(BCKDF application - Step 2). - Province of British Columbia

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British Columbia Knowledge Development Fund (BCKDF)
Application Form - Step 1
Basic Information and Alignment with British Columbia Priorities
1. TITLE
Date submitted
Applicant Institution
Project Title
CFI Competition
Choose an item.
Other - specify
CFI File Number
Enter CFI application number
30 January 2000
Identify lead applicant institution
Enter full project title
2. LEAD RESEARCHER
Name
Faculty
Department
Last Name
First Name
Specify centre/institute where research will occur
Faculty
Centre/Institute:
Department
(e.g. IRMACS; TRIUMF; Djavad Mowafaghian Centre for
Brain Health; etc.)
3. PROJECT FUNDING SUMMARY
Upon notification of CFI’s Board decision to award a project unconditional or partial funding, institutions will be requested to submit additional
financial information (BCKDF application - Step 2). See BCKDF Guidelines for more information. BCKDF funding is a restricted capital contribution
for the development of a capital project as per Public Sector Accounting Standards. BCKDF does NOT fund operation and research costs.
Table 1
Funding Source
1. BCKDF funding requested
(maximum 40% of total eligible project budget)
2. CFI funding requested
3.
Amount
Contributions from other eligible partners
(sum lines a. to c.)
% Contribution
$0.00
0%
$0.00
0%
$0.00
0%
a)
Applicant Institution
$0.00
b)
Other partners - Cash contributions
$0.00
c)
Other partners - In-kind contributions
$0.00
Total project budget (sum lines 1 to 3)
$0.00
4. PROJECT LOCATION
This is a multi-institution project
yes/no
100%
This is part of a larger national project yes/no
Part or all of infrastructure is located outside BC yes/no
Part or all of infrastructure is located outside Canada yes/no
Infrastructure Choose a campus
Additional location 1:
Additional location 2:
Additional location 3:
Specify institution & city Specify institution & city
Specify institution & city
location(s): Specify other or off campus location
5. CONSTRUCTION AND RENOVATION
The requested infrastructure contains a building renovation or construction component?
If yes: Total renovation or construction cost of the project:
$0.00
Total area:
yes/no
Gross square meters
Name of the building to be built or renovated
6. PRIORITY SECTOR
Which provincial priority sector is this project the most closely associated with?
Choose a priority sector Choose an item.
If you chose “Other”, please specify here and explain how this sector aligns with BC Government priorities (max 150 words)
Updated April 2015
BCKDF Step 1 Application Form BCKDF@gov.bc.ca
Page 1 of 7
CFI File Number
Lead researcher
Enter CFI file number
Last name
7. INFRASTRUCTURE PROJECT BRIEF
Using simple, concise sentences describe in no more than five lines the objective and key elements of this proposal. Define the main
benefits for British Columbia. This section may be used, in whole or in part, in press releases or similar material.
Type your text here
8. STRATEGIC VALUE AND RESEARCH PRIORITIES FOR BRITISH COLUMBIA
Within the frame in the next two pages, and for each of the four categories below, highlight the strategic value and benefits of your
proposed project and requested infrastructure for British Columbia. Please be concise and use plain language. Subsections and bullets are
acceptable. While applicants must address all four categories, they are encouraged to emphasize those which are most relevant to their
project. Add one page if necessary.
8.1 Commercialization
Describe the potential for commercialization resulting from the research conducted with the requested infrastructure (e.g. potential for
spinoff companies, patents, interest from industry or potential users, etc.). Highlight the degree of involvement of the research project
with industry or commercialization stakeholders (e.g. direct industry funding or in-kind contribution, investors’ interest, relation with
commercialization programs, working collaborations). Commercialization may relate to research results, tools or processes enabled by the
requested infrastructure.
8.2 Talent development
Summarize how the infrastructure will enhance the current training environment for Highly Qualified Personnel (HQP), and show how it
will prepare HQP for research and other careers. Include statistics on number of HQP expected to work on the research project with the
requested infrastructure. HQP include researchers, post-doctoral fellows, doctoral students, masters students, technicians, professionals,
and trainees who conduct research with the requested infrastructure.
8.3 Job creation
Describe how and to what extent the research project and the requested infrastructure will contribute to job creation in British Columbia.
