Anticipated Completion date: _______________ List of all Chief Investigators named on this project: Note: the first-named CI must be from S&BS and take intellectual responsibility for the project. CI 1: CI 2: CI 3: CI 4: Ethics approval is: required / not required If required please advise as appropriate Approval: has been sought ________ date of application OR has been granted ________ approval number OR has not yet been sought Researcher Information: please replicate this section for each CI CI Number: CI :____________ (CI 1, CI 2, CI 3 etc.) Researcher Name / School / Faculty Highest Academic Qualification: If PhD, date of conferral: Are you undertaking an UG or PG degree? Yes No If yes: Degree:___ Finishing Date:____ and Attach a statement as to how the FRG project is compatible with your studies. If undertaking a research degree, clarify how the proposed FRG project is consistent with making satisfactory progress with your studies and provide brief details about the nature of your postgraduate research. Statement attached Yes For S&BS researchers only Do you wish to claim ECR status? Yes No If yes: if conferral pending, thesis completion date________ AND Awarding Institution: ____________________________________ Do you wish to claim ECR status exemption to the 1 March 2012 rule? Yes No To claim ECR status exemption to the 1 March 2012 rule, you will need to provide details of career interruptions which you claim would justify an adjustment to the eligibility date. Please include enough detail in Section Track Record to enable the Panel to consider your request.
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