Academic Scholarship Application Form | Society for Reproduction and Fertility

Please select the scheme you wish to apply for from the dropdown list below *

Please refer to the SRF website for a full description of each scheme.

Applicant First Name *

Applicant Surname *

Applicant Email Address *

End date of maternity, adoption and/or shared parental leave *

Start date of maternity, adoption and/or shared parental leave *

Return to Research Scholarship only - please put N/A for other applications.

Position held *

Date of appointment *

The Applicant should be within the first 3 years of a tenured academic position at time of application and be continuing in that post for the duration of the award.

End date of current contract *

Institution *

Department *

Phone Number *

Address for correspondence *

Year of joining SRF *

SRF Membership 2022

I confirm that I have paid for my 2022 membership

Details of any previous Academic Scholarship applications made with outcome

Number of conferences attended during the past 5 years *

Number of SRF abstracts co-authored during past 5 years *

Number of papers/reviews published in Reproduction during the past 5 years *

Other participation (e.g. Editorial Board, SRF Committee Membership)

If 'Other', please specify

Nature of award sought *

Small pump-priming grants to generate preliminary data for full grant proposal

Travel and subsistence for a period of sabbatical leave

Bridging funds to help retain staff during gaps in funding

Support academic staff returning to research following maternity, adoption and/or shared parental leave

To support and promote the exchange of knowledge and skills between the laboratories of SRF members and collaborators (either existing or new).

Other

Ethical Approval *

I hereby confirm that, in line with the SRF's 'Policy on use of animals in research', any research which is conducted on live animals as a result of this funding will: be performed in accordance with local institutional ethical approval, be performed in accordance with national regulatory guidance (e.g. UK Animals (Scientific Procedures) Act, 1996; European Directive 2010/63 on the Protection of Animals in Scientific Experimentation), adhere to the Replacement, Refinement & Reduction of Animals in Research (NC3Rs) ARRIVE guidelines (download at https://www.nc3rs.org.uk/arrive-guidelines).

Proposed title of work *

Project start date (minimum 3 months after application deadline) *

Details of costs and how funds will be used

Please provide details of the project costs and how they will be used: (in GBP).

1. Consumables

Word limit - 250 words

2. Equipment

Word limit - 250 words

3. Salaries

Word limit - 250 words

4. Travel

Word limit - 250 words

5. Other

Word limit - 250 words

Total Anticipated Cost (GBP) *

Note that as a registered charity, the SRF will not, under any circumstances, pay any overhead charges.

Details of Proposal

Please provide detailed information on the following: (a) aims of the project; (b) the work to be carried out; (c) the expected outcomes and (d) how this will lead to a larger study *

Word limit - 1,500 words

Other funding

Please list other sources of funding relevant to this application

Source of Funds 1

Title of Project

Total Value

Start Date

End Date

Source of Funds 2

Title of project

Total value

Start date

End date

Source of Funds 3

Title of project

Total value

Start date

End date

Source of Funds 4

Title of project

Total value

Start date

End date

Contact - Academic

Depending on the type of award sought, the SRF will contact your Head of College/School/Department to confirm: (a) that you hold an academic post that will continue for the duration of the award; (b) that they support this application (c) the duration of leave. Please provide their name and contact details below:

Academic Contact Name

Email Address *

Position *

Contact - Financial

SRF will contact your College/School/Department Finance Office to confirm that they accept the terms of this award. Please provide their name and contact details below:

Name *

Email Address *

Position

Address

Telephone *

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Academic Scholarship Scheme Application Form

Details of costs and how funds will be used

Details of Proposal

Other funding

Contact - Academic

Contact - Financial

Address

Phone and email