Research and Innovation Grant application form

Title of Project (max 25 words) ^*

Details of applicant

Name ^*

Present Post Held ^*

Category of membership ^*

Address ^*

Telephone number ^*

Email address ^*

Upload CV ^*

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Details of Host Laboratory Supervisor

The supervisor must agree to act as sponsor of the project for research governance purposes. Your supervisor does not need to be a member of thr Association. Please ask your supervisor for an accompanying letter, which you should upload below.

Name ^*

Present Post Held ^*

Address ^*

Telephone number ^*

Email address ^*

Upload letter from supervisor acting as sponsor of the project ^*

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Details of Host Laboratory Head of Department (if different from above)

Your head of department does not need to be member of the Association. Please ask your head of department for an accompanying letter, which you should upload below.

Name

Present Post Held

Address

Telephone number

Email address

Upload letter of support from head of department (if different from supervisor acting as sponsor of the project)

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Is any member of the Scientific Affairs & Clinical Practice Committee closely involved in the project? If so, include their name in the space provided. ^*

Research Details
Upload your completed Research Details Form (which can be downloaded via the link above this form) and any other accompanying material.

Upload Research Details Form ^*

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Upload any accompanying material (if applicable)

Drag a file here to upload (.PPS/.PPTM/.DOTM/.XLAM/.XLSX/.XLA/.DOCX/.DOTX/.POTX/.PPT/.XLT/.DOCM/.PPSX/.DOC/.CSV/.XLTX/.PDF/.PPA/.PPAM/.XLS/.ZIP/.XLSM/.DOT/.PPTX/.PPSM/.XLSB/.XLTM/.TIFF/.POTM/.POT)
Upload

Ethical Approval (has ethical approval been approved, applied for or not required)

Please note: Ethical approval to perform work on stored samples has recently become a controversial subject. Applicants are advised to approach their local ethical committee to see if they need approval for their project if they are using stored samples.

If approved, enter details below

Ethical approval reference number

Date of ethical approval

Chair of Local Committee

Any other information

If applied for but not yet approved, enter details below

Expected date of Ethical Committee meeting

Chair of Local Committee

Any other information

If not required

Please briefly state why approval is not needed

Declaration

By clicking submit you agree to abide by the conditions of this grant:

Your supervisor and head of department support your application
You agree to provide six monthly progress reports and a final report on completion of the project
You agree to present the work at appropriate Scientific Meetings (including Association for Laboratory Medicine meetings/events and LabMedUK)
You agree to acknowledge the support of the Association for Laboratory Medicine in all subsequent publication