WIRL-COFUND Fellowship Application Supporting Document

Please use the following form to provide supporting information for your WIRL-COFUND Fellowship Application. Please complete all sections unless specified as optional. Further information on how to complete this document can be found in the Guidance for Applicants. For any queries further queries email . Applications which do not use this template, or which do not comply with the prescribed section limits or which modify the layout or formatting of the template in any way, will be considered ineligible and will be excluded from further review.

1. APPLICANT DETAILS
Title / Correspondence Address
First Name
Last Name
Institution (if applicable)
Email Address 1
Email Address 2
Phone number (incl. country code)
2. RESEARCH ABSTRACT (Please briefly describe your research proposal, paying close attention to the assessment criteria detailed in section 3.6.)

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WIRL-COFUND Fellowship Application | Supporting Document

3. RESEARCH PROPOSAL (Please provide a detailed description of the research hypothesis and objectives, as well as the programme and methodology. Maximum 3 pages)
3. RESEARCH PROPOSAL (Continued)
3. RESEARCH PROPOSAL (Continued)
4. GLOBAL RESEARCH PRIORITIES ALIGNMENT (Please select the Global Research Priority (GRP) with which your proposed research project most closely aligns and describe how the proposed research links to the selected GRP.)
Behavioural Science
Connecting Cultures
Cyber Security
Energy / Food
Global Governance
Innovative Manufacturing
International Development / Materials
Science & Technology for
Health
Sustainable Cities
5. HOST DEPARTMENT AND ACADEMIC SUPERVISOR (Select the academic department or centre best suited to host you, identify a potential academic supervisor within the host department and describe the relevance of the proposed research to the selected department and whether your proposal has already been discussed with the potential mentor / department.)
Applied Linguistics
Centre for Lifelong Learning
Chemistry
Classics and Ancient History
Comparative American Studies
Computer Science
Economics
Education
Engineering
English and Comparative Literary Studies
Film and Television Studies
History
History of Art
Institute for Employment Research
Law / Life Sciences
Mathematics
Philosophy
Physics
Politics and International Studies
Psychology
Modern Languages and Cultures
Theatre, Performance Cultural Policy Studies
Sociology
Statistics
Systems Biology
Warwick Business School
Warwick Manufacturing Group
Warwick Medical School
Other Research Centre (Please Specify Below)
Other Research Centre
Mentor
6. PREVIOUS CONNECTIONS TO WARWICK (Please describe any previous or current connections and/or collaborations that you have with the University of Warwick.)
7. POTENTIAL PLACEMENTS (Please indicate what placements you may wish to undertake and how these would benefit both the research and your personal development.)
8. OUTPUTS (Please provide a full list of the following in reverse chronological order: (i) all refereed papers in academic journals, edited books, monographs and special issues of journals; (ii) all contributions to symposia and compiled volumes; (iii) research presentations; (iv) all publications under consideration that have been submitted. Indicate the precise page range and list of co-author(s). For books, include the publisher. Do not include abstracts of your work. Do not include publications that are in preparation or that have not been peer reviewed. Text boxes will expand to allow for any amount of text)
(i)
(ii)
(iii)
(iv)
9. CAREER BREAKS (Optional Section – Please give details of any breaks your research career. The exact period of leave and type of leave must be stated. See Section 3.8 of the Guidance for Applicants document for more details.)
10. ETHICS SELF-ASSESSMENT (Please indicate if your research concerns any of the following areas. If your research does involve any of the following areas, please complete an ethics self-assessment and confirm in the ethics statement that you will provide the required documents (maximum 1 page). Further information regarding ethics requirements can be found in section 3.10 of the Guidance for Applicants and in the Guidance for Ethics Self-Assessment)
Human Embryonic Stem Cells
Human embryos
Human foetal tissues / cells
Human participants
Physical interventions on human participants
Human cells or tissues (other than from Human Embryos/ Foetuses)
Use of Animals
Personal data collection and/or processing
Further processing of previously collected personal data (secondary use)
Non-EU countries
Use of local resources in a non-EU country
The import of any material from non-EU countries into the EU
The export of any material from the EU to non-EU countries?
Low and/or lower middle income countries
Countries where individuals taking part in the research are at risk
Elements that may cause harm to the environment, to animals or plants
Endangered fauna and/or flora and/or protected areas
Elements that may cause harm to humans, including research staff
Potential for military applications
Potential for malevolent/criminal/terrorist abuse
Any other ethics issues that should be taken into consideration
I confirm that I have taken into account all ethics issues described above and that, if any ethics issues apply, I will complete the ethics self-assessment and provide the required documents.
11. ELIGIBILITY DECLARATION (Please tick to confirm)
I have not have resided or carried out my main activity (work/study etc.) in the UK for more than 12 months in the three years prior to the 2 May 2018.
12. ACADEMIC ASSESSORS (Please provide the contact details of two people who may be able to make an expert assessment of the fellowship proposal. Include name, address, email address and preferably a link to their profile on a university/institution/company website etc. An assessor must be at least at the level of an associate professor and should not be someone with whom you have previously collaborated or worked.)
1 / Title & Name
Institution (if applicable)
Correspondence Address
Email Address
Phone number
2 / Title & Name
Institution (if applicable)
Correspondence Address
Email Address
Phone number
NO FURTHER ADDITIONS TO BE MADE BEYOND THIS POINT. ANY ADDITIONS TO THE DOCUMENT OUTSIDE THE DEFINED LIMITS OF THE TEXT BOXES OR ANY ALTERATIONS TO THE FORMATING OF THE DOCUMENT WILL RESULT IN THE DISQUALIFICATION OF THE APPLICANT FROM THE REVIEW AND APPOINTMENT PROCESS

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