The Dowager Countess Eleanor Peel Trust

Peel Trust

The funding we have had from the Dowager Countess Eleanor Peel Trust has been enormously helpful in growing biomedical research at Lancaster University ...more

The Peel and Rothwell Jackson Postgraduate Travelling Fellowships

Application Form

Title Of Project
Surname
First Names
Date Of Birth
Place Of Birth
Permanent Address
Home Telephone Number
Mobile Telephone Number
Work Telephone Number
Email Address
Preferred Method Of Communication - Ctrl Click to select more than one choice
Profession
Education - State your school, university, and post graduate placements
Qualifications - State any degree, including awarding body and year attained
Are you a member of a professional body	Yes No
If so which one
Registration Number
Currrent post and place of work
Previous appointments
Previous and current areas of research
Main publications (maximum 5)
If relevant do you have approval for leave of absence /study leave from your employing authority / training committee/ regulatory body	Yes No
Proposed Department where you want to visit
Has the head of that department approved your placement	Yes No
Who will be responsible for supervising your activities
Their email address
Will your Fellowship lead to a higher degree
If so what degree from which academic institution
Have you registered your degree with the institution	Yes No
Have you already received a grant (or commitment) from any other organization	Yes No
If you have please state the source and the amount
Have you made an application and are awaiting a response	Yes No
If you have please state the source and the amount
Do you have a post to return to after the fellowship	Yes No
Are there any visa constraints on your travelling to the proposed department	Yes No
Please describe the proposed programme for the fellowship and why you have chosen the department you have. (250 words maximum)
What are your aspirations for your future career in the UK and how would the fellowship contribute to this? (150 words maximum)
Estimated cost of the Fellowship
Please give major cost-headings
Please give the names, roles, postal and email addresses and telephone numbers of 2 referees with knowledge of your work. One should normally be your current head of department or line manager.
How did you become aware of the fellowship

Ensure your details are correct and then press the submit button to finalise your application

Registered Charity No. 214684 (England and Wales)