Project Choice Form First Name * Surname * Project Title * Primary Supervisor * Department * Institution * BBKBRUNELIOZKCLKEWNHMQMULRHULUCL Secondary Supervisor Department Institution BBKBRUNELIOZKCLKEWNHMQMULRHULUCLOther Institution Is this project currently listed on the website? * YES NO Please provide the webpage link * Potential / Agreed CASE Partner Organisation Please provide a 250 word description of the project * Please add a 250 word description of the project. Indicate here any potential CASE partner organisations for this project. Please provide a 50 word policy impact statement * Once you have completed the above fields, please print this page and obtain hand-signatures from your prospective supervisors. The earliest that you can hand the form into the DTP office is the morning of Thursday 12th December and the latest that it can be handed in is Tuesday 17th December, by 15.00. Approval by Local Organiser * BBK - Andy CarterBRUNEL - Susan JoblingIOZ - Chris CarboneKCL - Martin WoosterKEW - Mark ChaseNHM - Eileen CoxQMUL - Mark TrimmerRHUL - Danielle SchreveUCL - Kevin Fowler Please ensure you obtain the signature of the local organiser to ensure that this project has been approved. Signature of Local Organiser * Signature of Primary Supervisor Date Δ