SEI-2017-Proposal-Form-Template_Final

Template for proposals 2018 Belmont Forum SEI Call Belmont Forum – SEI CRA Application Template for Proposals Deadline: 16th July 2018 Project title 2.a Project acronym 2b Disciplines of the project Duration of the project From / /2019 (DD/MM/YYYY) to / /20XX (DD/MM/YYYY), Months Project summary (max 2100 characters; including spaces, to be suitable for public releases) Keywords (max separated by a semicolon “;”) Have you submitted the same idea elsewhere or have you requested any additional grants for this project from any other institution? YES NO Summary of applicants First name Last name Institution Main Applicant Co-Applicant Co-Applicant / 19 City Country Template for proposals 2018 Belmont Forum SEI Call … 8.a Main Applicant/Consortium leader Family name First name(s) Funding Agency Name of Organization / University / Research Institute Address of the Organization / University / Research Institute Website of the Organization / University / Research Institute Department Area of Research Position Street name and number PO Box Postal/Zip code Cedex/State/Province City Country Phone Fax E-mail Web site Ph D date Percentage of working time on the project Is s/he participating in another proposal submitted? YES / 19 NO Template for proposals 2018 Belmont Forum SEI Call 8.b Co-Applicant Family name First name(s) Funding Agency Name of Organization / University / Research Institute Address of the Organization / University / Research Institute Website of the Organization / University / Research Institute Department Area of Research Position Street name and number PO Box Postal/Zip code Cedex/State/Province City Country Phone Fax E-mail Web site Ph D date Percentage of working time on the project Is s/he participating in another proposal submitted? YES / 19 NO Template for proposals 2018 Belmont Forum SEI Call 8.b Co-Applicant Family name First name(s) Funding Agency Name of Organization / University / Research Institute Address of the Organization / University / Research Institute Website of the Organization / University / Research Institute Department Area of Research Position Street name and number PO Box Postal/Zip code Cedex/State/Province City Country Phone Fax E-mail Web site Ph D date Percentage of working time on the project Is s/he participating in another proposal submitted? YES NO Add more Applicant-Boxes as required / 19 Template for proposals 2018 Belmont Forum SEI Call Other project team members (eligible for funding) Particip- Name University/Institution/Org Dept/ Percentage of Comp-l Participant in ant No and anisation Lab working time etion another SEI date Proposal title doctora te Country … Country … Country … / 19 Template for proposals 2018 Belmont Forum SEI Call 10 Cooperation partners (not eligible for funding) Name and title University/Institute/Organisation E-mail Percentage of Source Contact address working time funding point/leader / 19 Template for proposals 2018 Belmont Forum SEI Call 11 Executive summary of the project (max 7000 characters, including spaces, add character count) / 19 Template for proposals 2018 Belmont Forum SEI Call (Details for section 12 will need to be uploaded in the form of a pdf document) 12 Project description (max 15 pages, European A4 size, including tables and figures, font “Arial”, font size 11 and line spacing 1.15, excluding references) 12.a Background and objectives 12.b Research plan 12.c Data Management plan (DMP) 12.d Complementarity and added value of the Consortium (added value of the interdisciplinary and/or transdisciplinary approach) 12.e International cooperation / 19 Template for proposals 2018 Belmont Forum SEI Call 12.f Potential impact of the project / 19 Template for proposals 2018 Belmont Forum SEI Call 12.g References 10 / 19 Template for proposals 2018 Belmont Forum SEI Call 13 Timetable of the project (max 500 words, including table and figures, add word count) 11 / 19 Template for proposals 2018 Belmont Forum SEI Call 14 Dissemination and communication (max 500 words) 12 / 19 Template for proposals 2018 Belmont Forum SEI Call 15 Management and monitoring (max 500 words) 13 / 19 Template for proposals 2018 Belmont Forum SEI Call 16 Ethical issues (max 500 words) 14 / 19 Template for proposals 2018 Belmont Forum SEI Call 17 Potential reviewers to avoid for direct competition reasons or conflict of interest List the names (and provide his/her country and affiliation) of potential reviewers who, you think, should not be asked to evaluate the project for reasons of direct competition and partiality Also, provide the names of significant collaborators that should not be used as reviewers due to conflicts of interest Name: Name: Name: Name: Affiliation: Affiliation: Affiliation: Affiliation: 15 / 19 Template for proposals 2018 Belmont Forum SEI Call 18 Budget of the project (in K€)1 Total Requested Funding for Proposal: Partners Requested funding (€) Brazil France Japan Taiwan USA Main Applicant Year Year Year Year Time dedicated to this project (# months) LPI Totals months Salaries K€ Travel K€ Overheads K€ Consumables K€ Facilities and equipment K€ Fellowships K€ Other (including sub-contract) K€ Total requested funding K€ External funding / support K€ 16 / 19 K€ Template for proposals 2018 Belmont Forum SEI Call Co-Applicant Year Year Year Year Time dedicated to this project (# months) Totals months Salaries K€ Travel K€ Overheads K€ Consumables K€ Facilities and equipment K€ Fellowships K€ Other (including sub-contract) K€ Total requested funding K€ External funding / support K€ Co-Applicant Year Year Year Year Time dedicated to this project (# months) Totals months Salaries K€ Travel K€ Overheads K€ Consumables K€ Facilities and equipment K€ Fellowships K€ Other (including sub-contract) K€ Total requested funding K€ External funding / support K€ Add more Partner-Boxes if required 17 / 19 Template for proposals 2018 Belmont Forum SEI Call (Details for section 19 will need to be uploaded in the form of a pdf document) 19 Justification of resources (max page per funding agency, European A4 size, including tables and figures, font Arial, font size 11 and line spacing 1.15) 18 / 19 Template for proposals 2018 Belmont Forum SEI Call Annexes PLEASE UPLOAD THIS AS SUPPLEMENTAL DOCUMENT TO THE BFGO WEBSITE IN PDF FORMAT 20 Curriculum vitae of the consortium members and a publication list 21 Financial budget table of each participating country as one annex 22 Letter of commitment of participating Cooperation Partners from non-eligible institutions 23 Supporting letters (optional) 24 Annexes requested in National eligibility requirements 19 / 19