ࡱ> y bjbjNN |$j$jUf f _____sss8seJ"K6t  J J J J J J JL=O J_ t t J__J### F__J# J##2@AD0  B.I5J0eJC#P!#P\DD#P_DH # J J" eJ #P f %:  University of 58Թ ETHICAL RESEARCH FUNDING REVIEW APPLICATION FORM  Please Tick: (click on the box then click Checked for a cross to appear in the box) Undergraduate  FORMCHECKBOX  Postgraduate Research  FORMCHECKBOX  Postgraduate Taught  FORMCHECKBOX  Staff  FORMCHECKBOX  Researcher Name(s):Project Title:Supervisor (if applicable):School/Unit:Researcher email(s):Applications should be printed, signed and scanned, and submitted electronically to HYPERLINK "mailto:utrecmail@st-andrews.ac.uk"utrecmail@st-andrews.ac.uk with the subject heading Funding. The signature page must be sent with either electronic signatures inserted, or as a scan of a signed hardcopy (Please note that the text boxes are fixed in size and will not allow any viewing beyond the word limit permitted; please do not type beyond the limits of the text boxes).  RESEARCH PROJECT INFORMATION Estimated Start Date:Estimated Duration of Project: Research Project Rationale: Please give a brief summary of the project not exceeding 75 words Ethical Considerations: Please give a brief summary of any ethical considerations raised by the project, not exceeding 75 words. Should the project raise any ethical considerations and it falls within the UTREC or AWEC remit, the researcher(s) should also complete the appropriate UTREC or AWEC Ethical Application Forms. UTREC Guidelines for ethical research can be found at  HYPERLINK "/research/integrity-ethics/humans/ethical-guidance/" /research/integrity-ethics/humans/ethical-guidance/ and under the Guidelines for your own research area, *BPS, *ESRC, *MRC and *ASA (*please delete the guidelines not appropriate to your discipline).   PROPOSED RESEARCH FUNDER INFORMATION  1. Name of proposed research funder: 2. Does the research funder already have University of 58Թ approval currently limited to a specific project?YES  FORMCHECKBOX  NO  FORMCHECKBOX  Research Funder Approval Code: 3. Does this research entail collaboration with external researchers?YES  FORMCHECKBOX  NO  FORMCHECKBOX  If YES, State Names and institutions of collaborators and give details regarding any funder approval by the institution / collaborator if applicable:  4. Please provide details of the research funder, their Mission Statement and any other relevant information (including a URL if possible): (attach additional sheets if necessary)   5. Do you (principal investigator/researcher) have sufficient knowledge of the proposed research funder to make a judgment on the intention behind their providing funding for the research and what the results will be used for? YES  FORMCHECKBOX  NO  FORMCHECKBOX   If YES please elucidate:   6. Might accepting funding from this research funder raise media interest? YES  FORMCHECKBOX  NO  FORMCHECKBOX  If YES please elucidate:   7. Are there any campaign/pressure groups that might take an interest in the research and/or its funder? YES  FORMCHECKBOX  NO  FORMCHECKBOX  If YES please elucidate:   8. Could there be any other complications for the University in accepting funding from this research funder? YES  FORMCHECKBOX  NO  FORMCHECKBOX  If YES please elucidate:   TRUSTED RESEARCH  Please complete the HYPERLINK "/research/integrity-ethics/governance/trusted-research/"Trusted Research Tool and include a copy of the output with your application. Applications which do not include this will be returned. Please check the box to confirm you understand  I confirm  FORMCHECKBOX   SIGNATURES  Staff (with no supervisor) YES  FORMCHECKBOX  NO  FORMCHECKBOX  Print Name:SignatureDate: Students or Research Staff My Supervisor has seen and agreed all relevant paperwork linked to this project YES  FORMCHECKBOX  NO  FORMCHECKBOX   Print Name:SignatureDate:Supervisor(s) of Students / Research Staff The Supervisor must ensure they have read both the application and the guidelines, and also has approved the project and application, before signing below, with clear regard for the balance between risk and the value of the research to the School/Student. 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