Application Application Form Welcome to the pre-assessment stage of our application process. Please complete the form, provide the required documents and you will hear from our Investment team within three (3) working days. Personal Information Full Name Email Address Contact Number Institute/Organization Academic/Professional Position Early Career - 2-4 years post PhD Mid Career - 5-10 years post PhD Country Research Background Brief Description of your Research for Targeted Support: (please provide a summary of your current research focus and areas of expertise.) 500 words max Current Research projects: (List and briefly describe any major research projects you are currently involved in, aside from the above mentioned) Previous Funding/Grants: (Include details of any significant funding or grants previously received.) Targeted Support Scheme Information Name of the Targeted Fellowship/Grant Fellowship/Grant Deadline Current Status of Application Preparing an application. Shortlisted for an application Other (Please specify) Description of the Targeted Fellowship/Grant: (Briefly describe the purpose and requirements of the fellowship/Grant.) 300 words max Specific Aims of your Application: (Outline the key objectives and goals you aim to achieve with your application.) 200 words max Pre-fellowship Support Scheme Information Research time required: (Estimate the amount of research time you need to prepare your application.) Facilities and resources required: (describe any specific facilities or resources you need for your preliminary work, including any special requirements you have.) Support Needs Type of Support Required: (Select the type of support you believe would be most beneficial.) Proposal writing and editing. Budget Planning and financial management Presentation and communication skills Research design and methodology Preliminary data collection and analysis access to specialized facilities or equipment Other (Please specify) Description of Support Needs: (Detail areas where you need targeted support.) Preferred Timetable for support: (indicated specific deadlines or preferred timing for receiving support based on the submission timetable of your targeted fellowship/grant.) Discipline-Centered Support Needs: (If applicable, describe any support needs specific to your discipline that might require a tailored approach.) Additional Information Concept Note Previous Experience with Similar schemes:) Briefly describe any prior experience with similar funding schemes, including successes or challenges.) 300 words max Any Additional Information: (Include any other details that may help up provide better support.) Consent and Agreement 1. Consent for Data Use I consent to the use of my data for the purpose of providing targeted support and improving the scheme’s services. 2. Agreement I agree to the terms and conditions of the support scheme as outlined by the organizing body. How Did you first hear about us? How did you first learn about our targeted support scheme? (Please select all that apply.) Institution/Organization Website Email Newsletter Social media (e.g., Twitter, LinkedIn, Facebook) Conference or Seminar Colleague or Peer Recommendation Online Advertisement Professional Association Research Network or Forum Print Advertisement (e.g., journal, flyer, Newspaper) Other (please specify) If applicable, please provide the specific source or individual who referred you: (e.g., a specific website, or a particular event. Upload CV Send
