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Campion Grant Application Form
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Email
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Your email
Name
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Your answer
Telephone
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Project Title
*
Your answer
Project Timescale
*
Your answer
Project Details
*
Your answer
Research Supervisor (if applicable)
Your answer
Researcher's background
*
Your answer
Affiliations
*
Your answer
Grant Requested
*
Your answer
Funding Breakdown
*
Your answer
I consent to the information in this form being stored, shared with the members of the Campion Grant committee, and consent to be contacted regarding this application by email or telephone
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