:

  • Evidence from within the field of Neuroscience
  • Assessment and Measures of SI and Sensory Processing Difficulties
  • Evidence for the treatment of Sensory Processing Difficulties:

-Ayres Sensory Integration Therapy

-Sensory Strategies.

Explain how your project/conference presentation addresses the identified priority area:

Lay summary (word limit: 200)

8. Expected value of findings

9. Conference Attendance

Conference Title:

Date/s of Conference:

Type of Presentation (Paper/Poster/Workshop/Seminar)

Justification/rationale for applying for funding to attend Conference:

Website address of Conference:


Background to the project (literature review) (word limit: 500)

Research Question, including aims of study

Study design and methodology (word limit: 500)

Ethical considerations

Methods of dissemination

References

Declarations

a) Applicant

I declare that I have completed the application form in accordance with the SI Network guidance notes. I have read and will comply with the SI Network Terms and Conditions and consent to the information I have provided in this application being used accordingly. If successful, I agree to acknowledge the S.I. Network UK & Ireland on all publications and to publish a summary of the study, including the results, in Sensornet and/or a peer reviewed journal and to be prepared to present at the SI Network annual conference. I consent to my results may be used for education purposes, for which I would be acknowledged. I also agree to advise SI Network of any change to my work role which might affect the research.

FULL NAME:

INSTITUTION:

SIGNATURE:
Date:

b) Co-applicant(s) (duplicate as necessary)

I declare that I will participate in the project described in this document as a co-applicant should the application be successful.

FULL NAME:

INSTITUTION:

SIGNATURE:
Date:

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SI Network Grant Application Form 2015