SCHOOL OF PUBLIC HEALTH/ATHENA SWAN

EARLY CAREER RESEARCHERTRAVEL AWARDS

APPLICATION FORM

Deadline 30 April 2015 (July to December 2015)

  1. APPLICANT DETAILS

Full Name:

CID:

Department:

Job Title:

Contract End Date*:

Comments*:

*Please note that only School of Public Health employees who hold an employment contract two months beyond the date of the meeting are eligible to apply and only applications for future meetings will be accepted. If your contract is due to expire but is going to be extended please indicate this above.

Application type:

☐Travel, Subsistence and/or Registration fees only

☐ Extra-ordinary costs relating to caring responsibilities only

☐ Both

2. EVENT DETAILS

Title of event:

Location: Weblink:

Dates:

JUSTIFICATION – please explain how attendance at this particular conference will benefit your work e.g. what are your aims, why is this conference the most relevant.

(Max. 250 words)

Word Count:

ABSTRACT – please provide the abstract that you have submitted to the meeting (or are planning to submit). Please provide proof of submission/outcome on a separate sheet, if available.

LAY SUMMARY– please summarise your abstract such that it can be understood by people outside your field. (Max.250 words)

Word Count:

Applications will be judged on the quality of the abstract (25%), lay summary (25%) and justification for attendance (50%).

Word counts will be rigorously applied and applications exceeding the word limits rejected.

3. FINANCIAL INFORMATION

Please include cost estimates based on a quotation from the supplier and in line with College expenses policy:

Total / Amount requested
Airfare, rail or other travel
Subsistence and accommodation
Registration fees
Other (please describe below)
TOTAL

Extra-ordinary costs relating to caring responsibilities:

Cost Description / Total / Amount requested
TOTAL

Full justification of resources requested:

Have you made any other applications to support the cost of meeting attendance?

No

Yes

Details of other application (include date at which the outcome will be known):

Please confirm that no funds specifically allocated to travel in research grants held by you or your line managerare available to support this trip (e.g. travel allowance on personal fellowship, etc.):

Please provide any additionaldetailsyou would like to make the panel aware of that have not been covered in the above form (please note that the panel is not obliged to read or to take into consideration this information):

4. LINE MANAGER’S SUPPORTING STATEMENT

Full Name:

CID:

Please provide a supporting statement for the applicant’s attendance at this meeting

(Max. 250 words):

Please confirm that no funds are available in research grants you hold to support this travel:

5. SIGNATURES

Please type your name: / Date:
Applicant
Line manager

The completed application should be sent tothe School of Public Health by email () no later than Thursday 30 April 2015.

The Travel Award winners will be announced within 2-3 weeks of the application closing date.

Printed copies are not required but both the applicant and line manager
must be copied in the application email submission.

Late applications will not be considered.

Incorrect or incomplete forms will not be taken into consideration by the judging committee.

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School of Public Health Early Career Researcher/Athena Swan Travel Awards Application Form 2015