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Application Form

Section 1: Applicant Details

Researcher’s title

Mr

Researcher’s forename

John

Researcher’s surname

Doe

Researcher’s Faculty/School and Department

Computer Science

Researcher’s status

Research postgraduate student
Name of course / qualification PhD Computer Science

Warwick e-mail address

john.doe@warwick.ac.uk

Daytime telephone number

07999 999999
Supervisor's title Dr
Supervisor's forename Charlie
Supervisor's surname Clever
Supervisor's post Associate Professor

Supervisor’s Faculty/School and Department

Computer Science

Supervisor’s Warwick e-mail address

charlie.clever@warwick.ac.uk

Supervisor’s daytime telephone number

024 7652 9999


Section 2: Project Details

Project title Widget Usability

Estimated start date of project

1 March 2015

Estimated completion date of project

31 July 2015

Sponsoring organisation

University of Warwick

Funder

Unfunded student project
Type of project Primary research

Is the project linked to any other BSREC application?

No

Will any part of the project be undertaken overseas?

No

State all of the locations at which the project will be undertaken

Warwick lecture theatre, researcher's office

State the total number of planned participants

100

State the breakdown of participants by type and number

Undergraduate students: 100


Section 3: Risk and Ethical Considerations Checklist

Respond No to all questions.

Section 4

Email form to bsrec@warwick.ac.uk and send hard-copy with signature of student and supervisor to BSREC office.