Proposal Application Form

advertisement
Joint Programme - Neurodegenerative Disease Research
”Working Groups for Harmonisation and Alignment
in Brain Imaging Methods for Neurodegeneration”
Please note: min. font size is 11 pt, references min. 6pt, all margins min. 1,5 cm.
I. Project and Applicant Summary (max. 1 page)
(1) Project
Working Group title
Acronym
Funds requested
max. 50.000 €
Brief Summary
max. 350 words
(2) Information on Lead Applicant / Coordinator
Name
Affiliation, Position
Address
Phone/Fax
E-Mail
(3) Lead Applicant Supporting Statement
Please supply a supporting statement justifying why the Lead Applicant is the appropriate person to coordinate this Working Group. For example: experience in organising similar projects, a specific area of
expertise relevant to the topic, etc.
II. Scientific Rationale for the Proposed Working Group (max. 1 page)
Please state the scientific rationale for the proposed Working Group. Identify the research need(s) that
will be addressed and the consequent benefits to the field of neurodegenerative disease research.
Please explain what other efforts there have been in this area to date. What will be the unique
contribution of your planned approach and, if relevant, how will it complement what has already been
done by yourselves or by others?
JPND call Working Groups on Imaging Methods for Neurodegeneration
Page 2
III. Objectives and Mode of Operation (max. 1 page)
What are the objectives and the planned mode of operation for the proposed Working Group?
Please set out the work plan / timeline for delivery of the Working Group and for dissemination of
outcomes. A diagram that provides an overview of the workflow for this project should be included.
Where an Advisory Reference Group is to be employed (see Section V), please explain the composition
and how and when this will inform the Working Group.
If you might be interested in organising a common workshop for exchange of results between all working
groups, please briefly outline your ideas here. Please note that organising such a workshop may be
funded with additional 50.000€. However, it is not mandatory or expected to make an application here.
JPND call Working Groups on Imaging Methods for Neurodegeneration
Page 3
IV. Composition of Working Group and Contribution of Working Group Members (max. 3 pages)
In this section, list the members of the Working Group and provide a sentence to explain how each
member will contribute scientifically to the proposed activities. Working Groups must be trans-national
and must include members from three or more participating JPND countries. Inclusion of experts from
non-JPND regions is encouraged.
Composition of the Working Group
Coordinator
Name, Affiliation, Country, nature of contribution
Contributors
Name, Affiliation, Country, nature of contribution
(minimum 3 partners from JPND member states; the coordinator must be
from a participating JPND member country)
JPND call Working Groups on Imaging Methods for Neurodegeneration
Page 4
V. Composition of the Advisory Reference Group (optional; max. 1 page)
Although not mandatory, consideration should be given to establishing an external reference group to
ensure objectivity is maintained in developing the Working Group’s conclusions. If an Advisory
Reference Group is to be used, please ensure that section III explains how this will function within the
overall work plan.
Composition of the Advisory Reference Group
Advisory Reference
Group Members
Name, Affiliation, Country, expertise
JPND call Working Groups on Imaging Methods for Neurodegeneration
Page 5
VI. Outcomes and Deliverables (max. 1 page)
What are the expected outcomes and deliverables of the Working Group? Please list each outcome or
deliverable in the table below and provide a short explanation as to how the outcome or deliverable will
enable neurodegenerative disease research.
Outcome / Deliverable
How will this enable neurodegenerative disease research?
Dissemination Plans
What is the plan for the dissemination of guidelines / methodological frameworks / other outputs to be
produced by this project?
JPND call Working Groups on Imaging Methods for Neurodegeneration
Page 6
VII. Justification of budget (max. 1 page)
Please explain the requested funds in the following table by describing the breakdown of the budget.
Please make sure that also a short justification is included for each item. Funding is expected to cover
the costs of two small workshops, with further work to be undertaken through email, tele-, video- or webconferencing.
Costs may be requested for example for:
 Travel for the members of the Working Group
 Hire of venues for workshops
 Payment for tele-conferencing, web-conferencing, etc.
The funding will not provide support for:
 Direct research activity or equipment
 The salaries of tenured investigators, although funds to support an administrative coordinator will
be permitted
 Student stipends
Position
e.g. PI travel
Amount (€)
Details and justification
Please provide information on expected travel expenses
JPND call Working Groups on Imaging Methods for Neurodegeneration
Page 7
Attachment: Working Group members (max. 1 page per member)
Summary CV
A short CV should be included for each member. You may provide a list of up to five relevant
publications within the last five years.
JPND call Working Groups on Imaging Methods for Neurodegeneration
Page 8
Download