Occupational Health and Safety (OHS) Futures – Research Funding Program Application Supplement Applications will only be considered complete if we have received both an online application and an Application Supplement package. Only complete applications will be reviewed. The Application Supplement should provide the relevant technical details required to further assist the external reviewers with their review of your research application for funding. The submission deadline for both components of the application is June 1, 2015. Directions for completion: Use 11-point font, with 1-inch page margins; Adhere to the page maximums; information provided in exceedance of this page limit will not be considered in application adjudication; Submit this package with the file name “Firstname-Lastname-Application-Supplement”; and Submit this package by replying to the confirmation you received after submitting the online portion of your application. Thank you for your interest in applying to the OHS Futures – Research Funding Program. Please complete the following: Principal Applicant Name: __________________________________ Project Title: _____________________________________________ Issue and Gap Identification, Expected Outcomes and Impacts (maximum 2 pages) (A) Please identify the issue, problem or question. Specify gaps in current knowledge, methodology, policy, or practice that this research aims to address.The information provided in this section will be used to assess the extent to which the project objectives and identified activities will have an impact by addressing an important gap, need or opportunity related to the main priority areas specified by the OHS Futures program. (B) Explain the expected outcomes of this research, and identify how these outcomes will potentially impact the gaps identified above, and contribute towards healthy and safe Alberta workplaces. Note: Up to two pages of references may be included with citations, and will not contribute to the 2 page maximum of this section. Research Methods (maximum 8 pages) (A) Clearly state the research question(s) this proposal aims to address. (B) Identify the methods that will be used to answer these questions. Provide a detailed description of the research design and methods. Explain the rationale behind the selected methods. The information provided in this section will be used to assess the scientific rigor of the project design and methods. (C) Where applicable, describe data collection methods and tools to be used, sampling frames, sample sizes, recruitment strategies, planned statistical analyses and limitations. If this project incorporates the use of administrative data, indicate the data source and how the data will be accessed. Research Partners and Collaborators (maximum 1 page) (A) In this section please list partner and collaborator names, and contact information. (B) Please include the level of engagement and/or involvement of the co-applicant, partners and collaborators in the research (e.g. development of the research proposal, actual research work, transfer of knowledge). Please see Glossary for definitions of the terms. (C) Please describe how this project will engage both the research community and Alberta workers/workplaces. Project Milestones and Timeframes (maximum 1 page) Describe major milestones and timeframes in which they will be achieved. Milestones should be tangible accomplishments that are significant for the project’s progress and success. Timeframes should be given relative to the start date of the project, in weeks or months (e.g. Week 5), not in absolute dates. If this project has multiple objectives, each objective should be accounted for in this section. Please break milestones into years, as the first year is the most important in this proposal. Milestone (accomplishment) Timeframe (e.g. Week 5) Knowledge Translation and Exchange (maximum 2 pages) (A) Specify gaps in knowledge translation strategies that this research aims to address. (B) Describe the steps you will take to share your research findings with key audiences and potential end-users of the results. Specify which actions you will take to make the knowledge created through this project accessible and relevant to the people who can use it. Detailed Budget Attachment (maximum 2 pages) Please refer to the GOA expense criteria and restrictions to complete this section in accordance with GOA standards (http://www.finance.alberta.ca/business/planningaccountability/accountability/expenses-policies.html or http://www.finance.alberta.ca/business/planning-accountability/accountability/GoA-Travel-Meal-andHospitality-Expense-Policy.pdf). Also, please specifically note that overhead or administrative costs and buy-outs of teaching time or of other responsibilities of the applicant are not eligible expenses. Lines may be added in the tables below, as necessary. Note: This portion of the supplement is specifically for one year of funding. The budget for additional years can be provided as an attachment if applicable. Salaries and Benefits Description Out of Province (AB)Answer Yes or No Amount ($ CDN) (i) Subtotal Role and responsibility of individual(s) (maximum 1500 characters) Supplies Amount ($ CDN) Description (ii) Subtotal Rationale (maximum 1500 characters) Travel Amount ($ CDN) Description (To conduct research or for knowledge translation) (iii) Subtotal Additional Comments (maximum 1500 characters) Permanent Equipment (if applicable) Note: Permanent equipment costs should not exceed 10% of budget, or $5,000, whichever is less. (i.e. tablets, laptops, etc.) Please provide details and rationale for all equipment. Amount Description ($ CDN) (iv) Subtotal Percent of total budget Details and rationale (maximum 1500 characters) Total Budget (i) + (ii) + (iii) + (iv) = Amount ($ CDN) Résumé or C.V. (maximum 10 pages) Please submit either a résumé or C.V. for the principal applicant and co-applicant where applicable. Each résumé should not exceed five pages. Additional résumés and C.V.’s will not be reviewed, and information provided in exceedance of the 5 pages per résumé or C.V. limit will not be considered. Glossary Co-Applicant (Co-Investigator) An individual, participating in a grant application, who makes a significant contribution to the intellectual direction of the research or research-related activity, who plays a significant role in the conduct of the research or research-related activity, and who may also have some responsibility for financial aspects of the research.1 Collaborator An individual, participating in a grant application, who may make a significant contribution to the intellectual direction of the research or research-related activity, and who may play a significant role in the conduct of the research or research-related activity.1 Partner A formalized working relationship between two or more organizations with separate identities and independent accountabilities, and is based on mutual benefit and a clear understanding or agreement that sets out the shared goal and objectives and the terms of the arrangement. The formality of these relationships may vary but they must be grounded in trust, mutual respect, and effective communication. These collaborations may range from open, working relationships through committee work or meetings to the more formal, documented collaborations for funding opportunities.2 A partner can be an organization called Partner organization. A partner organization participates actively in a formal partnership and contributes in a meaningful way to the success of the research application. A partner organization may be, for example, a post-secondary institution, for-profit or not-for-profit organization, or foundation. A partner organization is expected to support the activities of the formal partnership by sharing in intellectual leadership or providing expertise.1 1 Social Sciences and Humanities Research Council (SSHRC) (2014). Definitions of Terms. Retrieved from http://www.sshrc-crsh.gc.ca/funding-financement/programs-programmes/definitions-eng.aspx#a13 2 Canadian Institutes of Health Research (CIHR) (2014). Glossary of Funding-Related Terms. Retrieved from http://www.cihr-irsc.gc.ca/e/34190.html#p