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SI Network PhD Grant Award Application form
Please refer to the application guidance notes when completing this application form.
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Title of Proposed Research
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Applicant detailsName of Applicant:
Current job title:
Professional/Research and SI qualifications/experience:
Institute/organisation:
SI Network Membership No.:
Contact address:
Email:
Telephone:
Co-applicant(s):
Current job title:
Professional/research and SI qualifications/experience:
Contribution to project:
Contact address:
Email:
Telephone:
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Sponsor Details:
Name of Supervisor/Sponsor
Name of Institution supporting application
Have you completed the Sponsor Declaration: Y/N
Address of institution
Cost
Please present an estimated breakdown and the total cost of your project/research. Please only include those permissible in accordance with the T&C’s.
Equipment:
Materials:
Training/CPD
Clinical Input
Dissemination:
Conference attendance
Travel
Publication workshop / CPD event
Open Access Journal submission/editing article for submission
Total Cost: (£/Euro)
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Proposed timeline of Project
Start date:
End date:
Other applications for funding
Date submitted
Funding body Value Date outcome will be known
Stipulate which SI Research Strand your study relates to:
Evidence from within the field of Neuroscience Assessment and Measures of SI and Sensory Processing Difficulties Evidence for the treatment of Sensory Processing Difficulties:
-Ayres Sensory Integration Therapy -Sensory Strategies.
Explain how your project/conference presentation addresses the identified priority area:
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Lay summary (word limit: 200)
Expected value of findings
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Conference Attendance
Conference Title:
Date/s of Conference:
Type of Presentation (Paper/Poster/Workshop/Seminar)
Justification/rationale for applying for funding to attend Conference:
Website address of Conference:
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Background to the project (literature review) (word limit: 500)
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Research Question, including aims of study
Study design and methodology (word limit: 500)
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Ethical considerations
Methods of dissemination
References
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Declarations a) Applicant
I declare that I have completed the application form in accordance with the SI Network guidance notes. I have read and will comply with the SI Network Terms and Conditions and consent to the information I have provided in this application being used accordingly. If successful, I agree to acknowledge the S.I. Network UK & Ireland on all publications and to publish a summary of the study, including the results, in Sensornet and/or a peer reviewed journal and to prepared to present at the SI Network annual conference. I consent that my results may be used for education purposes, for which I would be acknowledged. I also agree to advise SI Network of any change to my work role, which might affect the research.
FULL NAME:
INSTITUTION:
SIGNATURE:
Date:
b) Co-applicant(s) (duplicate as necessary)
I declare that I will participate in the project described in this document as a co-applicant should the application be successful.
FULL NAME:
INSTITUTION:
SIGNATURE:
Date:
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