search:       
   
 

  PATRICK WALL OVERSEAS TRAVEL BURSARY APPLICATION FORM
Guidelines on how to submit your application can be found below this application form, or by clicking here
Fields marked with a * are mandatory
 
  Section A: Personal Details
  British Pain Society Membership No*
  Title*
  First name*
  Surname*
  Degrees/Qualification*
 

Contact address

 

 

 
  Telephone*
  Fax
  Email*
Institution name /place of work (if different from above)
  Current post
  Current income
 
  Section B: Details of scientific Meeting
  Name and location of meeting to be attended
  Date of Meeting to be attended
  Amount of aid requested
Registration fee:
  Amount of aid requested
Economy travel:
  Amount of aid requested
Accommodation:
 
  Other sources of support available (obtained) or applied for:
  Source 1
  Amount 1
     
  Source 2
  Amount 2
 
  Head of Department/Supervisor details
  The British Pain Society requires the Head of Department /Supervisor to confirm the applicant's attendance to the meeting. An email will be sent to the Head of Department/Supervisor with a copy of this application form for approval.
  Title (Mrs, Mr, Dr etc.)*
  First name*
  Surname*
  Position*
  Telephone*
  Email address*
 
Attachments
please attach the following:
A copy of your CV*
A copy of the abstract that will be presented*
A copy of the confirmation of receipt of abstract*
Confirmation
Applicant's Confirmation* I confirm that all the information submitted on this form is correct and conforms to the guidelines set out below.
Date*
 
    
 

PATRICK WALL OVERSEAS TRAVEL BURSARY GUIDELINES

Professor Patrick Wall had an International reputation for research work on pain, especially the application of basic research towards clinical benefit. In particular, he was keen to promote the work of young researchers. The Society has made funds available to assist those members of the British Pain Society who require financial assistance to present research at overseas scientific meetings, other than the British Pain Society’s Annual Scientific Meeting and the IASP World Congress. The funds will be made available twice a year.

Eligibility

  • The applicant must be a current, Ordinary member of the British Pain Society, in good standing
  • The applicant must have an income of less than £40,000 p.a. and give evidence of such
  • The applicant must be working within the field of pain
  • The applicant may not apply for this bursary if he/she has been granted a British Pain Society bursary to attend a meeting within 12 months of the meeting for which he/she is now applying
  • The applicant must be a major contributor to the research that is being presented

Application

  • 'Applications can be made online or by post. For online applications please complete the online application form above.
    For postal applications, please complete and return the Patrick Wall Overseas Travel Bursary application form to the British Pain Society.
  • The Application Form must be counter-signed by the Head of Department or Sponsor
  • The applicant must provide a copy of the abstract they intend to present and confirmation of acceptance
  • The applicant must submit a CV (including full list of publications)

Decision

  • Applications will be evaluated by a British Pain Society sub-committee each year
  • The applicant will be notified of the decision in writing within two weeks of the appropriate evaluation date
  • If successful, the applicant must provide all receipts against which the aid is to be provided. Aid is limited to the cost of registration, accommodation and economy travel. A cheque will then be sent to the applicant