APPENDIX A – FULL APPLICATION OFFICE FOR HEALTH AND MEDICAL RESEARCH APPLICATION FORM GENOMICS COLLABORATIVE GRANTS PROGRAM 2014 DEADLINE 5PM 3 November 2014 SECTION A – ADMINISTRATIVE SUMMARY A.1 Application Title Provide a short descriptive title (maximum 200 characters including spaces). A.2 Administering Institution Administering Institution Details Institute Name A.3 Administering Institution Contact Select a Title: Choose a Title Family Name: Given Name: Postal Address: Telephone: Mobile: Email: Genomics Collaborative Grants Program 2014 A.4 Chief Investigator A Details Select a Title: Choose a Title Family Name: Given Name: Postal Address: Telephone: Mobile: Email: Are you an Australian Citizen/ Permanent Resident? Are you located in New South Wales? YES YES ☐ ☐ NO NO ☐ ☐ YES YES ☐ ☐ NO NO ☐ ☐ A.5 Chief Investigator B Details Select a Title: Choose a Title Family Name: Given Name: Postal Address: Telephone: Mobile: Email: Are you an Australian Citizen/ Permanent Resident? Are you located in New South Wales? [add in information on all Chief Investigators as required by copying the section above here] SECTION B – APPLICANT TEAM AND CHIEF INVESTIGATOR B.1 Qualifications and professional experience Please attach a brief CV (maximum 2 pages) for the chief investigator(s) of your team. This should specify PhD qualification, other educational qualifications, academic research, clinical, professional and industrial experience and any career achievement and awards. Please outline also the skills of the research team, their collaborative potential, potential collaborators and, if possible, success in obtaining and delivering grant funding. B.2 Publications Please provide a list of all publications, reports, patents or conference presentations, providing full references in the last 3 years produced by the chief investigator(s). All publications relevant to this project should be highlighted. B.3 Associate Investigator An Associate Investigator is a participant of the grant who provides intellectual input into the project and whose participation warrants inclusion of their name on publications. Guidelines 2|Page Genomics Collaborative Grants Program 2014 Title First Name Last Name Organisation Contribution (max 400 characters) Located in NSW (Y/N) Title Title Title Title Title Add more rows as needed. SECTION C - RESEARCH STRATEGY This section is modelled on the NHRMC application template for ease of cross-application for grants. Please outline your research strategy using the three weighted sections listed below (maximum 10 pages, excluding references. References may be up to an additional 10 pages) C.1. Objectives, design and expected outputs and outcomes (50%) This should include an outline of the study design under the following headings: Aims and Objectives, Background, Research Plan, Analysis, Specific Outputs, Expected Outcomes. Responses should correspond with the Selection Criteria. The details of whole genome sequencing to be purchased from the Garvan Institute for Medical Research with the Grant. Applications should detail the minimum number of sequences required to address the research question, and, if relevant a discussion of the value of undertaking larger numbers than the minimum. A description of the nature and number of bio-specimen samples to be sequenced, any tests already done, patient information linkages, subject selection criteria and any other relevant information. This section should also propose measureable milestones for the project. C.2. Significance of the Expected Outcomes and/or Innovation of the Concept (25%) Proposals should focus on areas of substantial research need and benefit, where the outcomes are anticipated to be feasible for adoption into the health system. Research should be congruent with current NSW Government policies, strategies and priorities. A description of where the project is situated in the ‘bench to bedside’ continuum for research translation acknowledging NSW Health’s preference for projects that seek to overcome the barriers at ‘T1’, ‘T2’ and ‘T3’ for translating existing research outcomes into either population-scale outcomes, clinically targeted therapies and/or other interventions that can be utilised in the health-system. This section should also detail how the project will provide value for money for the health system. C.3. Team Quality and Capability, relative to opportunity (25%) Guidelines 3|Page Genomics Collaborative Grants Program 2014 The expertise and experience of the research team relevant to the project, their collaborative potential and potential collaborators and success in obtaining and delivering past grant funding. Demonstration of previous achievements of the team and collaborative effort should be provided. An outline of the high level governance of the project including nomination of Chief Investigator/s. Evidence of institutional support should also be provided. SECTION D – BUDGET Maximum, 2 pages D.1 Requested Budget Applicants are asked to demonstrate that the project is financially viable. Information should indicate sufficient funding support to make effective use of the sequences and bioinformatics requested. This information will include researcher time and other funding for all other necessary parts of the project, aside from the sequencing