Fund Application - Education and Study Award

Novo Nordisk Ltd is the sole donor to The Novo Nordisk UK Research Foundation (NNUKRF), however, NNUKRF decides and allocates funding independently to fulfil its own independent charitable objectives.

Charity registration number: 1056410.

If you have any queries regarding this application form, please contact NNUKRF on ukresearchfoundation@novonordisk.com or go to www.nnukrf.org.uk/how-to-apply for more details.

Important notes:

Applications will be triaged to ensure compliance with these guidelines.

- No retrospective awards will be considered (i.e. education or study events must take place after the awards are made at the end of March 2025
- Applications cannot be accepted without the applicant's manager's signature
- Only the first application submitted to us will be accepted
- Incorrectly completed applications will be rejected
- Please insert a maximum 1000 word summary of your CV in this application form. The CV should also include relevant publications of the main applicant
- For successful applicants this document including the CV will be securely stored until we receive the final report. For unsuccessful applicants this form and CV will be securely stored for 12 months
- Applications including CVs are shared with the Nurse and Allied Healthcare Professional Selection Committee and may be shared with the Board of Trustees
- Due to the large number of applicants, there will be no formal feedback to applicants
- Payment details - please note we cannot pay to personal accounts we can only pay to your host institute

Non-Medical Prescribing Programme:

If your application is for the Non-Medical Prescribing study programme, please include evidence of support from the NMP lead in your employing trust This is required nationally to undertake this programme. Health Education England (HEE) provide some funding each year for the NMP programmes of study, please include what you have been informed by the University you have applied to in relation to the HEE funding and your application.

Evidence of NMP support (if applicable)

Information related to HEE Funding:

Name of main applicant: *

Role or job title: *

Place of work (full address): *

Phone number: *

Email address: *

Preferred contact method *

1. Course name: *

2. Course/module to be funded: *

3. Course link: *

4. Course commencement date: *

5. Amount requested including breakdown of costs: *

6. Your personal statement (this is your justification to the Selection Committee as to why you should be funded i.e. potential benefits for patients with diabetes, yourself and the diabetes service - max 250 words): *

0/250 words

7. Have you successfully applied to NNUKRF before? *

Yes

8. If yes, did you submit a final report? *

Yes

No (if no, please state why) No (if no, please state why)

9. Please indicate where you saw the Diabetes Fund advertised: *

Should your application be successful an invoice from the host institution is required.

Consent:

Should the application be successful we give consent for the named applicant(s), photos/images and award information to be shared on the NNUKRF website, any promotional material and to be included in the NNURK Annual Report (which is public domain and published on the Charity Commission website).

We confirm that we have read this application and that if a Diabetes Fund is awarded, the funds will be used for the purposes as stated or will be returned to the Foundation

We have met internal obligations and can confirm this is a legitimate application.

Signature of applicant: *

clear

Name: *

Date: *

I confirm I have the approval of my manager for this application

Approval of manager:

clear

If it is not possible to obtain the signature of Manager/Head of Department please state why here:

Name of applicant's manager: *

Email address of manager: *

Department and institution of manager *

Curriculum Vitae (CV): Please insert a summary of your CV on this page: *

0/1000 words