The Ronald Furlong fund 2024 application form

Step 1 of 11

Unique ID

Basic information about you and your application

Email*

Name*

First Last

Your job title*

Place of work where the research will take place?*

Profession*

If other, please state:

If other AHP, please state:*

Start date*

DD slash MM slash YYYY

Is there an external research partner?*

Yes

Please specify

Total external partner contribution (£)

Have you previously received funding from ORUK?*

Yes

Research reference number (if applicable):

Are you an early career researcher (ECR)?*

Early career clinical and non-clinical researchers within eight years of their PhD award or equivalent professional training, or within six years of their first academic appointment.

Yes

Training Programme (if applicable)

Training Programme Director (if applicable)

Training Programme Director’s email address (if applicable)

Are you a startup?*

Yes

Name(s) of main research supervisor(s)*

Names of other research collaborators and investigators involved*

Upload CVs

Drop files here or

Max. file size: 50 MB.

IMPORTANT*

You are only allowed to submit one application. By submitting your application, you confirm that you agree to ORUK's privacy policy.

I accept

Lay summary

The language used in this section should be understood by a GCSE/A-Level student. To include:

What problem are you trying to solve?
What is the estimated incident of this problem in the UK and worldwide?
What is your ambition and how will you research make an impact on people with MSK conditions?
How will you involve people with MSK conditions in your research?

Lay summary*

Purpose of research

Research title*

Research activity area (select all options that apply):*

Research activity areas follow definitions provided in UKCRC Health Research Analysis 2022.

Underpinning

Aetiology

Prevention

Detection and Diagnosis

Treatment Development

Treatment Evaluation

Disease Management

Health Services

Purpose of research*

Please indicate research aims, objectives and deliverables.

Background to investigation

Background to investigation*

Please provide a brief literature review, personal track record and preliminary data obtained by the applicant(s)related to the topic of interest.

Accompanying images

Drop files here or

Max. file size: 50 MB.

Plan of investigation

Plan of investigation. Outline how your research approach is going address the problem you are tackling.*

Materials & Methods: a detailed technical step by step research plan according to linked work packages. Please avoid naming all the materials and equipment and only focus on the core ideas and methodologies. A detailed Gantt chart must be uploaded as an image at the end of this section.

Gantt chart, if applicable

Drop files here or

Max. file size: 50 MB.

Research environment and resources

Please state your research clinical/technical support, laboratory space, equipment and any other additional fundings for this project.

Do you have an organisational environmental sustainability policy?

Yes

Please upload or provide a link to your environmental sustainability policy

Upload

Link

Link to your environmental sustainability policy

Upload your environmental sustainability policy

Max. file size: 50 MB.

Do you have an an organisational EDI policy?

Yes

Please upload or provide a link to EDI policy

Upload

Link

Link to your EDI policy

Upload your EDI policy

Max. file size: 50 MB.

Research impact

Who will benefit from this research?*

How can your research be translated into care or treatment for patients?*

How will your research represent the aims and objectives of ORUK?*

Outreach and engagement

Outreach and engagement*

Please provide a brief plan as to how you're going to communicate your findings with the non-academic public.

Research budget

Please provide the full cost breakdown of your research project. Please note that ORUK will not accept increasing their joint contribution after the project is selected for funding. The funders also do not pay toward overheads /full economic costing (FEC).

Requested funding from ORUK (max £100k)

Total investment raised to date (£)*

Total grant capital received to date (£)*

Current funding round (£)*

Pre-money valuation in this round (£)*

Type of round:*

Equity

Convertible

% of current round attained*

SEIS / EIS eligibility in this round*

Yes

Please specify

Please provide a copy of Shareholder agreement (upload if available) not compulsory

Max. file size: 50 MB.

List of current shareholders and % of stake in the company*

Please provide Articles of Association (upload if available) not compulsory

Max. file size: 50 MB.

Please provide latest audited accounts and/or management accounts (upload if available) not compulsory

Max. file size: 50 MB.

Intellectual Property (IP) and testing on animals

Is there an Intellectual Property (IP) linked to this research?*

Yes

If so, who owns and maintains this patent?

Does your research include procedures to be carried out on animals in the UK under the Animals(Scientific Procedures) Act?*

Yes

If yes, have the following necessary approvals been given by:

The Home office (in relation to personal, project and establishment licences)?

Yes

Not required

Animal Welfare and Ethical Review Body?

Yes

Not required

Does your research involve the use of animals or animal tissue outside the UK?

Yes

Please provide details of any moderate or severe procedures.

Why is animal use necessary, are there any other possible approaches?

Why is the species/model to be used the most appropriate?

Basic information about you and your application

Lay summary

Purpose of research

Background to investigation

Plan of investigation

Research environment and resources

Research impact

Outreach and engagement

Research budget

Intellectual Property (IP) and testing on animals

Other documents - External experts