IRISH RESEARCH COUNCIL GOVERNMENT OF IRELAND SOCIAL PROTECTION RESEARCH INNOVATION AWARD 2014 Application Form PRINCIPAL INVESTIGATOR CONTACT DETAILS: Full Name (including title) Sex Position Held (including department and institution/ where relevant) Full address Male Female Telephone Email address HOST INSTITUTION CONTACT DETAILS: i.e. where the prospective grant will be held and administered) Name Full address PROJECT DETAILS: Title of proposed project Discipline/Subject Area(s) Key Words (3-5) Total Budget requested € Short Description of proposed project (max. 300 words) Co-PRINCIPAL INVESTIGATOR CONTACT DETAILS: Full Name (including title) Sex Position Held (including department and institution/organisation, where relevant) Full address Male Female Telephone Fax Email address Proposed role in project TEAM MEMBERSHIP/ ASSOCIATE INVESTIGATOR CONTACT DETAILS: Full Name (including title) Sex Position Held (including department and institution/organisation, where relevant) Full address Telephone Fax Email address Proposed role in project Male Female TEAM MEMBERSHIP/ASSOCIATE INVESTIGATOR CONTACT DETAILS: Full Name (including title) Sex Position Held (including department and institution/organisation) Full address Male Female Telephone Fax Email address Proposed role in project TEAM MEMBERSHIP/ASSOCIATE INVESTIGATOR CONTACT DETAILS: Full Name (including title) Sex Position Held (including department, institution/organisation, where relevant) Full address Male Female Telephone Fax Email address Proposed role in project DETAILED PROJECT DESCRIPTION (strictly max. 2,500 words within the body of this form). This should include: I. Description of topic Aims and objectives Central research questions Methodology Research strategy Alignment with the specific theme of SPRIA call Details of consideration given to gender dimensions (see appendix of Terms and Conditions for guidelines) II. Research plan Including a detailed timetable for the project commencement, and a plan for the efficient management and reporting of the research III. Applicant(s)' research and other expertise relevant to the project proposal POTENTIAL IMPACT OF RESEARCH PROJECT ON INDIVIDUAL/TEAM RESEARCH PROGRAMME including potential for further research activity and alignment with Institutional/organisational research and teaching strategy (max. 400 words) POTENTIAL IMPACT ON TEACHING PROGRAMME including courses taught and students supervised OR POTENTIAL IMPACT ON THE DEVELOPMENT OF CAPABILITY IN THE RPO (max. 300 words) PLANS FOR DISSEMINATION AND DIRECT OUTPUTS ENVISAGED (max. 300 words): LIST RESEARCH PROJECTS FOR WHICH PRINCIPAL INVESTIGATOR IS CURRENTLY INVOLVED IN OR HAS RESPONSIBILITY FOR. Title of Project Source of Award Amount DOES THE RESEARCH PROPOSAL OUTLINED IN THIS SUBMISSION REQUIRE APPROVAL BY A RELEVANT UNIVERSITY/INSTITUTIONAL ETHICS COMMITTEE? (tick one) Duration YES NO If there are ethical implications of the research project please provide details of what they are and how they will be addressed: (Max 200 words) DOES YOUR INSTITUTION/ORGANISATION HAVE A POLICY ON GOOD CONDUCT IN RESEARCH? (tick one) YES NO If yes, please indicate where these policies can be accessed: In the event of a successful outcome to this application, where relevant, written evidence of such ethical approval must be received by the Research Council prior to confirmation of the grant. Biological Sex/Gender Dimension: Yes/No Does your proposed research programme involve any of the following? Humans as the research focus Animals as the research focus Human samples and/or data Humans involved as consumers, users, patients, or in trials Research on animals, animal samples and/or data Research outputs with implications for both men and women Research outputs with implications for end users or consumers If you have answered ‘Yes’ to one or more of these answers, your proposed research may have a potential biological sex or social gender dimension. Please outline the consideration that has been given to the relevance of sex-gender in your proposed research and indicate how the potential sex-gender issues will be handled. In particular, you are asked to reference the points mentioned in the ‘Checklist for sex-gender in research content’ in Appendix I in the Terms & Conditions (max 300 words) DECLARATION I declare that the above particulars are correct and understand that the circulated “Terms and Conditions” apply. If I receive any other awards or accept paid employment during the term of any Irish Research Council award, I will inform the Director of the Irish Research Council within 21 days of my notification of the same. I accept that failure to abide by the “Terms and Conditions” may disqualify me from this Scheme. Signature of Applicant N.B. Typing your name or an electronic signature will be as binding as your signature. Date