Joint OBB Research Fund

1. Personal details

Unique ID

Name(Required)

Title First Last

Telephone number(Required)

Email(Required)

BOA/BOTA/BOMSA membership number:

Education

Institution:(Required)

Year of study / grade / job title:(Required)

Graduation date (expected):(Required)

2. Institution details

The place where your research/project will take place

Name of institution:(Required)

Institution address(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Institution phone number:(Required)

Contact email:(Required)

Are you undertaking this project as part of an intercalated degree?(Required)

Yes

Does your institution offer an intercalated degree option?(Required)

Yes

3. Project details

Preferences will be made to applications that are:

Prospective in nature
Demonstrate original research
Outline specific expenses pertaining to how the bursary will to be spent
Involve significant exposure to trauma & orthopaedic surgery
Demonstrate how this period of research will aid professional career development
Clearly demonstrate how the project and funding will benefit the applicant

Title of project:(Required)

Type of project:(Required)

Type of research:(Required)

Specialty/Area:(Required)

Planned dates (start):

Planned dates (end):

Background:(Required)

Aims / Objectives:(Required)

Methods / Research design:(Required)

Intended benefits to applicant:(Required)

4. Supervisor / Referee details

Please include the name and contact details of your current main supervisor.

Supervisor / Referee name:(Required)

First Last

Supervisor / Referee address:(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Supervisor / Referee email:(Required)

Supervisor / Referee telephone number:(Required)

Job title:(Required)

Applicant reference:(Required)

Project summary:(Required)

Your role (as agreed with your supervisor):(Required)

5. Post-award outputs

As a condition of the award, successful applicants will be required to complete and submit the following:

A written report between 500-1000 words in electronic format, submitted within eight weeks following completion of the project and the specified project completion date above. This report will be shared with the ORUK, BOTA and BOMSA committees and will be considered for online publication for promotional purposes by the respective organisations acknowledging the award recipient by name and institution. Award recipients are encouraged to submit good quality digital images of their engagement in research activity alongside their report.

6. Additional documents

Applicant CV (x2 A4 pages maximum)(Required)

Accepted file types: pdf, doc, docx, Max. file size: 50 MB.

Reference letter from the applicant’s current supervisor

Accepted file types: pdf, doc, docx, Max. file size: 50 MB.

Written letter of approval from University / confirmation of intercalated degree

(if applicable)

Accepted file types: pdf, doc, docx, Max. file size: 50 MB.

Written confirmation of support from the institution(s) to be visited

(if applicable)

Accepted file types: pdf, doc, docx, Max. file size: 50 MB.