Focus Area DynAge
APPLICATION FORM: INTERNAL CALL 2014
Submit your application in English as a PDF document to dynage@fu-berlin.de by 31
October 2014.
Please, use Arial 11-point font (single-spacing) and comply with the provided
structure. Reply to all fields in this application form. Instructions in grey and italic type
font are directions for filling out the application form and should be deleted.
(A) Consortium Overview and Information on the Group of
Collaborating Applicants
1. Principal Investigators (PIs)

Please name two principal investigators, preferably one from the FU and one from the
Charité, who will coordinate and report on the project (title, first name, surname,
affiliation with address, e-mail, telephone and fax number, state of career1). PIs
should be researchers that have been or are currently funded by DynAge. As within
the third round of funding, only FU-PIs can be responsible for the administration of
funds on behalf of the group, please name the FU-researcher as corresponding PI.
2. Collaborating Researchers

Please name all participating members of DynAge (title, first name, surname,
affiliation, state of career1), i.e., researchers that have been or are currently funded by
DynAge. Please name further regional, national, and/or international co-investigators
in your group and their affiliations
3. Title of the Consortium
4. Keywords (max. 5)
1
R1: First Stage Researcher (up to the point of PhD); R2 Recognized Researcher (PhD holders or equivalent
who are not yet fully independent); R3 Established Researcher (researchers who have developed a level of
independence; Nachwuchsgruppenleiter, W1 Prof); R4 Leading Researcher (researchers leading their research
area or field, W2 und W3 Prof).
5. Addressed Disease and Level of the Focus Area Matrix

Please activate with a double click the field of your research project in the Focus Area
matrix of cooperation below.
Tumors
Cardio-Vascular
Diseases
Degenerative
Diseases of the
Musculoskeletal
System
Cognitive
Disorders &
Depression
Societal
Level
Individual
Level
Molecular
Level
6. Extended Executive Summary of Consortium (maximum 2000 words, Arial 11, single
spaced)
 Overall objectives, major research question(s), and knowledge gaps addressed,
highlighting how the application fits into DynAge’s major research goals. Which
disease group(s) is/are addressed? Which levels of the DynAge matrix of cooperation
are addressed? How does the consortium address aging-related dynamics of disease
and contrast different phases of the life span? How are early career scientists
promoted? How is the consortium divided into subprojects? Which specific research
questions are addressed by subprojects? Expected synergistic effects within the
consortium?
7. Consortium

Please identify the DynAge-funded interdisciplinary research groups that merged into
your proposed consortium, please name PIs, project titles, DynAge round of funding
(1st : 2013/2014 and/or 2nd 2014/2015)
8. Envisioned Third-Party Funding for Consortium
Funding Agency: <e.g., DFG, BMBF, EU>
Funding Program: <e.g., Klinische Forschergruppe (DFG)>
Envisioned timeline of preparation of application: <Please describe>
Planned amount of funding: <Please name full amount as well as planned shares for FUresearchers and Charité-researchers>
(B) Requested Funding from DynAge (max 35.000,- EUR)

Please present a brief financial plan for the requested Focus Area funds. Please list
types (staff and/or consumables) and amount of requested funding of both types for
2015 (Jan through Dec). Please list requested funds for staff in EUR.
(C) General References
(If applicable: List work cited in Extended Executive Summary)
(D) Brief CVs of all Participating Researchers
<Please use one form per researcher>
Role in consortium
<Consortium PI, Consortium CoPI; Subproject PI; Subproject
Co-PI; Coordinator, Investigator>
Full title, full name
Affiliation, department,
division
E-mail address
Field of work
<Discipline, subdiscipline (e.g., medicine, oncology)>
Year of PhD/MD
Career stage
< R1: First Stage Researcher (up to the point of PhD); R2 Recognized
Researcher (PhD holders or equivalent who are not yet fully independent);
R3 Established Researcher (researchers who have developed a level of
independence; Nachwuchsgruppenleiter, W1-Prof); R4 Leading Researcher
(researchers leading their research area or field, W2- and W3-Prof).>
Publications associated with
work previously funded by
DynAge (please list work
accepted for publication only)
Third-party funding activities
(applications submitted/under
review; funded projects;
rejected projects) associated
with work previously funded
by DynAge or work in
collaboration with DynAgefunded projects
<peer-reviewed journal articles, books, book chapters,
conference papers, posters>
Publications 2009-2014
<peer-reviewed journal articles, books, book chapters>
Cumulative Journal Impact
Factor (ISI): 2009-2014 (for
publications in 2014, please
use IF of 2013)
Number of times cited
(please exclude citations of
retracted publications)
Third-party funding 20092014
Title of Consortium:
Consortium PIs:
Title of Subproject:
Own Role:
Funding Agency:
Funding Period:
Amount own Subproject:
Total Amount Consortium:
/or/
Title of Project:
Own Role:
Funding Agency:
Funding Period:
Total amount:
<Please use one of the following and indicate which one you
used: Web of Science, Google Scholar, Scopus, Harzing’s
Publish or Perish. E.g.: Web of Science: n times cited; Google
Scholar: n times cited>
Title of Consortium:
Consortium PIs:
Title of Subproject:
Own Role:
Funding Agency:
Funding Period:
Amount own Subproject:
Total Amount Consortium:
/or/
Title of Project:
Own Role:
Funding Agency:
Funding Period:
Total amount: