Knowledge and Policy Exchange Grant (KPEG) Application

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Project Title

Applicant Details

RSA Membership Number*

To find this, please log into RSA Lounge and click on My Details

Name*

First Name Family Name

Email*

This should be your institutional email address

Higher Education Institution Name*

Department/Unit*

Region/City*

Country*

Beneficiary Organisation

Organisation Name*

Organisation Legal Status*

LTD, Charity, NGO, etc

Organisation website URL*

Named Organisation Sponsor for Project*

First Name Family Name

Position / Job Title*

Project Sponsor Email*

This should be their organisation email address.

Location of Organisation*

City/Region/Country

Project Details

Project Summary

Summary of the knowledge / policy exchange activity to be supported by the grant (max 200 words)

Benefits for Beneficiary Organisation

How will the beneficiary organisation benefit from the knowledge / policy exchanges activity? (max 200 words)

Value-added Outcomes

What are the main value-added outcomes and how will these be captured and evidenced? (max 200 words)

Statement of Support

Please provide a statement of support for the project from your key contact in the beneficiary organisation (max 100 words)

Dissemination and Communications

Proposed Format of the Case Study

Please indicate the likely format of the case study (e.g. written; video; audio)

Communication Channels

Please provide information of any communication channels you will post project progress and/or case study to. For example, personal or institutional website, newsletter, social media accounts, etc.

Proposed Budget

Proposed Budget (GBP)

Item 1

Cost detail

Please provide detail of each item of expenditure. Add up to 5 additional rows.

Total estimated cost

Signature Upload

In submitting this application, you are agreeing: – to provide a case study one month from completion of the project that captures the project aims, activity, outcomes and how the non-academic organisation benefited from the project. – that the budget allocated will only be applied to the engagement project described above that the application is not funded through any other source and your department or institution is not able to fund the activity.

Upload your completed (signed) KPEG Project Application Sign Off form*

Accepted file types: pdf, jpg, png, Max. file size: 2 MB.