Please include for each:
Full Name and Title
Department / Establishment
University / Institute / Hospital details administering the grant, if approved:
Financial Support Requested For
(May not be for three years)
Are you applying elsewhere for support for work that is part of the proposal?
If so, to which organisation(s) and when is a decision expected?
This application should be submitted by the Head of Department and the officer who would be responsible for administering any grant that may be awarded. Both should sign the following:
I confirm that I have read this application and that, if granted, the work will be accommodated and administered in the Department in accordance with the British Fluoridation Society’s Terms and Conditions. All necessary licences and approvals have been or are being sought.
I confirm that the Institution will administer the grant, if awarded, and that the staff grading and salaries quoted are correct and in accordance with normal practice of the Institution.