Addiction research placements funding application form

Host organisation details

Organisation name

Organisation’s purpose and main services provided

Full postal address of organisation location where placement researcher will be based

Full postal address of organisation headquarters (if different from above)

Please indicate the principle address of your organisation, which if application is successful, will be used for the preparation of the contract for the transfer of this funding to the organisation.

Does your organisation offer clinical, ie treatment/recovery, services?

Yes

No

Please provide any details or notes here:

About you

Title

First name *

Last name *

Current role in the organisation *

Email *

Contact telephone number *

The placement opportunity in your organisation

1. Please describe the proposed project/s the placement researcher will work on during the period of the placement.

In describing the project, please make reference to the feasibility of the project in the 3-month/ 3-month equivalent period, the outcome/s expected at the end of the placement, and how this relates to and will impact on wider work done in your organisation. Please note that we cannot fund placements involving animal research.

2. How will you support the placement researcher to achieve success with their project?

Please consider project set-up, how you ensure the researcher has ownership of the project, creating connections within and beyond the immediate team, technical support, access to all relevant data, review meetings, team meetings, other support.

3. Are there any ethical or other governance approval processes that need to be navigated in your organisation for this work to take place? If so, please describe, including timescales.

For example, you may need to consider seeking ethical approvals before the placement begins.

4. Who will provide day-to-day line management of the placement researcher?

I confirm that the line manager has sufficient time to allocate to supporting the placement researcher to have a meaningful experience, ie enabling them to develop networks with others in the field.

5. Up to £12k per placement is available. Please outline your proposed use of the budget.

We’d expect the placement researcher to be paid at their current salary for the duration of the internship up to £8,000 in total. Up to £3000 (inc VAT) is available for the host organisation to cover incurred costs and up to £1000 is available for project-specific expenses. Please note that no other overheads are permitted.

Optional: please upload any relevant files (eg spreadsheet describing your planned use of budget) here.

Maximum file size: 52.43MB