Associative Research
Program
A CONICYT PROGRAM .
CALL FOR JOINT INTERNATIONAL COOPERATION RESEARCH PROJECTS
CONICYT-CHILE - SER-SWITZERLAND
2009 APPLICATION FORM
I.
GENERAL INFORMATION
1. PROJECT TITLE
2. PROJECT TOPIC (Identify topic area and subareas)
3. FUNDING REQUESTD AND EXECUTION PERIOD
4. DISCIPLINES AND KEYWORDS (FOLLOW OECD CLASSIFICATION CODE)
5. SPONSORING INSTITUTION
Name
RUT
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Associative Research Program (PIA)
6. LEGAL REPRESENTATIVE
Full Name:
Signature:
National Identification Number:
Position:
Address:
Telephone:
Cell Phone:
Fax:
E-mail:
7. CHILEAN PROJECT COORDINATOR IDENTIFICATION
First names and surnames
RUT
Sex
Date of birth
Professional title(s) and degree(s);
University
Institution to which he/she belongs
Position
Teaching post
Mailing address
City/ Region
Telephone(s)
Fax
E-mail address
Other contact information
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Associative Research Program (PIA)
II.
RESEARCH GROUP
1. TYPE OF RESEARCH GROUP
Identify the research group into one of the following categories (if applicable)
Research unit (Laboratories)
Advanced research group (scientific networks such as Anillos, Núcleos or others)
Centers of Advance Research (Basal, Instituto Milenio, Fondap, etc.)
Other research groups (please specify)
2. GROUP MEMBERS
Identify group members.
RUT
Name
Position
Institution
Role in the
research project
3. PARTICIPANT INSTITUTIONS
Complete the following table for each participant institution.
Name
RUT
Type of
Institution
Address
Telephone/ Fax
Website
Role in the
research group
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Associative Research Program (PIA)
4. BRIEF OVERVIEW OF GROUP’S RESEARCH LINES
Provide a description of the group’s main research lines. (No more than one page)
5. FUTURE PROSPECTS OF RESEARCH GROUP
Main challenges and tasks facing the group in the next 5 years. (No more than one page)
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Associative Research Program (PIA)
6. REASON TO SUPPORT THE REQUEST
Indicate the reasons for requiring the support of CONICYT to develop your international
collaboration project. (No more than one page)
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Associative Research Program (PIA)
III.
GENERAL PROJECT PRESENTATION
1. SUMMARY (no more than one page)
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Associative Research Program (PIA)
2. MAIN RESEARCH LINES (research lines must match those indicated in the terms and
conditions of this call) (half page)
3. SECONDARY RESEARCH LINES (half page)
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Associative Research Program (PIA)
4. SWISS PROJECT COORDINATOR IDENTIFICATION
First Names and Surnames
Sex
Professional title(s) and degree(s);
University
Institution to which he/she belongs
Position
Teaching post
Mailing Address
City
5. DESCRIPTION OF SWISS PARTNERS PARTICIPATING IN THE PROJECT
Submit background information on the collaboration being developed with the Swiss research
group participating in the project. Provide a rationale for their participation. (One page)
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Associative Research Program (PIA)
IV.
RESEARCH PLAN
1. OBJECTIVES
a) General Objective (no more than one page)
b) Specific Objectives (no more than one page)
O1
O2
On
2. COLLABORATION BETWEEN PARTIES: RESPONSABILITIES,
DISTRIBUTION, AND IMPLEMENTATION METHODS (One page)
WORK
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Associative Research Program (PIA)
3. ADDED VALUE GENERATED BY COLLABORATING WITH SWISS PARTNERS
(One page)
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Associative Research Program (PIA)
4. PROJECT SIGNIFICANCE FOR RESEARCH PROJECT AND DEVELOPMENT OF
THEIR ENVIRONMENT (One page)
5. DESCRIPTION OF POTENTIAL TRAINING FOR RESEARCHERS (Half page)
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Associative Research Program (PIA)
6. EXPECTED OUTCOMES
Indicate the activities that will be developed as part of your research plan execution
Id
Activity
Related
Expected Outcome/ Product
Specific
Objective
A1
A2
An
7. ACTIVITY SCHEDULING
Submit a general schedule of activities comprising your research plan:
Activities
Semester 1 Semester 2 Semester 3 Semester 4
Activity #1
Activity #2
Activity #n
8. OVERALL BUDGET
Provide a budget breakdown (in Euros) for the project period per year of execution and for each
item that requires financing and funding source according to the activities described in the
research plan. Submit one such table for each project year. Please use the Excel file attached to
this form as an additional document. (8.1, 8.2 and 8.3 tables)
9. JUSTIFICATION OF THE BUDGET REQUESTED TO CONICYT
Provide a justification for each one of the items requested for the project execution.
a) Joint research plan activities
b) Coordination activities between Chilean entities and between Chilean and Swiss parties
c)
Purchase of bibliographic materials, supplies and materials for the project
d)
Minor research equipment
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Associative Research Program (PIA)
e) Organization of scientific seminars, workshops, meetings and events with the participation
of Chilean and Swiss researchers within the framework of the project development (venue
leasing, meal services, translation services, broadcasting, and others)
f)
Long, mid and short-term internships1 at a Swiss counterpart institution (either public or
private) within the framework of joint research projects between researchers, technicians,
scientists and young professionals
g) Publications and broadcasting
V.
ANNEXES
a) CURRICULUM VITAE
Please attach, and submit in no more than four (4) pages in a single document, the
curricula vitae of project coordinator and the Chilean researchers and the CV of the Swiss
partners. Do not include the publications.
b) PUBLICATIONS OF SWISS AND CHILEAN RESEARCHERS
Submit a list of the ten more relevant publications for each participating researcher from
both parties in the research area of the project. Both publication lists must be submitted in
a single document.
E) CERTIFICATE OF ETHICS/ BIO-ETHICS COMMITTEE DECLARATION
Where appropriate and relevant for your research, submit an ethics/ bio-ethics committee
or animal rights declaration, or if still in process, a document certifying that the statement
application has been submitted.
1
The internships of short duration are considered up to three months, those of medium duration up to six
months and those of long duration up to 1 year.
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Associative Research Program (PIA)