Research & Innovation Services. Pilot MRC Proximity to Discovery (P2D): Industry Engagement Scheme Secondments for PDRAs/ Professional Support staff into external organisations, to work on projects with external partners and/or allow incoming staff from external organisations to work in the University of Sheffield Project name: Outgoing or incoming secondment? 1. Academic PI / Professional Staff line manager details Academic PI/ line manager name: Department: Telephone: Email: 2. PDRA/ professional staff details (secondee) PDRA/ professional staff name: Department: Telephone: Email: Business Development Manager: 3. External partner applicant details (incoming secondee or host partner) Partner name: Line manager name: Organisation name: Organisation type: e.g. Commercial organisation, charity, government Address: Postcode: Telephone (inc STD code): UK based partner? If no, please provide details of how the project/collaboration will Yes/N provide net benefit (e.g. economic, environmental or societal) to UK in the application o statement New external partner: Academic new to Existing partner (new (Please tick as appropriate) working with industry: project): Letter of support attached? Yes/No Secondee arrangements discussed with Yes/No MRC P2D Industry Engagement Sabbatical/ secondment – Application Form Mar 2015 Page 1 of 4 HR? 3. Project details Please do not cross-refer to web addresses or add annexes. Proposed start date: (Please take into account the time required to put in place a secondment agreement and appropriate HR arrangements if necessary) Project end date: Part–time / Full-time? Can this project be classed as research? (for financial purposes) Yes/No Is this the application of existing knowledge/the creation of new knowledge? For a definition of research please refer to www.shef.ac.uk/ris/application/frascati Non confidential summary Please provide a short non-confidential summary of the project – this may be placed on the IIKE/R&IS website if the application is successful. Describe (in non-confidential terms) the work to be undertaken and indicate link to the MRC strategy. List also the Research Council grant(s) for the original research and give a brief summary of how this/these enable the project 4. Project costs Outgoing: Awards will cover the costs of suitable cover arrangements, travel & subsistence and consumables for the fellow. Salary for PDRAs only. Cost in URMS and input details below. Please note: Applicants are not required to enter Impact costs on their URMS entry for this scheme (see scheme guidance notes). When completing the URMS please enter the following: MRC as the Primary Sponsor Proximity to Discovery(P2D) as the Programme Name. Organisation Name as Collaborator(if applicable) Please include Christine Hill at 0% in the investigator tab. Incoming: Add in consumables, travel and subsistence costs below: URMS project code (for information only) Use Details Amount Staff costs MRC P2D Industry Engagement Sabbatical/ secondment – Application Form Mar 2015 Page 2 of 4 Travel & subsistence Consumables Equipment Other costs Funding requested (Directly Incurred costs only) 5. Signatures I confirm that I wish to apply for funding for an MRC P2D Industrial Engagement Sabbatical/Secondment. I confirm that the information presented in the application is accurate to the best of my knowledge and agree that if funding is issued the University of Sheffield may approach me for feedback and monitoring purposes both during and after project delivery. Signature of Academic PI for PDRAs only: Date: Signature of Line Manager for Professional Support staff only: Date: I support this application. Signature of Head of Department: (Please print name) Date: I support this application and confirm it meets the scheme eligibility criteria. Signature of Departmental BDM: Date: Signature of Secondee (internal outgoing or external incoming): Date: I support this application and agree to participate in ongoing monitoring and capture of outcomes. Signature of Industrial Partner representative: Date: 6. Return One signed electronic copy and one iaa@sheffield.ac.uk Microsoft Word version of the application form (without signatures for administration purposes) to: MRC P2D Industry Engagement Sabbatical/ secondment – Application Form Mar 2015 Page 3 of 4 Or, hard copy to: Chris Hill, Research & Innovation Services, New Spring House, 231 Glossop Road, S10 2GW Application statement Application statement (max 2 A4 sides of 11pt) Please provide details of your project, which will be assessed against the following criteria: Fit of the project to MRC strategy: http://www.mrc.ac.uk/news-events/publications/strategic-plan2014-19/ Fit of the project within the objectives of the IIKE Strategy: http://www.shef.ac.uk/polopoly_fs/1.229137!/file/IIKE_Strategy_Statement_October_2012.pdf Briefly describe the partner organisation. Indicate if they are UK based. If not, how is it anticipated that the UK will benefit from the interaction? Briefly describe the project to be conducted with the external partner Briefly outline the project plan (including objectives/deliverables/project management) Outline the potential benefit and impact resulting from the secondment and how this will be delivered Justify resources Describe any added value/leverage (e.g. financial, in-kind, leveraged support) from partner Follow-on plans for the development of the project and relationship Where appropriate please attach either: o an application statement from the PDRA/ professional staff member outlining the benefits they foresee for themselves and group or department o or incoming staff CV from the external organisation FULL DETAILS OF THE ASSESSMENT CRITERIA AND THEIR WEIGHTINGS CAN BE FOUND IN SECTION 5.1 OF THE SCHEME GUIDELINES MRC P2D Industry Engagement Sabbatical/ secondment – Application Form Mar 2015 Page 4 of 4