Application for BSCTU support

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Thank you for your interest in working with BSCTU on your research project. Please give some details below in order for us to assess whether we can offer support. Our input during the research study needs to be fully grant funded so we need to be involved in developing the grant application from the earliest stages. Once we have reviewed your application we will aim to contact you within one week.

Email *

Name of lead applicant *

Person completing form (if different from lead applicant)

Job Title *

Employer *

Contact - phone number

Provisional title of project *

Research Area (e.g. mental health, oncology, social care) *

Short draft outline (max 100 words) *

Is this a Clinical Trial of an Investigational Medicinal Product (CTIMP)?
*

Yes

Unsure

Target funding stream

Please share a website / link to the funding stream information:

Deadline for funding application (if known).

YYYY

Estimated study start date (or write 'unsure' if not known)

Please name any potential co-applicants.

Will your study include a qualitative research component?

Yes

Unsure

Clear selection

BSCTU Support requested: *

Statistics

Database / Data management

Trial Management

Randomisation

Other (e.g. health economics)

Required

If 'other', please detail below:

Any other useful information?

Thank you for your answers. We will respond to you as soon as we have reviewed this information.

Send me a copy of my responses.

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