Core-Dr Falk Dietitian Recognition Prize

Core-Dr Falk 2018 Dietitian Recognition Prize Application Form

Dr Falk Pharma and Core invite applications from gastroenterology or hepatology dietitians working in primary or secondary care for a £1,000 prize in recognition of an innovation that has led to an improvement in patient care.

Applications should be completed through the form below. A PDF version of your application will be sent to your email address after you submit the form (check your spam/junk folder if you have not received it). Please print this off, obtain all relevant signatures and email a scanned signed full application to research@corecharity.org.uk by 2 March 2018, 5pm. The application will only be considered complete once we receive the signed version. Applications received after this time will not be considered.

Please do not exceed the word limits set in the application form and ensure all rich text formatted sections use 11 size font.

If there are any issues, please contact research@corecharity.org.uk

  • Tick box to confirm this is the award you want to apply for.
  • Add in chronological order. Include Honours and Awards. Click on the + button to add more rows.
    InstitutionDegreeClassSubjectYear of award 
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  • Most recent first.
    Start dateEnd dateJob titleLocation 
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  • Maximum 800 words.
  • Maximum 800 words.
  • Maximum 800 words.
  • Please use this section to upload any tables or images to support your project. Upload a single file of maximum 2 pages length. Ensure tables and images are referenced clearly in the essay.
  • Scan and upload a single file of maximum 1 page length. Please make sure the reference includes the following information:
    Signed ……………………………………………………………
    Dated ……………………………………............................…
    Name................................................................................
    [BLOCK CAPITALS]
    Job Title............................................................................
    [BLOCK CAPITALS]
  • Tick the box to indicate the applicant's institution accepts and agrees to the Data Protection terms.
  • Add your full name in the online form and then sign and date here when preparing the scanned signed version of the application.