Do you seek consideration of career interruptions within For consideration of career interruptions during the last five years, the last five years due please include enough detail in Section 3-Researcher Track Record to enable to debilitating illness, the Panel to consider your request. carer’s responsibilities etc.? Yes No Your appointment: Type of appointment : _____________________________________ (continuing, full Fraction: Full-Time (1.0) OR Part Time Fraction: 0.__________ academic status, fixed term contract, etc.) Please advise expiry date of current contract Fill in this section only dd/mm/yy________________________ if you are on a contract: Does your current contract cover the years of the proposed project? Yes No If your current contract does not cover the project timeline: has your Dean certified that your contract will be extended or renewed to cover the years of the proposed project should your application be successful? Yes No Fill in this section only Advise your time available for this project ___________ (e.g. 0.2 or one – if your salary is funded day per week of your time) – from a research grant Attach evidence that this project will not contravene the guidelines under or a fellowship. which you are awarded the grant/ fellowship funding your salary: Evidence is attached: Yes No Any anticipated absences of more than If yes, please explain how the proposed project will be managed in your absence: one month in 2017/8? Yes No Researcher Track Record: please replicate this section for each S&BS CI ONLY CI Name (and CI number): Total research support 2014-2018: expand the table as required
Do you seek consideration of career interruptions within the last five years due to debilitating illness, carer’s responsibilities etc.? Yes No For consideration of career interruptions during the last five years, please include enough detail in Section 3-Researcher Track Record to enable the Panel to consider your request. Your appointment: (continuing, full academic status, fixed term contract, etc.) Type of appointment : _____________________________________ Fraction: Full-Time (1.0) OR Part Time Fraction: 0.__________ Fill in this section only if you are on a contract: Please advise expiry date of current contract dd/mm/yy________________________ Does your current contract cover the years of the proposed project? Yes No If your current contract does not cover the project timeline: has your Dean certified that your contract will be extended or renewed to cover the years of the proposed project should your application be successful? Yes No Fill in this section only if your salary is funded from a research grant or a fellowship. Advise your time available for this project ___________ (e.g. 0.2 – or one day per week – of your time) Attach evidence that this project will not contravene the guidelines under which you are awarded the grant/ fellowship funding your salary: Evidence is attached: Yes No Any anticipated absences of more than one month in 2017/8? Yes No If yes, please explain how the proposed project will be managed in your absence: Researcher Track Record: please replicate this section for each S&BS CI ONLY CI Name (and CI number): Total research support 2014-2018: expand the table as required
FRG18_NP%20application%20form_2017%20for%20funding%20in%202018.docx