Sheffield Medico-Chirurgical Society

Bursary Application Form for

Undergraduate Students in
The Faculty of Medicine, Dentistry & Health,

University of Sheffield

Bursary Awards for 2019

The Sheffield Medico-Chirurgical Society is offering a number of awards to the value of £350 each to undergraduate students in the Faculty of Medicine, Dentistry and Health in the University of Sheffield. Some of the awards will carry the Kay Dickson name whilst others will be named Med-Chi Bursaries. The aim of the bursaries is to support students in undertaking a project that would further their education. The project may be completed as part of the formal undergraduate course, for example whilst on an elective attachment or during vacation periods, either in the UK or overseas, and must be undertaken in an approved establishment (e.g. university or hospital department, medical or dental school, school of nursing and/or midwifery, general practice or community setting). It is a condition of the award that successful candidates will submit a short report (1500 words) on the work undertaken within three months of completion of the project, and in any event by 15th December 2019. Reports will be seen & adjudicated by members of Med-Chi Council only. It is also a condition that successful candidates must be prepared, on request, to present a short illustrated synopsis (10-15 mins) of their findings at a meeting of the Sheffield Medico-Chirurgical Society usually in March of the following year (i.e. 2018).

Applications must be received no later than 15th December 2018 for awards to be used in the period to 31st September 2018.

Applications (by electronic submission only) will be expected to include:
· Applicant’s name, U-card number, contact address, telephone number & e-mail address, School within the Faculty, Degree & Year of course
· Title, aims and objectives of the proposed project and how its completion will enhance the applicant’s clinical practice
· Details of the project to be undertaken and when (dates) and where it will be completed
· Reasons for support requested (e.g. to assist with travel, subsistence, equipment etc)
· Information about other sources of funding to be applied for or already obtained
· The name and contact details of a member of staff connected directly with the proposed project (e.g. project supervisor, elective co-ordinator, audit lead etc)

The awards will be adjudicated by the Bursary Subcommittee who will meet under the chairmanship of the President or a Vice-President. All applicants will be informed of the outcome by 26th February 2017.

Sheffield Medico-Chirurgical Society

Bursary Application Form for

Undergraduate Students in
The Faculty of Medicine, Dentistry & Health,
University of Sheffield

Application Form 2018

N.B. This form should be completed with reference to details on the information sheet on the website
First name:
Surname:
Address:
Telephone & email address:
U-Card No. & School within the faculty:
Degree Year:
INFORMATION ABOUT YOUR PROPOSED PROJECT
Title of the Project:
1. Aims and Objectives:
2. Details of your project: (Please include when [dates] & where it will be completed)
3. Reasons why support is requested: (e.g. to assist with travel, subsistence, equipment etc)
4. Any other funding obtained and/or applied for: (please state amounts received/applied for and from/to whom)
5. Any additional comments you wish to make:
DETAILS OF THE MEMBER OF STAFF IN FACULTY CONNECTED WITH THE PROJECT
Name:
Department:
Position:
Role: (e.g. project supervisor, elective co-ordinator etc) Clinician
Telephone & Email:
Any additional comments you wish to make:

Applications must be received no later than 16th December 2018 for awards to be used in the period to 31st September 2098.

This form should be ‘saved’ as a Word document, completed and returned as an email attachment to Mrs Linda Norcliffe, Administrative Secretary Sheffield Medico-Chirurgical Society at lindanorcliffe@msn.com no later than 16th December 2017.

Any enquiries regarding the bursary scheme should be directed to:

Dr Steve Brennan  - stevebrennan2000@yah00.co.uk