Returning Carers Scheme (Round 8)

1 February 2017 to 31 July 2017 inclusive

Please complete form in CAPITAL LETTERS

PART 1 – To be completed by employee

Section A – Personal and Employment Details
Surname
Forename(s)
Title
Personal Reference Number
Position held
School
Faculty / Department
Contract End Date
Area of Research
Age(s) of dependent(s)
Applied in previous round(s)
If so, please provide details if successful and funds awarded
Section B – Career Break / Leave Details
Reason for career break(s) or leave
Commencement and end date(s), including date(s) ofreturn(s) to work/usual hours
Any additional information you wish to provide:
Section C –Application for funding
Please complete the relevant sections as appropriate
Requests for funds should not normally exceed £10,000 in total, based on direct costs (although exceptional cases for support up to £20,000 may be considered).
The cost of consumables should not exceed £3,000 and should be justified in the proposal.
Conferences
Please note:
Expenses, including travel, accommodation and subsistence allowances, should be at University rates:
Please note:
Indirect childcare costs may be liable for tax; if so, they will be reimbursed via the payroll, grossed up so you receive the approved sum. / Itemised list with relevant dates for each conference: / Funds Requested (£)
Breakdown of any indirect childcare costs including the age of child: / Funds Requested (£)
Section C – Proposal Continued……
Collaborator Visits / Itemised list / Funds Requested (£)
Consumables / Itemised list: / Funds Requested (£)
Section C – Proposal Continued……
Research Support / Itemised list:
(e.g. Level of support, cost, duration) / Funds Requested (£)
Other
Please note:
Indirect childcare costs may be liable for tax; if so, they will be reimbursed via the payroll, grossed up so you receive the approved sum. / Itemised list: / Funds Requested (£)
Breakdown of any indirect childcare costs including the age of child: / Funds Requested (£)
Total Funds Requested / £
Section D – Case for Support
Please outline (briefly) how the break has impacted your career and how the award(s) will support the development of your research profile or other academic activity.
Any additional information you wish to provide:
Section E – Declaration (To be completed by applicant)
I am applying for an award(s) under the Returning Carers Scheme under the following terms of the policy:
Eligibility Criteria
All academics or researchersor employees whose primarily role is undertaking research, who:
  • Have returned from a break in their career for caring responsibilities in the last 5 years
  • Are currently on a break in their career for caring responsibilities
  • Are due to go on a break in their career for caring responsibilities
  • Have been working part-time or reduced hours because of caring responsibilities
This can include, but is not restricted to:
  • Adoption leave
  • Career breaks for family reasons
  • Maternity leave
  • Paternity leave
  • Parental leave
  • Leave to work part-time or reduced hours for family reasons under the University's flexible
working policy
  • Special leave to care for a dependant
The period of continuous/total/reduced hours leave should normally be 3 months or more in order to be eligible for support under this scheme. The panel reviewing the applications will consider each case individually, depending on the specific circumstances and needs of the individual.
I am aware that routine costs of research which should be funded through grant funding are not eligible claims under this scheme. Also, requests for personal salary support or for items essential for the member of staff's research (which are funded through the research project) are not eligible.
Signed (applicant)
Date
Please attach a copy of your CV to this application form and send these to your Head of Department for completion of Part 2. Please note that the deadline for sending the completeapplication for this round to the relevant HR Business Manager in HR Division is 30 September 2016.

PART 2 –Head of Department Support

This part must be completed by the Head of Department or equivalent.

Section A – Statement of support
(Outline of case to include:
  • Confirmation that the application is in line with the aims of the Scheme
  • The items requested are of personal benefit to the member of staff
  • Clarify the impact on the individual
  • There is no other source of funding (e.g. grant funding)
  • There will be no adverse effect on colleagues, e.g. if the application is for teaching relief.)

Signed (Head of Department)
Date
Please send the completed application together with the CV to your Schools HR Business Manager for completion of part 3. The deadline for sending the complete application for this round is 30 September2016.

PART 3 – HR Business Manager

Section A – Assessment / Tick
I can confirm the applicant is eligible and meets the criteria under the terms of the policy
Head of School is aware and in support all of the applications from the School
All of the applications have been placed in order of prioritisation
Head of School ranked position:
Signed (HR Business Manager)
Date
Please attach a copy of the rankings from your Head of Schooland send the complete applicationto the Returning Carers Administrator Lead.

Part 4 – Post Panel Comments

Post Panel Comments

Part 5 – Outcome

Outcome
Successful or Unsuccessful
Total Funds Awarded (£)