Closing the Gap Kick Starter Funding Application Form

The purpose of CTG’s Feasibility and Pump-Priming funding is to provide short term support to allow initial investigation of new ideas, collaborations and partnershipsPlease read the guidance document carefully before completing this form. The aim of the call is to stimulate research into the inequalities that people with severe mental illness experience and to build a cross-disciplinary research capacity in the field of health inequalities for people with severe mental illness. The core principles of the CTG Network are to be: participatory, inclusive, innovative, outward facing, sharing and engaged.

Title of Project

Total funds requested

Organisation where the grant would be held

Research teamIn the table on the following page, please provide details of the Research Team. The lead contact should be listed first. This should be the person to whom all correspondence regarding the proposal is to be directed. Please indicate, if applicable, which members of the Proposal Development Team attended a CTG Network+ event at which the proposal was originated/developed, the skills & expertise they bring to the

proposal and brief details of their track record. Note that attendance to CTG events is not mandatory but recommended. This section should list Early Career Researchers (ECR) and service users involved in the proposal. Details can be included in the role/ contribution to the project column.

Name Organisation Contact email Role/ contribution to project Attended any CTG event where this

proposal was developed

Principal investigator first (Y/N)

In the boxes below please tick which theme/s your proposal aligns withGreen and Blue spa

Digital Technologies

Creativity and Arts

Big Data

Social Inequalities

Knowledge Mobilisation

Research in Practice

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Lay summary of bidPlease summarise your bid, in lay terms that an intelligent lay person might be expected to understand. This information might be published online for viewing if your application is successful [up to 100 words]

Summary of success measuresPlease state at least three success measures for the project1.

2.

3.

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Project outlineThis section should give details of the project for which funding is sought including a brief summary of the evidence gap the project is addressing, the projects’ rationale/purpose and the methodology that will be used. This section should include a short statement on how the plan aligns with the networks core principles.Please note, if you are proposing to collect new data, please clarify why it is not possible to work with existing data sets to address your research questions. [up to 500 words]

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Briefly outline your project timetable. You may attach a GANTT chart if you preferIf using secondary analysis, please specify whether you have the data in place / how you will secure access to the data [up to 250 words].

Proposed outcomes and impact of the projectUpon conclusion of the project, what do you hope to have achieved and what will have changed? How do you propose to disseminate the findings of the project? What are your plans for sustainability e.g. plans for future larger grant applications

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Please outline how the proposed activity detailed in the application fits with the specific priorities or aims of the CTG Network. This section should include a brief summary of how you have engaged with the CTG theme leads to develop this bid [up to 200 words].

Intellectual propertyWhat pre-existing intellectual property rights are to be used on the project and will they be improved? Will the new rights be created? [Up to 500 words]

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Ethical considerations: Please explain what, if any, ethical issues you believe are relevant to the proposed research project, and which ethical approvals have been obtained and from whom, or will be sought if the project is funded? If you believe that an ethics review is not necessary, please explain your view [up to 500 words].

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Funding requested from this fund.Details Overall Timescale Cost 80% FEC Cost 100%

FECTotal

Accommodation (Visitors)

Consultancy

Small equipment Costs (items under £10k only)

Materials and Consumables

Other Expenses

PI buy-out

Staffing Support Grade: Salary

Subsistence (Visitors)

Travel Costs(directly related to the project)

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Total

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Source Amount (£)

Details (specify if in-kind or cash)

Departmental support providedInstitutional support providedExternal collaborators’ support Support from other grantsOther___________________________________Total funding required for project

Other sources of supportDetail any additional support provided in the table below. Add rows if necessary.

Please include a CV for the principal applicant, and any co-applicants. The CV should be included at the end of this document. CV’s must NOT be sent as separate files. Your CV should be no longer than two sides of A4. If you do not attach a CV for all investigators we will automatically withdraw your application.

Completed forms should be e-mailed to ctg-network@york.ac.uk. E-mails should carry the subject line: CTG Funding Proposal [applicant surname].

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