and bioinformatics. Please also provide administrative certification for the grants and budget for the project. Guidelines 4|Page Genomics Collaborative Grants Program 2014 SECTION E – CERTIFICATION Privacy Notice Applicants (researchers/ clinicians and administering institutions) consent to the information supplied as part of their application being disclosed for the purposes of their application and for purposes connected with the making and administration of the grant. Such disclosure includes, but is not limited to, disclosure to members of the selection panel, the Garvan Institute of Medical Research, independent researchers, assessors and relevant representatives and employees of NSW Health. NSW Health may publicise and report on the awarding to, and the use of, the funds including media releases, general announcements and reports. Documents containing personal information are handled and protected in accordance with the provisions of the Privacy and Personal Information Act 1998 which sets standards for the collection, storage, use and disclosure of, and access to, personal information. E.1 Certification by first named Chief Investigator I certify that: 1. To the best of my knowledge and belief, the information in this application is complete, true and correct and I understand that the provision of false or misleading information may attract substantial penalties; 2. I consent to this application being peer-reviewed by persons who will remain anonymous; 3. I have read and agreed to the Privacy notice above; 4. All named applicants on this application have read this application in full and given their consent to be included; X Name: Title: E.2 Date: Certification by the Administering Institution I certify that: 1. I am authorised signatory on behalf of this Administering Institution; 2. The resources described in Section D are available; 3. I am prepared to have the Grant administered by this institution under the conditions as set out; 4. All funds awarded for the Grant will be used only for the purpose for which they were awarded; 5. Agreement has been reached with collaborators in this application, or will be reached prior to the commencement of this Grant, about IP ownership, financial arrangements and any other support specified in the form; 6. The Administering institution will ensure that all ethical and other clearance(s) have been obtained that may be necessary prior to the establishment of or during this Grant X Na me : Title : Guidelines Date: 5|Page Genomics Collaborative Grants Program 2014 APPENDIX B – SPECIFICATIONS Sydney Genomics Collaborative Sydney Genomics Collaborative Grants Program Technical Information – Whole Human Genome Sequencing The Kinghorn Centre for Clinical Genomics (KCCG) at the Garvan Institute of Medical Research is the provider of whole human genome sequencing for the Sydney Genomics Collaborative Grants Program. KCCG is equipped with the Illumina HiSeq X Ten platform, which has the capacity to sequence up to 350 genomes per week. Sequencing service specification Sequencing services are for research purposes only. Applicants should budget $1,600+GST per DNA sample. Genomes will be sequenced to a minimum mean coverage of 30X (minimum 100 Gbases, 2x150bp paired end reads, >75% of bases with Q score > 30). Sample quality and quantity specifications Minimum of 1.0 μg of purified DNA Maximum of 20 μL volume Concentration >50 ng/μL DNA extraction and quantification DNA extraction by column purification is recommended (Qiagen or any other supplier) Spectrophotometry (A260) is not a recommended quantification method for whole genome sequencing. Fluorometric-based methods for quantification including Qubit or PicoGreen are recommended to provide accurate quantification of dsDNA. It is recommended to avoid the use of samples prepared by Real-Time PCR for library preparation, because residual ROX and DNA laser-damage diminishes the quality of the resulting sample. Shipping instructions DNA should be suspended in water or EB (10 mM Tris-Cl, pH 8.5). For all sample submissions, an AMPure bead purification will be performed. Samples should be sent in a 96-well fully-skirted plate for use in the automated pipeline. Samples should be shipped frozen on dry ice. Ethics and consent DNA can only be accepted from studies governed by a recognised Human Research Ethics Committee (HREC). DNA can only be accepted from individuals that have undergone informed consent for genetic testing. Study approval and consent will be required to be in place by [insert date] for submissions to be considered in the first funding round. Turnaround time and data delivery On sample acceptance following internal QC, data will be returned within 6 weeks (subject to capacity). Data will be supplied as either aligned reads (BAM) or FASTQ. Data will be made available via SFTP download (preferred) or shipped on external hard drive (additional charges will apply). Guidelines 6|Page Genomics Collaborative Grants Program 2014 Terms and conditions Each project will need to agree to KCCG Terms and Conditions (attached). Contact For further information, contact: Kerith-Rae Dias Facility Manager, Kinghorn Centre for Clinical Genomics Garvan Institute of Medical Research P: (02) 9355 5846 E: kccgseq@garvan.org.au Guidelines 7|Page