NC3RS Blank
3Rs Prize Nomination FormThis form should be completed and emailed to 3Rsprize@.uk. Guidance on completing the form, remit, eligibility and assessment procedure can be found at .uk/3rsprize.Proposer contact detailsTitle FORMDROPDOWN 1.1First name FORMTEXT ????? 1.2Surname FORMTEXT ????? 1.3email address FORMTEXT ????? 1.4Telephone FORMTEXT ????? 1.5Research establishment FORMTEXT ????? 1.6Full address FORMTEXT ????? 1.7Candidate contact detailsTitle FORMDROPDOWN 2.1First name FORMTEXT ????? 2.2Surname FORMTEXT ????? 2.3email address FORMTEXT ????? 2.4Telephone FORMTEXT ????? 2.5Research establishment FORMTEXT ????? 2.6Full address FORMTEXT ????? 2.7Full address of lead research establishment where work carried out (if different from above) FORMTEXT ????? 2.8Name(s) of co-author(s)(please provide names and email addresses) FORMTEXT ????? 2.9Summary of the paperTitle FORMTEXT ????? 3.1Full reference FORMTEXT ????? 3.2Which ‘R’ does the work advance?(tick all that apply)ReductionReplacement Refinement FORMCHECKBOX 3.3 FORMCHECKBOX 3.4 FORMCHECKBOX 3.5Source of funding for the research? FORMTEXT ????? 3.6If the work involved the use of animals outside of the UK, please indicate which animal welfare standards apply (e.g. ILAR Guide; Directive 2010/63(EU). If these standards have been exceeded, please give details. (up to 400 words) 3.7If the paper includes the use of animals, it must be reported in accordance with the ARRIVE guidelines. Please confirm that the information described in the ARRIVE guidelines is included in the paper. If not, the reasons for this must be fully justified. (up to 200 words) 3.8Lay summary of the paper(up to 400 words) 3.9What has this work achieved in terms of advancing this area of research? (up to 500 words) 3.10What impact does this research have on the 3Rs? Please answer (a) to (c) as appropriate:(a) Immediate 3Rs impact or application in this research area.(up to 300 words) 3.11(b) Potential future 3Rs impact or application in this research area.(up to 300 words) 3.12(c) Potential 3Rs impact or application in other research areas.(up to 300 words) 3.13How have the 3Rs implications of this research been disseminated to date?(up to 300 words) 3.14How will the prize grant be used? (up to 400 words) 3.15Personal ProfilePlease provide a summary of your current role and past roles significant to this awardCurrent post FORMTEXT ????? 4.1Previous posts held FORMTEXT ????? 4.2Educational qualifications FORMTEXT ????? 4.3Professional qualifications FORMTEXT ????? 4.4 ................
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