| 1. | Applicant name: |
| 2. | HCPC (Health Care Professional Council) number: |
| 3. | Main institution for research/self-employed: |
| 4. | Is this research project being undertaken as part of a research degree? If so, please state name of supervisor and University department where the project is registered. |
| 5. | Please state any additional sources of funding applied for or already received, including any fee waivers: |
| 6. | Additional collaborators (if any): |
| 7. | Ethical Review – please indicate whether the project has received ethical approval and, if so, from which body. Please note in the event of a successful application we will need to see evidence of ethical approval before funds will be released. |
| 8. | Formal academic background/qualifications: |
| 9. | Professional/academic background (please include any publications and research training being undertaken/completed): |
| 10. | Project title: |
| 11. | Research questions (up to 200 words): |
| 12. | Research hypotheses (up to 200 words): |
| 13. | Overview of relevant research literature (up to 300 words): |
| 14. | Research methodology (up to 200 words): |
| 15. | Project timetable: |
| 16. | What stage of the project will this funding support? |
| 17. | Significance of project for music therapy (up to 200 words): |
| 18. | Project budget (including breakdown of costs), and sum requested from The Music Therapy Charity: |
| Signature: | |
| Date: | |