SITB/CRIP “DEVELOPMENT OF NEW IMMUNOLOGY TOOLS IN SWINE” GRANT APPLICATION FORM Refer to the Grant Award Criteria for the Development of New Immunology Tools in Swine before filling out the form (in English or French, at your discretion). Section 1 – PRINCIPAL APPLICANT AND CO-APPLICANTS IDENTIFICATION SITB principal applicant: Email address: Office phone #: SITB/CRIP Co-applicant (1): Email address (1): Office phone #(1): SITB/CRIP Co-applicant (2): Email address (2): Office phone # (2): Add other co-applicants as needed Fax #: Section 2 – PROJECT DESCRIPTION Part 1: Need for developing the immunology tool (score out of 40) 1. Tool description (half page) Name of proposed tool. Briefly describe the need for developing the tool. 2. Briefly describe the context behind the tool development: Availability or non-availability of the tool, why it is not serviceable (cost of acquisition, refusal of designing laboratory to provide it, or ineffective tool). Part 2: Evaluation of the quality of the experimental method for the development of the tool (score out of 30) Description of the experimental method (one page) A) Provide a brief description of the experimental approach and methodology, taking care to highlight specifically the innovative aspect of the experimental method. B) Indicate the feasibility of its implementation as well as the quality and suitability of the research team: appropriate and complementary expertise of the principal investigators and labour availability in the laboratories where the project will be conducted. Part 3: Timetable (score out of 20) Provide a brief description of the proposed timetable, paying attention to highlighting its feasibility, particularly by demonstrating the suitability of the research team for completing the task, but also from a technical execution point of view (e.g. availability of the equipment required). Identify project participants (postdoctorate trainees, graduate students (with their directors and co-directors), research professionals and technicians (with their home laboratory). Specify the involvement of everyone in conducting the project (experiences to be conducted). Identify laboratories where research activities will be conducted. Month 1-3 3-6 6-9 9-12 Activities Students/staff Director, co-director Part 4 : Budget (score out of 10) - Total cost of the project: - Financial support requested (CRIP): - Mandatory disclosure of any other potential source of complementary funding of the project or any other subsidy related to the development of the proposed tool: Nature: Amount: - Confirm explicitly that you have no other funding source on the same topic. - Budget allocation. Detail the budget. Note: The immunology tool development grant may not cover wages paid to students and staff, nor the purchase or maintenance of instruments and conference expenses. Part 5: References (quarter page) Send this form by email to: c.crost@umontreal.ca Include all necessary documents as required, i.e. quote from the company supplying the tool and applicant’s short CV (maximum 3 pages). Send a paper copy of your application to the CRIP coordination office to the attention of: Cécile Crost Faculté de médecine vétérinaire 3200, rue Sicotte, bureau 3919 Saint-Hyacinthe (Québec) J2S 2M2 The application will be considered by the Evaluation Committee.