This may include quantifying and specifying direct job creation (e.g. new researchers, technicians, support staff and students who will
work on the project, jobs created for the construction or installation of the requested infrastructure), or demonstrating how the project
may contribute to additional indirect employment in the province, for example as a result of commercialization or application of
research outputs.
8.4 Other economic and societal benefits
Describe other benefits for British Columbia that the investments in the infrastructure could generate. This may include social benefits,
health benefits (e.g. reduced mortality and morbidity), economic benefits (e.g. reduced cost of public intervention and mitigation,
enhanced competitiveness of the province), or international scientific reputation of the institution.
If part or all of the requested infrastructure is located outside of British Columbia, or if this is a portion of a larger national project,
clearly state the benefits for the province in a separate paragraph.
Updated June 2015
BCKDF Step 1 Application Form BCKDF@gov.bc.ca
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Type your text here for 8.1; 8.2; 8.3; and 8.4
Updated June 2015
BCKDF Step 1 Application Form BCKDF@gov.bc.ca
Page 3 of 7
Type your text here
Updated June 2015
BCKDF Step 1 Application Form BCKDF@gov.bc.ca
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9. PROJECTS WITH A CONSTRUCTION OR RENOVATION COMPONENT
Projects with a construction or renovation component may be required to submit additional information, dependent upon project scope,
budget or assessed risk level. Ministry staff will contact an institution on a case-by-case basis. Please refer to the BCKDF Guidelines for
additional information.
Please concisely describe the scope of the renovation or construction work to be undertaken. Explain the necessity for the construction or
renovation. Bullets are acceptable. If necessary, plans or other visuals should be appended separately.
Type your text here
Updated June 2015
BCKDF Step 1 Application Form BCKDF@gov.bc.ca
Page 5 of 7
10. APPLICANT AND PARTNER INSTITUTIONS CONTACT INFORMATION
Lead B.C. institution
Name of Lead Applicant Institution
Contact Person
Address of Institution
Email
City
Postal code
Telephone number
If this is a multi-institutional project, please list institutional partners and contact names below
Lead institution on CFI proposal (if different from BC lead institution)
Name of Lead Applicant Institution
Contact Person
Address of Institution
Email
City
Postal code
Telephone number
Partner institution
Name of Lead Applicant Institution
Contact Person
Address of Institution
Email
City
Postal code
Telephone number
Partner institution
Name of partner institution
Contact Person
Address of Institution
Email
City
Postal code
Telephone number
Partner institution
Name of partner institution
Contact Person
Address of Institution
Email
City
Postal code
Telephone number
Partner institution
Name of partner institution
Contact Person
Address of Institution
Email
City
Postal code
Telephone number
B.C. lead institutional contact for regular correspondence
Please provide a coordinator contact at the lead applicant
institution for day-to-day correspondence regarding this
application.
Updated June 2015
Contact Person
Email
BCKDF Step 1 Application Form BCKDF@gov.bc.ca
Telephone number
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11. BCKDF APPLICATION CHECKLIST
Please ensure that you have all the following documents appended to your BCKDF Application.
Required
BCKDF completed application form
Attached signatures page (scans or electronic signatures accepted)
Appended full CFI application 1
Optional
Letters of commitment from all project funding partners, where funding is confirmed.
SIGNATURES
This application must be signed by the President, CEO, chair or other designate, of all B.C. applicant institutions.
In the case of joint or multi-partner applications, the president, CEO, chair, or designate of each B.C. applicant
institution must also provide signatures. For national projects, signatures are not required for co-applicants
from outside of B.C.
The undersigned:
 Acknowledge that the information and documentation provided is correct and may be shared with
Ministry staff and others for the purpose of administering the BC Knowledge Development Fund;
 Agree to and accept the conditions governing the BCKDF funding, as outlined in the BCKDF Guidelines;
and,
 Accept the commitment to ensure appropriate resources are provided for the operation and
maintenance of the proposed BCKDF-funded research infrastructure over its useful life.
.......
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Name and Title (Please Print)
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Signature
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Name and Title (Please Print)
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Name and Title (Please Print)
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Institution
.......
Signature
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Name and Title (Please Print)
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Institution
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Signature
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Date
Date
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Institution
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Signature
Date
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Institution
Date
Add pages if necessary
1
For Cyberinfrastructure Challenge 2 competition please contact the BCKDF coordinator.
Updated June 2015
BCKDF Step 1 Application Form BCKDF@gov.bc.ca
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