Document 15057394

advertisement
MRC CiC Bid No:
APPLICATION FOR FUNDS FROM THE SUSSEX MRC CONFIDENCE IN CONCEPT AWARD
Please refer to the Programme Specification before completing this application form. All potential
applications should be discussed with Dr Paul Beswick, Sussex Drug Discovery Centre prior to submission
P.Beswick@sussex.ac.uk
Questions about eligible costs should be directed to Gisela Hafezparast at G.J.Hafezparast@sussex.ac.uk
PART 1 COVER SHEET
NAME AND TITLE OF
PRINCIPAL
INVESTIGATOR (PI):
Department, Telephone
and Email of PI:
Name, Title and
Department of
Co-Investigator(s)
Project Title:
Department
Telephone
Email
Project Summary
Maximum 4 lines – if funded, this will be used to describe the project on
the web
Total amount of funding
requested
Start date:
£
Earliest start date = 4th July
2016 if no staff to be
recruited.
Latest start date = 1sth March
2017
End date:
Expected duration 6-12
months
Has this application
been submitted to other
funders (include internal
funding sources)?
If yes, please specify
submission date, sponsor
and outcome
Are you on a fixed-term
contract?
Yes / No
Funder / Scheme:
Submission date:
Known Outcome:
If rejected,reason given:
Yes / No
If yes, please provide your source of funding and provide details of any funder
constraints which would impact on the proposed project.
Page 1 of 5
PART 2 PROJECT DESCRIPTION AND METHODOLOGY (maximum 3 pages)
Please refer to the review criteria in the Programme Specification.
In addition, please explain why this work needs to be undertaken before an external funding
application can be submitted.
If this project involves research by PhD students please detail (i) their role and how it fits with their thesis, and
(ii) what intellectual property considerations (e.g. assigning rights) have been discussed regarding their
contribution to the CiC funded work. Please note that involvement in an CiC project should not delay
completion of their thesis
Page 2 of 5
PART 3 ANTICIPATED OUTCOMES (maximum 1 page) including:
 Specific translational funding scheme(s) (such as MRC DPFS) to which an application will be made [or
if alternative onward translational investment the anticipated value of external bid(s),
 The date that the application(s) is likely to be submitted (must be within 12 months of the project start
date).
 The potential for industrial collaboration or sponsorship.
 The specific endpoints which will be achieved by the end of your CiC project.
Page 3 of 5
PART 4a: BUDGET
Provide a detailed breakdown of the funds requested.
If salary costs are necessary, please contact Gisela Hafezparast G.J.Hafezparast@sussex.ac.uk in Research
& Enterprise Services
Year 1
Year 2
A: FUNDS REQUESTED
TOTAL
£
£
£
Total funds requested:
B: PI AND CO-I TIME COMMITMENT
Itemise the amount of time the PI and all Co-Is
will spend on this project including associated
overheads. This will not be funded through
the award but is needed for audit purposes.
£
£
£
£
£
£
£
£
£
£
£
£
Year 1
Year 2
TOTAL
£
£
£
£
£
£
£
£
£
PI
Co-I
Associated indirect costs
Total cost associated with PI and Co-I time on
project
PART 4b: JUSTIFICATION OF RESOURCES
This section should be used to justify the resources required to undertake the research activity. It should not
be simply a list of the resources required as this is already given in the table above.
Page 4 of 5
PART 5a: HOME OFFICE LICENCE(S)
Not required
Please give reason (e.g. does not involve animal
studies):
Application in progress
Please state status:
Licence(s) obtained
Please give relevant project and personal licence
references:
PART 5b: ETHICS
Not required
Please give reason (e.g. does not involve human
material):
Application in progress
Please state status:
Ethics obtained
Please give relevant ethics committee project title
and reference number:
PART 5c: Intellectual property (IP)
Please describe the following if relevant to the project
 If the project has the potential to generate data which might be used as the basis of a patent filing
please describe
 If there is any existing IP covering any aspect of the proposed work please describe
Please submit this form electronically to Debbie Foy-Everett D.FoyEverett@sussex.ac.uk by 5pm on Friday 15th April 2016.
Applications submitted after the deadline will not be reviewed.
Page 5 of 5
Download