NCRI Proposal Guidance - Application Form (Prostate)

NCRI Proposal Guidance - Application form (Prostate)

Lead Researcher Details

This should be the person completing, or nominated to complete this application.

Title

Name *

First

Last

Email *

Phone *

Institute name *

Please select an institution from the list or type in the field if the organisation is not listed

Secondary Contact Details

Title

Name

First

Last

Email

Phone

Institute name:

Please select an institution from the list or type in the field if the organisation is not listed

All Researchers involved *

Proposal elements

Please complete as much of the following questions as accurately as possible so that we can effectively find panel members to review your proposal.

Primary focus *

If other, Please specify

Secondary focus *

If other, Please specify

Keywords *

Please supply 3-5 keywords that best describe your proposal topic/focus.

Study Details

Study Name *

Study Phase/Type *

If other, please specify:

Please use the link below to download the Proforma Template. Please complete the following document, saving it with the nomenclature given, and upload it into Proforma Document upload below.

Proforma Template

Proforma *

Click or drag a file to this area to upload.

These attached documents will be sent to the panel to review your proposal before the virtual proposal guidance session, so please complete these as fully as able to do so, you must include a Lay summary. Please upload (preferably as a pdf) named as: "Lead_Surname"_"Lead Initial"_"Study_Name_Application" (e.g. Jones_P_BoXER_Application)

Study Protocol/Flow-chart

Click or drag a file to this area to upload.

Please upload (preferably as a pdf) named as: "Lead_Surname"_"Lead Initial"_"Study_Name_Flow" (e.g. Jones_P_BoXER_Flow)

Funding

Proposed Source of Funding

Estimated Funding Requirement (if known)

What is the funding status of the proposal?

Previously submitted for funding
Almost ready to submit for funding
Can be submitted within 6 months
Can be submitted within 1 year
At a very preliminary stage

Which funding stream are you looking to submit to (if known)

Please include the Funding body first and then the Funding Stream if possible.

Expert guidance sought:

Have you had input from the NCRI Group(s) or Subgroup(s)?

If yes (or are planning to), which one(s)?

Have you had statistical input?

Which CTUs or RDS are you working with?

In terms of statistical input.

Panel Member Areas of Interest

The Proposal Guidance panel will be formed of a group of experts with broad interests specific to your proposal, this will also include a Consumer representative.

If there are any specific specialisms or areas of interest that you think would be desirable to be on your panel, please indicate them below.

GDPR Agreement *

I consent to having this website store my submitted information so they can respond to my inquiry.