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Travelling Fellowship Application Form

Checklist of items to be included with application:

Letter of support from Head of Department

Letter of support from Supervisor

Letter of support from host laboratory

Publication list (state if you have not had any work published)

C

Successful applicants:

!f an award is "ranted# we will re$uire:(a) %cknowled"ement of receipt of the che$ue(b) Copies of all of your receipts# once you have returned from your trip

(c) % &'' word summaryof the results obtained from your visit for publication on our website

Surname

*irst name(s)

Status (e+"+ post"raduate# postdoctoral fellow)

Date PhD awarded or due (month and year)

,elephone number

-mail address

Home laboratory address

Host laboratory address and contact name(please provide full details# includin" country)

Details of travel# includin" dates and duration

*undin" re$uired to undertake your visit toanother laboratoryIf your application is successful we willrequire copies of all of your receipts, onyour return.

,ravel,ype of travel (e+"+ fli"hts.train.car) and detailsof cost+

%ccommodation,ype of accommodation (hotel.colle"e.roomrental) and ni"htly.monthly rate+

Subsistence%llowance for food+

*eesisa fees or bench fees+

Total (please state currency required:

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Funding amount requested in this application: (ma!imum amount is "#,$%%

*undin" sou"ht from other sources(N.B. You can only apply to one journal forfunding. Applications to multiple journals willnot be accepted.)

Self

/niversity

Society

0ther

Pro1ect title

%bstract of the pro1ect proposal (ma2imum 3words)

Pro1ect Proposal (ma2imum 3' words)

,o be provided on separate %4 sheets (sin"lespaced# 33pt font)

5here appropriate provide a hypothesisdrivenapproach+

Please provide word count+

/se the followin" sections in your research proposal6

7 ,itle7 8ack"round and aims7 9eason for visit to this specific host laboratory7 Si"nificance and e2pected outcomes7 %pproach and methodolo"y7 Literature cited (not included in the 3' word limit)

Have you applied for a ,ravellin" *ellowshipfrom ,he Company of 8iolo"ists before !f sowhen

How did you hear about our ,ravellin"*ellowships*or e2ample advert# online search# 1ournalwebsite# ,he Company of 8iolo"ist;s website#postcard# recommendation+

&'AS )*T:

IT IS +*- -S&*)SII'IT+ T* )S- T/AT +* 0T T/ 1-IT-IA -2I-3 T*A&&'+ F*- A 34'*&0)T T-A4''I)5 F''*6S/I&

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Application su8mission details:

3eadlines: < = %pril< =3 %u"ust< =3 December

0ail: Charity %dministrator,he Company of 8iolo"ists Limited8idder 8uildin"34 Cowley 9oadCambrid"e C84 DL# />

mail: charity?biolo"ists+com

@

mailto:charity@biologists.commailto:charity@biologists.com