Guts UK/Dr Falk Dietitian Recognition Prize

Guts UK/Dr Falk 2022 Dietitian Recognition Prize Application Form

Dr Falk Pharma and Guts UK invite applications from gastroenterology (including hepatology and pancreatology) 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 and please ensure you use an email account that will allow the delivery of the PDF attachment). Please print this off, obtain all relevant signatures and email a scanned signed full application to research@gutscharity.org.uk by 28th February 2022, 5pm. Due to Covid-19 pandemic we are accepting electronic signatures. However, after the deadline, we might ask you to post a wet-signed copy to Research Awards, Guts UK, 3 St Andrews Place, London NW1 4LB.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 rich text formatted sections use 11 size font.

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

  • Tick box to confirm this is the award you want to apply for.
  • Add in reverse chronological order, most recent first. Include other Honours and Awards. Click on the + button to add more rows.
    InstitutionDegreeClassSubjectYear of award 
  • Add in reverse chronological order, most recent first.
    Start dateEnd dateJob titleLocation 
  • 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.
    Max. file size: 50 MB.
  • 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]
    Max. file size: 50 MB.
  • Tick the box to indicate the applicant's institution accepts and agrees to the Guts UK Standard Release Form terms. As a charity it is best practice for Guts UK to announce the awards it funds on its website.
  • Tick the box to indicate that relevant staff at the applicant’s institution have been informed about the data protection information set out below.
  • Dr Falk would like to liaise with the successful applicant to publicise the award and the project. Please check the box below to indicate you agree to be contacted by Dr Falk about this.
  • Add your full name in the online form and then sign and date here when preparing the scanned signed version of the application.