Application for Research Involvement

WORKING IN COLLABORATION WITH APEC ON RESEARCH

Thank you for your interest in APEC being involved in your research. We’d be delighted to hear more and understand about your commitment to patient centered research. Please can you give us enough information so we can decide within 7 days. If we need further information we will be in touch.
Programme Name
Funding opportunity
Lead organisation
Call
Research title
research type
Proposed start date

Month Day Year
Date
proposed end date

Month Day Year
Date
total value of research
proposed ppie budget
PROPOSED PPIE INVOLVEMENT BY APEC
Proposed financial contribution to APEC
Lead applicant name
Lead applicant Phone Number

Area Code Phone Number
Email address of lead applicant
example@example.com
research plan (please give enough plain English information for us to understand your project)
Address of institution involved

Street Address

Street Address Line 2

City County / State

Post Code
Is there any other information that you'd like to share with us?
Would you liKE TO RECEIVE our APEC E-newsletter? *

Yes please No thank you
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