APF Conference Award Application

Conference Award Application Form
Our Conference Awards support students, early career researchers, and healthcare professionals to share the latest pulmonary fibrosis research findings around the world. Our Conference Awards enable recipients to develop their knowledge, strengthen their skills, and to connect with people affected by pulmonary fibrosis and the scientific community.

Applications are invited from UK-based students and early career researchers and HCPs who have had an abstract accepted for presentation (poster or spoken session) for ATS, ERS, iCLAF, BTS, and other UK and international conferences on a case-by-case basis.

Fair processing notice and data protection

During the application stage we will process your personal data for the purpose of assessing and selecting which research to fund. By sending your application to us, you are giving your consent for us to process your personal data for this purpose.

You can find out more about how we use and protect your personal information, and about your rights, in our privacy policy. You can change your mind about how we use your personal data at any time by emailing us at research@actionpf.org

Key dates and Guidance

Visit our website for up-to-date information on:

·        key application deadlines

·        guidance notes for completing your application

·        our review process and scoring criteria

Contact Information

If you have any queries regarding your application, please contact research@actionpf.org

Please let us know if you require any reasonable adjustments to be made in relation to your application.

Conference Details

Here you are asked to provide details of the conference that you plan to attend.
In which region is the conference being held?*

UKEuropeRest of the World
In which city is the conference taking place?*
Please enter the city name
In which country is the conference taking place?*
Please enter the country name
What is the name of the conference?*
Enter full title
On what date(s) will the conference take place?*
Date format DD/MM/YYYY to DD/MM/YYYY
Conference website

Justification

Here you are asked to describe the merits of your research and how attending the chosen conference will contribute to your career development and/or the progression of your research.
- The accepted abstract has not been presented at another conference; and
- The accepted abstract presents novel findings or substantially expanded findings to my previously presented or published work.
I confirm that my application fulfils the statements above.*

YesNo
Please describe how your research is important and relevant to people affected by pulmonary fibrosis.*

0/150
Please tell us how your research potentially addresses APF’s research priorities and the top 10 JLA research priorities for progressive pulmonary fibrosis.*

0/150
You can read full details of APF's research priorities here.
If people affected by pulmonary fibrosis, or the public, have been involved in shaping the design, delivery, or communication of your research, please briefly describe how they have contributed.*

0/150
What considerations did you give, if any, to addressing inequalities in health research? For example, the topic selection or analyses (sex, race, age, diagnosis, etc), participant recruitment, raising public awareness, etc. *

0/150
Please tell us how attendance at the conference will support your professional and personal development, and/or help to progress your research.*

0/200
Please provide any other comments you feel are of relevance to the application.

0/100

Budget

Here you are asked to provide us with an estimation of costs to attend the conference, and about any other sources of funding.
Please enter estimated costs (GBP£) for conference attendance below.We offer up to:

£500 for UK conferences
£1,000 for European conferences
£1,500 for the conferences in the Rest of the World
We provide additional funds for applicants facing barriers to attend and participate in academic meetings, where these costs are not met by your organisation, funder, or the conference organiser. Read our FAQs here. Eligible costs include but are not limited to:
- specialised or private transport where public transport is not manageable.
- hire of mobility aids (e.g. wheelchairs, mobility scooters, etc)
- interpreters (e.g. sign-language, lip speakers, note takers)
- additional carer support, such as for children, family members or yourself (e.g. nursery costs, home care, travel costs for children or caregiver).
- any other support for attending the event.
Requests for additional funds should be listed under the budget category ‘Other’. The award of additional funds is discretionary, with a value of up to £2,000.
Conference registration fee*
Enter in GBP £
Travel (flights, mileage, public transport)*
Enter in GBP £
Subsistence (accommodation, meals, etc)*
Enter in GBP £
Other (additional childcare, interpreter, etc)*
Enter in GBP £
Total estimated cost*
Enter in GBP £
Total funding requested*
Enter in GBP £
Have you previously received APF funding to attend a Conference?*

YesNo

If ‘yes’, please give details below:

	Conference Name	Conference Date	Abstract Title
1
2
3

Have you applied for, or received funding, to attend this conference from another source?*

Yes, outcome pendingYes, funding securedNo
If 'Yes', please give the value (GBP£) of funding applied for or secured below.
Enter GBP £
Please provide the source of funding.
Enter name of funder or organisation

Applicant Details

Here you are asked to provide your name and contact information.
Title
Enter title
Full Name*

First NameLast Name
Institution*
Name of employing organisation
Work Address*
Enter postal address for your Department, Faculty or Institution
Email*
Please enter a valid email
I declare that, to the best of my knowledge, the information provided in this application is true, accurate and complete.
Signature*
Enter your full name
Date*

DayMonthYear

Conference Award Application Form

Conference Details

Conference Attendance

Justification

Budget

Applicant Details

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