Application form for Researcher Links Postdoctoral Mobility Grants

Transcription

1 Application form for Researcher Links Postdoctoral Mobility Grants Under UK Data Protection law applicants have the right to ask for a copy of the information we hold on them, for which we may charge a fee, and the right to ask us to correct any inaccuracies in that information. More information on this is available on the British Council data protection webpage: or alternatively can it be requested to the local British Council office or the Data Protection Team dataprotection@britishcouncil.org This form can be saved at any time before completing or submitting it. In order to save the form and complete it later, you need to click the Are you sure you want to leave this form and resume later? button at the bottom of each page. Once you click this button then you will be taken to a new window (Please see the example image) where you can get your unique URL to use later to complete the form. You can also this URL directly to yourself from the new window. Please note that when using Save & Resume any files uploaded to the form will NOT be saved to the form until the application is complete and submitted. Users should NOT upload files until they ready to submit. Summary of the application What is the title of your research placement?*number of characters remaining: Maximum 200 characters Title* Name* First Name* Last Name* Proposed UK host institution*

2 Home Institution (if relevant) Applicant Same as Above Title* Full Name* First Name* Gender* Last Name* Male Female The British Council monitors gender participation; this information will not be used during assessment. Contact telephone number* Please make sure you include the country calling code (e.g.: ) Contact address* Confirm Contact address* Are you a citizen of Kazakhstan or a permanent resident with the right to work in Kazakhstan?* Have you completed your PhD or equivalent doctoral qualification within the last 2 years?* Date of award of PhD or equivalent doctoral qualification* Day Month Year Title of your doctoral thesis, if applicable Do you have a research or academic post (permanent or fixed term) or fellowship (excluding visiting or honorary fellowships) at a university or publicly funded research institution in Kazakhstan?* Yes No If yes, please specify what type of contract you have Name of employer If you are not currently employed at a university or publicly funded research institution in Kazakhstan, please give details of your employment status and employer. Number of characters remaining: Do you have a research or academic post (permanent or fixed term) or fellowship (excluding visiting or honorary fellowships) at a university or publicly funded research institution in Kazakhstan?*

3 By ticking this box, I confirm that I intend to return to a research career in Kazakhstan on completion of the postdoctoral mobility placement. Should my application be successful, I understand that the British Council may take action to reclaim all or part of the grant awarded if I fail to do so.* I confirm HOME INSTITUTION (if applicable) Full legal name Department Head of Department First Name Contact name Last Name First Name Last Name Contact address Confirm Contact address* Contact phone number Please make sure you include the country calling code e.g Type of institution If other type of institution, please provide additional information Number of characters remaining: maximum 1000 characters Address Address Line 1 Address Line 2 City State/Province Zip/Postal UK HOST INSTITUTION Full legal name* Department* Head of Department. This is the person who will have the authority to sign the grant agreement.* First Name* Last Name* Type of institution* If other type of institution, please provide additional information Number of characters remaining:

4 maximum 1000 characters Sponsor's full name* First Name* Last Name* Sponsor's job title* Maximum 500 characters Sponsor's address* Confirm Sponsor's address* Sponsor's contact phone number* Please make sure you include the country calling code e.g Address*Address Line 1* Address Line 2 City County/Region Postcode UK Region* Only for UK institutions By ticking this box, I confirm that I intend to return to a research career in Kazakhstan on completionof the postdoctoral mobility placement. Should my application be successful, I understand that the British Council will take action to reclaim all or part of the grant awarded if I fail to do so.* I confirm By ticking this box, I confirm that the UK host institution will sign the grant agreement and be responsible for managing the funds allocated if I am awarded a placement.* I confirm CV of the Applicant Please include a brief CV including academic qualifications, research experience, awards/fellowships and maximum 5 relevant research publications.*number of characters remaining: Maximum 8000 characters

5 Details of your research placement proposal Please give a summary in plain English of the proposed placement and research theme. This should be a statement for a non-specialist audience about the purpose of your research placement and should include how this will support areas relevant to the economic development and social welfare of low- and middle-income countries, benefitting poor and vulnerable populations in these countries?*number of characters remaining: Maximum 2000 characters What are the main longer term outcomes you are expecting from your placement? Please refer to the outcomes linked to your professional development.*number of characters remaining: Maximum 2000 characters What will be the main outputs of your placement?*number of characters remaining: Maximum 1500 characters Have previously been involved in any research collaboration with the receiving institution?* If yes, please provide further details. Number of characters remaining: Maximum 1500 characters Sustainability and capacity building Is this visit part of an existing collaboration between the home and host institutions?* Please explain how your placement will support you into a research career on your return to Kazakhstan.*Number of characters remaining:

6 Maximum 1500 characters if relevant, please give any further information on how the placement will contribute to your professional development and to the capacity building of the wider research group involved? Number of characters remaining: Maximum 1500 characters Relevance to economic development and social welfare Does the research support areas relevant to the economic development and social welfare of low- and middle-income countiries, benefitting poor and vulnerable populations in these countries* Please indicate a plausible pathway of how the research may contribute to the economic development and social welfare of Kazakhstan and lead to positive impact on the lives of people on low income within a reasonable time frame (3-15 years).*number of characters remaining: Maximum 1500 characters ASSESSMENT OF THE PROPOSED VISIT Please note that only 1 Review Panel can be selected and up to 3 subject areas can be highlighted in priority order within the chosen panel (most relevant, very relevant, relevant.) Please select the option other only if your research does not fit in any of the broad subject areas listed. Please indicate which of the following five Review Panels is the most appropriate to assess your proposal.* Biological and Medical Sciences Review Panel Environment, Agriculture and Food Sciences Review Panel Engineering and Physical Sciences Review Panel Social Sciences Review Panel Arts and Humanities Review Panel Biological and Medical Sciences Review Panel

