For Official Use Only
Project Ref. No.
Climate Change Research Programme
(CCRP) 2006-2013
RESEARCH FELLOWSHIP APPLICATION FORM
2009
1. Please complete in BLOCK LETTERS or type.
2. Please complete all sections.
3. Applications must be submitted in English.
4. Applications may only be submitted under one of the four subject areas listed in the
technical description document - EPA Research Fellowship Scheme 2009 (see below).
5. Personal information may be stored by electronic means e.g., database, for use only in
connection with this application. The provisions of the Data Protection Act, 1988 and the
Data (Amendment) Act, 2003 will be fully complied with.
6. Applicants may be shortlisted on the basis of the information contained in their Application
form.
7.
Fellowship award may be for a period of 3 years. However, a
awarded where appropriate.
shorter duration may be
8. Please provide a hard copy and electronic copy of their Curriculum Vitae including a list of
recent publications.
9. If there are ethical or gender issues associated with the subject of a proposal, the applicant
must demonstrate in the application that they have been adequately taken into account
and indicate which national and international regulations are applicable and explain how
they will be respected.
10. Canvassing will disqualify.
11. Queries from applicants should only be made by contacting the CCRP Section by e-mail:
climateresearch@epa.ie
Please tick the box to indicate the topic area relevant to your application
Land use and Agricultural Emissions of Greenhouse Gases
Development of Climate Observation Systems
Actions on Adaptation and Mitigation
Research Support for Mace Head: Instrumentation, Data Systems and Analysis
Ensemble study of storm surge and extremes
Modelling Trans-boundary Air Quality
Advancing Climate Solutions through Technology
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EPA CCRP Fellowship Scheme 2009–Application Form
Section A:
Applicant Details
Applicant
Name of Applicant
Address for communication
Telephone number(s)
Fax
E-mail
Host Institution
Institution
Department
Supervisor
Name of Supervisor
Position
Address for communication
Telephone number(s)
Fax
E-mail
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EPA CCRP Research Fellowship Scheme 2009-–Application Form
Section B:
Proposal Overview
Title of Fellowship
(the title should be kept concise)
Provide a short summary of the key issues involved in the fellowship
(maximum 100 words)
Provide a short statement on any additional expected outputs beyond the
deliverables identified in the call document (i.e. peer reviewed publications, report
for policy makers etc…) (maximum 100 words)
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EPA CCRP Research Fellowship Scheme 2009-–Application Form
Description of organisational & team-working skills and other relevant work
experience (Maximum 1 A4-page)
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EPA CCRP Research Fellowship Scheme 2009-–Application Form
Section C:
Description of Work (Maximum 3 A4-pages)
Outline plan for the project including:
(1) Project background, current state of knowledge and national relevance
(2) Goals and Objectives;
(3) Description of various stages of the work;
(4) Interaction with researchers and users of data;
(5) Project management (including role of supervisor(s))
(6) Deliverables
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EPA CCRP Research Fellowship Scheme 2009-–Application Form
Section D:
Qualifications
Summary of third level education and qualifications
Primary degree:
Awarding body:
Grade:
Date:
List of Subjects:
Summary of post graduate education
Please include the following: degree(s), subjects, academic body awarding the post graduate
degrees/qualifications, date(s) obtained and title and synopsis of thesis.
(Maximum 1 A4-page)
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EPA CCRP Research Fellowship Scheme 2009-–Application Form
Section E:
Research and Work Experience
Details of Research Experience - including examples of research relevant to the
designated research area for the fellowship (Maximum 2 A4-pages)
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EPA CCRP Research Fellowship Scheme 2009-–Application Form
Section F:
Budget breakdown
Please provide a breakdown by completing the summary table below - Include estimate of salary costs (including social
insurance contributions etc.), college overheads, travel & subsistence provision and appropriate consumables costs.
(Please refer to Guide for Applicants)
Year 1
Year 2
Year 3
Total
Salary
€
€
€
€
PRSI (@ 10.75%)
€
€
€
€
Pension (@ 20%)
€
€
€
€
Consumables
€
€
€
€
Travel & Subsistence
€
€
€
€
Overheads (@ 30%)
€
€
€
€
Total
€
€
€
€
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EPA CCRP Research Fellowship Scheme 2009-–Application Form
Section G:
References
Provide names and addresses of two persons who are well acquainted with your character and
professional background.
Reference-1
Name
Position
Address
Telephone number(s)
Fax
E-mail
Reference-2
Name
Position
Address
Telephone number(s)
Fax
E-mail
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EPA CCRP Research Fellowship Scheme 2009-–Application Form
Section I:
Authorisation and Declaration
I have read this Proposal and the associated Terms and Conditions and Guide for Applicants
and hereby authorise participation in the above project on behalf of the host third level
institute.
NAME: …………………………………
POSITION: ……………………………..
SIGNATURE: .....................................
DATE: .............…..........................….
Declaration:
I confirm that I have read the related documents: Technical Description – EPA Research
Fellowship Scheme 2008, Terms and Conditions and Guide for Applicants available on the EPA
website.
I declare that the information provided in this application is complete and accurate.
I agree that the Environmental Protection Agency may make any enquiries it considers
necessary to establish such matters as age, experience, character and general suitability.
I note that applicants may be disqualified from consideration if false or misleading information
is provided and/or the application is not specific to one of the topics listed in the associated:
Technical Description – EPA Research Fellowship Scheme 2008 document available on the EPA
website.
SIGNATURE OF APPLICANT: …………………………………..
DATE: ………………………..
Signature of Academic Supervisor: …………………………………………
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EPA CCRP Research Fellowship Scheme 2009-–Application Form
Submission of Applications
For more information, please refer to the relevant Technical Description document and Guide
for Applicants.
Applications will be sent for technical evaluation and reviewed based on the
following criteria:
ERC
Fellowship
Criteria
Suitability of qualifications (Section B)
15%
Details and relevance of research / work experience (Section C)
30%
Description of Work (Sections D & E)
30%
Project Management (incl. role of supervisors) (Section E)
10%
Costing (Section F)
5%
Overall quality of the proposal
10%
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EPA CCRP Research Fellowship Scheme 2009-–Application Form