Application Form - Irish Research Council

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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
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