RESEARCH DEVELOPMENT FUND: APPLICATION FORM

JOHN FELL OUP RESEARCH FUND: APPLICATION FORMRef No: ……….../………….APPLICANT(S)Name(s):Title of post:Please tick here if you are an early careerresearcher?Please tick here if your position is funded fromexternal sources?Yes If so please supply a CV (one side A4)Yes If so please state expiry date of current supportDepartment/faculty/service:Division or equivalent:Address for correspondence:Telephone:Email:It is the fund’s policy to publish a summary ofsuccessful projects (name, dept/faculty, title ofproject, amount of grant) on the University website:Please tick this box if you do not consent to this:Date:PROJECTTitle:Statement:Please tick here if your project is related to a currentbid for external funding (e.g. matching funds):Type of grant sought (please tick all that apply):Please append a statement of up to four sides of A4 for mainawards, and up to two sides for small awards (minimum 11point font); addressing the points set out in the notes forapplicants.YesOutright grantUnderwritingInterest-bearing loan.Start date of project:End date of project:Total FEC cost of project: (A)Contribution from department/faculty: (B)Contribution from division/service: (C)Contribution(s) from other sources: (D)Amount requested from John Fell Fund: (E)(E = A - B - C - D)£.......................Please ensure this figure matches the bottomright cell on the attached breakdown of funds.1

Ref No: ……….../………….Precise breakdown of costs:Application(s) to external funding bodies.Has the funding requested in this application alsobeen sought from an external funding body?Please supply a breakdown of funds requested in the formatattached. The department/faculty/service should normally alsosubmit Resolve3 by email to johnfellfund@admin.ox.ac.uk.See section on Eligible costs of notes for applicants.Yes (please attach any feedback reports on the projectsupplied by those bodies.)NoGrants currently held:Please set out on an attached sheet a list of external researchgrants and contracts currently held.Previous grant(s) from John Fell or ResearchDevelopment Fund: state amount(s) and date(s) ofaward(s):DEPARTMENTAL CONTACTDepartmental administrative/ financial contact:name, address, and email for correspondence:ENDORSEMENT BY HEAD OF DEPARTMENT/CHAIR OF FACULTY/HEAD OF SERVICEPlease tick to confirm that the Head of Departmentor Chair of Faculty has endorsed the application andgive the name of the individual who hasapproved the applicationIn doing so they agree to provide the necessaryfacilities and confirm that the project would not entaila significant increase in use of any universityservices, and that any health and safety and ethicalrequirements would be covered:YesEndorsed by (Print Name):TO SUBMIT AN APPLICATION: please send the completed form and attached documentation to the appropriatedivisional office - do not send directly to John Fell Fund Secretariat.Checklist of information to attach Details1. Statement Up to 4 pages for main awards and up to 2 pages for small awards2. CV (one side A4) For early career researchers only3. Feedback from external bodies For projects submitted to an external body only4. Resolve3 Submit by email to johnfellfund@admin.ox.ac.uk and to divisional contacts for allprojects unless staff cost are not included and/or FEC does not applyFOR ADMINISTRATIVE USE ONLYAward Stream:Application category:Main (M) /Small (S) /Divisional (D)(a) Pump-priming(b) Start-up for applicant in early stages of research career(c) Academic activities(d) Research facilitator(e) Support related to external bid.G:\Internal_external investment\John Fell\Application forms\5_Feb2011 Application form JohnFellFund.doc2

Ref No: ……….../………….Breakdown of funds requested from the John Fell Fund (directly incurred costs only)Please summarise the funds requested by University financial year (i.e. 1 August to 31 July), making clear in which year the project will startPurposeAcademic year (entere.g. 2008-9 under year1, 2009-10 under year 2,as appropriate)Year 1£Year 2£Year 3£Year 4£Total all yearsPost 1Post 2Give grade andpoint on scaleGive grade andpoint on scaleEquipmentConsumablesOther (please specify)Total* Amount requested fromJohn Fell Fund: (E)* Please ensure that the final total listed on this table matches the amount requested from John Fell Fund (E) on the main application form.3