7 Up to 3 subject areas can be highlighted in priority order within the chosen panel. To indicate the priority order, please replace the circles below as follows: 1 most relevant, 2 very relevant, 3 relevant. Biological and Medical Sciences Review Panel 1-MOST RELEVANT Biological and Medical Sciences Review Panel 2-VERY RELEVANT Biological and Medical Sciences Review Panel 3-RELEVANT Other biological and medical sciences (please specify) Environment, Agriculture and Food Sciences Review Panel Up to 3 subject areas can be highlighted in priority order within the chosen panel. To indicate the priority order, please replace the circles below as follows: 1 most relevant, 2 very relevant, 3 relevant. Environment, Agriculture and Food Sciences Review Panel 1-MOST RELEVANT Environment, Agriculture and Food Sciences Review Panel 2-VERY RELEVANT Environment, Agriculture and Food Sciences Review Panel 3-RELEVANT Other Environment, Agriculture and Food (please specify) Engineering and Physical Sciences Review Panel Up to 3 subject areas can be highlighted in priority order within the chosen panel. To indicate the priority order, please replace the circles below as follows: 1 most relevant, 2 very relevant, 3 relevant. Engineering and Physical Sciences Review Panel 1-MOST RELEVANT Engineering and Physical Sciences Review Panel 2-VERY RELEVANT Engineering and Physical Sciences Review Panel 3-RELEVANT Other Engineering and Physical Sciences (please specify) Social Sciences Review Panel Up to 3 subject areas can be highlighted in priority order within the chosen panel. To indicate the priority order, please replace the circles below as follows: 1 most relevant, 2 very relevant, 3 relevant. Social Sciences Review Panel* 1-MOST RELEVANT Social Sciences Review Panel 2-VERY RELEVANT Social Sciences Review Panel 3-RELEVANT Other Social Sciences (please specify)

8 Arts and Humanities Review Panel Up to 3 subject areas can be highlighted in priority order within the chosen panel. To indicate the priority order, please replace the circles below as follows: 1 most relevant, 2 very relevant, 3 relevant. Arts and Humanities Review Panel 1-MOST RELEVANT Arts and Humanities Review Panel 2-VERY RELEVANT Arts and Humanities Review Panel 3-RELEVANT Other Arts and Humanities (please specify) Budget Applicants are responsible for making their own travel arrangements (including flights, accommodation, travel insurance and visas). Before submitting your budget request, please read The guidelines and Annex 4 of the Call for Travel Grants. Please fill in all fields and add a zero for cost categories for which no support is requested. Provisional departure date* Day Month Year Provisional return date* Day Month Year Duration of placement* This should be calculated in weeks Travel* The cost of one return, economy flight will be covered, up to a maximum shown in the guidance notes Visa Applicants are responsible for making the necessary arrangements for this Visa cost Insurance Insurance cost Request for subsistence* This should be calculated using the tables in the guidance notes. Research costs, including bench fees A maximum of 8,000 per year

9 Research costs, including bench fees* Consumables cost* Contribution for childcare Please note that this amount can be up to a maximum of 5% of the overall contribution to subsistence costs. Total amount of award you are requesting* A contribution for applicants with special needs can be requested by writing to uk-researcherlinks@britishcouncil.org. Requests will be assessed on a case-by-case basis. Supporting documents The statements of support from your sponsor at the proposed host institution and your home institution (if you are currently employed by a recognised publically funded research establishment or Higher Education institution) should include comments on the following questions: Why is this research important? Why have you chosen this institution? How will the link be sustained? Please ensure the combined size of the documents does not exceed 5MB. Supporting letter from sponsor at the UK institution.* If the name of your file/document appears beside this button that indicates your file has successfully been uploaded into the form. Supporting letter from host institution (where relevant) If the name of your file/document appears beside this button that indicates your file has successfully been uploaded into the form. DATA PROTECTION: The British Council will use the information provided in the application for processing the application, making any consequential award, for the award payment, monitoring, maintenance and review of the award. In order to carry out the selection process for the travel grants, we may also share your information with our national partner organisations. The reason for this is that in countries where we work with partner organisations, the final decision on travel grants will be made in collaboration with them. Please note that a confirmation containing your ID application number will be sent to your address. If you do not receive the following the submission of this form, please contact us:(uk-researcherlinks@britishcouncil.org) within 3 working days from the deadline, otherwise your application will be considered ineligible. Your application ID number should be mentioned in all the communications with the British Council. Please tick this box to confirm that you are willing for the British Council to share your information with partner organisations for the purpose of this funding application (please note; if you do not agree to this we may not be able to consider your application for funding) * I am willing for my information passed on to British Council partner organisations for the purpose of this funding application Please indicate if you are willing for us to contact you in future about other British Council research opportunities:* I do want to be sent details of future British Council opportunities I do not want to be sent details of future British Council opportunities The British Council will also make some information on the successful applications available to the public on their website and other publicity, and in reports and documents.* I agree to my information being put on the British Council website I do not want my information to be put on the British Council website Save Answers and Resume Later Submit Form PreviousNext

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