CHEST HEART _ STROKE SCOTLAND

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					                               CHEST HEART & STROKE SCOTLAND

                                  RESEARCH FELLOWSHIP 2010


Applications are invited for a Research Fellowship aimed at undertaking a research programme of clinical or
basic scientific work related to chest, heart or stroke illness. The CHSS Research Fellowship is worth a
maximum of £90,000, and is open to doctors completing their general professional training at a Scottish
hospital, preferably already with their MRCP.

Applications should be made jointly by the applicant and supervisor, and must be authorized by the Head of
Department and administering authority.

Applications for part-time Fellowships will be considered.

Completed applications must be returned to Chest Heart & Stroke Scotland, 65 North Castle Street,
Edinburgh EH2 3LT, no later than 2nd October 2009, for consideration at the next meeting of the
Research Funds Committee.

Applications will only be considered from those living and working in Scotland.
CHSS will not support projects involving the use of animals.

Applicant:

Degrees:                                                Date of birth:

Contact telephone number(s):                            Email:


Present appointment:

Address for correspondence:



Name of Supervisor:

Position:

Address for correspondence:



Telephone:                                              Email:

Title of proposed research:

Place of intended research:



Proposed start date:                                    Proposed end date:
The following information should be provided:



1.      Purpose of proposed investigation

2.      Background to proposed research programme

3.      Plan of investigation – details of experimental design and methods, with outline timetable

4.      Anticipated outcomes, including direct or indirect benefits to patients

5.      Summary of financial requirements

(Items 1 – 5 inclusive should be no more than 1,200 words inclusive. Please include a word count.)

6.      Short description of proposed research and significance of expected outcomes in layman’s terms, i.e.
suitable for general publication (not more than 100 words).




A CV for the applicant is required (summarized on two sheets A4), which should include details of relevant
publications, directly relevant research experience, and training undertaken or to be undertaken.




DECLARATION


“I attach a full statement of the intended research programme, together with relevant employment details,
equipment, expenses, etc., and a statement from the Departmental Head in support. I will inform Chest
Heart & Stroke Scotland of any change in employment or finance that affects this application. If it should be
successful, I agree to submit an annual report to the Research Funds Committee. If accepted, I agree to
submit evidence that this project has been approved by the local Ethics Committee.”




Signature APPLICANT                                      Date


Signature SUPERVISOR                                     Date




CHSS Research Fellowship 2009/2010                                                                     2
This application should be submitted by/through (i) the Head of Department, and (ii) the officer who will be
responsible for administering any grant that may be awarded.



HEAD OF DEPARTMENT

Name:

Title:

Institution:

Address:
(all in BLOCK CAPITALS or TYPED)

Phone number:                                     Email:



ADMINISTERING OFFICER

Name and initials:

Title:

Address:
(all in BLOCK CAPITALS or TYPED)

Phone number:                                     Email:



“I confirm that I have read this application and, if granted, the work will be accommodated and administered
in the Department/Institution in accordance with Chest Heart & Stroke Scotland’s regulations. The staff
gradings and salaries quoted are correct and in accordance with the normal practice of this institution.”


Signature: HEAD OF DEPARTMENT                          Date


Signature: ADMINISTERING OFFICER                       Date




WHEN SUBMITTING, PLEASE SEND ORIGINAL PLUS ELEVEN COPIES OF THIS APPLICATION

CHSS Research Fellowship 2009/10                                                                     3
                                                                                                          FIRST YEAR       SECOND YEAR

 SALARY                            £           Name, age and qualification                            £                £



 NI and Super.                     £                                                                  £                £
 Point on salary scale
 Hours per week

 EQUIPMENT                         £           (please itemize)                                       £                £




 EXPENSES –                        £           (please itemize)                                       £                £
 e.g. reagents, materials




 OTHER – e.g. travel               £           (please itemize)                                       £                £




                                                                                              TOTAL   £                £


                                                                                  APPLICATION TOTAL                    £


NB Salaries will be paid by employing authority, who will be reimbursed by CHSS
CHSS Research Fellowship 2009/10                                                                                                     4