Lord Rootes Memorial Fund Application Form

Please complete and submit the form below, attaching your project proposal and financial plan in the relevant section.

Applications for 2018/19 are now OPEN. The deadline for applications is Friday 18th January 2019.

For Group projects:
- Only those students who will be involved in organising the project and writing the report should be included as applicants
- The same information as included for the lead applicant should be included within the project proposal document for additional applicants
- The Fund Secretary will communicate with the group through the lead applicant

Applicant (or lead applicant for groups)

Surname *

First name *

Student number *

Course (postgraduate research students should include the title of their research) *

Year of study *

Warwick email address *

Alternative email address *

Contact telephone number *

Title of Project *

Summary of Project (max 100 words) *

Project Start Date *

Project End Date *

Confirmation of Fund Regulation 1(d): *

I confirm my proposed project is not related to my programme of academic study or planned future research.

If successful, applicants will be required to comply with the Lord Rootes Memorial Fund Regulations. One of the conditions within the Regulations is that successful applicants will normally be paid 80% of their award following the Committee meeting in March. Award holders must undertake to supply a comprehensive report of their project by the last Friday in November of the year of the award. The remaining 20% of the grant will be paid only if the Committee judges at its meeting in the following March that the report is satisfactory.

Applicants are strongly encouraged to apply only for the minimum level of funding they need to carry out the project, rather than to apply automatically for the maximum potentially available.

Total cost of project (£) *

Amount requested from Fund (£) *

Name of Referee *

Referee department *

Please note: The referee should be a member of academic staff with whom you have discussed the project before applying. Please ask your referee to send their reference to the Lord Rootes Memorial Fund Secretary, Richard Groves, Student Careers and Skills, Ground Floor, University House, or via email to r.m.c.groves@warwick.ac.uk

Please ensure your attachments contain your name in the title

Project Proposal and full Financial Plan *

Attach file

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Where did you first hear about the Lord Rootes Memorial Fund?

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The data on this form relates to the submission of your application to the Lord Rootes Memorial Fund. The date and time of your submission, your identity and the additional information and documents you have submitted will all be stored, but will not be used for any purpose other than administering the Lord Rootes Memorial Fund.

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