The Institute of Physics in Wales Grant Scheme

Application form

Please read the guidelines before you complete this form. Please note that grants awarded will be no more than £750 and all projects must be completed within 12 months of award. Please also feel free to email to discuss your application.

1. Contact Details (please give the primary contact’s details)
Name: / Address
Email
Telephone
Your Organisation’s Name: / Your Organisation’s Website:

2. Your Experience

2a. Please tell us (in no more than 75 words) about any previous experience you have relevant to your application.
2b. Have you applied to any of the Institute’s grant schemes before? If so, please let us know the year, the activity it was for and the outcome.
2c. Are you a member of the Institute of Physics?
3. Project Details (grants are only available for projects which benefit Wales or people in Wales)
3a. Project title (max 10 words)
3b. Project summary (max 250 words)
This section should give a clear description of your proposed project including:
− overall project aim(s) (what you plan to achieve)
− target audience (who you plan to reach) and size
− date(s)
− location(s)
− a brief description of what you are planning to do
3c. Project objectives.
In this section you should outline your project objectives, i.e. how you plan to achieve yourproject aims. You should also state how you plan to meet your objectives.
3d. How will you promote your project?
3e. How will you evaluate your project, including value for money?
3f. How will you promote the Institute of Physics in Wales within the project? (This is expected to be consistent with the level of funding requested - e.g. branding, acknowledgements etc)
3g. Additional comments/evidence in support of your application.
4. Cost Details (Amounts from £100 to £750 may be requested)
Please give a detailed breakdown of the costs that will be covered by the grant.
Have you applied for other sponsorship? If so, from where, and what has been sought / provided?

5. Referees

Please provide the name and address of one referee who knows your work related to this event. The referee must be independent of your event. We may contact them as part of the grant assessment process.
Name:
Organisation:
Email:
Telephone:
How did you hear of the scheme?
Signed: / Date:

Please ensure that all the required information is given. An incomplete form will not be considered for a grant.

Please e-mail your completed form to with the subject line ‘Application for IOPW Support’.

Data Protection Act

The information you have supplied on this form will be used to administer and analyse grants and it will be held on an Institute of Physics database. If the application is successful then the Institute may refer to your organisation in press releases and on its websites. It may also contact members of your organisation about its future physics activities but will not disclose the contact information to any third parties for marketing purposes. Signatures on this form are treated as consent under the terms of the Data Protection Act 1998 and the Privacy and Electronic Communications (EC Directive) Regulations 2003 to the Institute of Physics using any of the information in the ways described.

IOPW1Grant Application