Approval Form for Projects Involving External Funding 1. 2. 3. 4. 5. Project #: IRMA Reference #: Staff are required to complete all items in Section A. Please indicate 'N/A' where not applicable. All formal applications or proposals involving outside funding for academic activities must be submitted by members of the teaching and research staff of the University to the relevant Head of School for approval. Please refer to the Guidelines for Externally Funded Projects and the Process for the Approval of Externally Funded Projects prior to completing this form. Please supply background documents for the proposal/application when you submit this form for approval. It is essential that you allow sufficient time for processing by the Office of Research and Innovation (three working days after endorsement by the relevant Head of School and Pro Vice Chancellor). If you require any assistance in completing this form please contact Research Grants and Business Development (RGBD) by email at: RGBD@cdu.edu.au 1. General Information Funding Body (Client): Funding body’s contact details: Project Title (include Tender number if applicable): Brief Project Summary (including the benefits to CDU): New Project Project Timeframe: Project Location: Issues (please outline any that should be brought to attention of signatories – i.e. inkind support/ infrastructure or profit waivers, etc) CDU Project Mgr: School: Faculty: Ext: Project Team Members: RGBD Officer: Approved: Manager Research Grants and Business Development Date: November 2013 Ext: Version 2.1 Page 1 of 5 or Renewal 2. Ethics Clearance Applicable (if applicable, please fill out table below) Not Applicable Does the project involve any of the following: YES NO The use of animals? The use of human subjects? The in vitro production of recombinant DNA molecules? Potentially biohazardous procedures and situations? The use of ionising radiation? The use and disposal of potent teratogens or carcinogens? Intellectual property rights or confidential material? Other matters of a hazardous nature? If yes, please specify below: Other: ___________________________________________________________________________________ If you have answered yes to any of these questions, approval MUST be sought from the appropriate University Ethics Committee and a copy of the approval must be forwarded to the Office of Research and Innovation before work can commence on the project. Please note that Project Funds will be held in a holding account until proof of clearance is provided to the Office of Research and Innovation. Approved: Manager Research Grants and Business Development Date: November 2013 Version 2.1 Page 2 of 5 3a. Financial Information Summary (project totals, infrastructure and profit breakdowns and codes for fund allocation) SEE ATTACHED COSTING SHEET FOR PROJECT BUDGET AND INFRASTRUCTURE/PROFIT BREAKDOWN. (from RGBD template) * Please note, if there is any in-kind support, this must be brought to the attention of the Head of School and a signature must be sought below: I acknowledge that I have seen and accept the in-kind CDU contributions for this project. Signature (Head of School/Director/ NT Manager) Date: 3b. Request for reduction of profit/infrastructure costs below standard CDU figures (refer to RGBD for latest applicable figures to be applied) Please outline the reasons for the request – include any non financial benefits to CDU, ie. - reputation, how the project aligns with the strategic directions of the University, future viable business opportunities guaranteed by undertaking this project, publications, and/or creation and ownership of valuable IP, etc Approved: Manager Research Grants and Business Development Date: November 2013 Version 2.1 Page 3 of 5 For Research Projects Only 4. For APPLIED research only, did the end user/s have involvement in the development of this proposal? Yes or No Please provide details: 5. Reporting for ABS Latest codes available at: http://www.cdu.edu.au/research/ori/forms-codes Socio Economic Objective: Fields of Research Code: SEO Code (6-digits) FOR Code (6-digits) Percentage (Totals 100%) Percentage (Totals 100%) R&D Activity: (please indicate by ticking box – definitions available at http://www.cdu.edu.au/research/ori/rd-activity-types Applied Research Pure Basic Research Strategic Basic Research Experimental Development 6. Reporting for General Performance Indicators eg RRTMP, Research & Research Training Committee including Performance Based Allocation Type of Project: (please indicate by ticking box – definitions available at http://www.cdu.edu.au/research/ori/factsheets#p7AP3c1_5 and in CDUPOL 131 Principles and Procedures for Outside Work and the External Funding of Academic Activities) Collaborative Projects Contract work Sponsored Consultancy Regional Relevance/Significance: (please tick the respective box.) Local National Equity Issues: (please tick the respective box.) Does the project address the following equity groups? Women People with Disabilities International Indigenous Australians People from Non-English Speaking Backgrounds Will this project lead to a publication? 7. Proposals must be peer reviewed by another staff member as per the research improvement plan. Who reviewed your proposal? Name of staff Member: Approved: Manager Research Grants and Business Development Date: November 2013 Version 2.1 Page 4 of 5 Signatures / Approvals: Signature of staff member submitting project: I confirm that I am aware of the University’s obligations in regard to the Competitive Neutrality guidelines and have taken these into account in costing this project. Signature (Staff Member) Date: Approval by Head of School (HE/VET) / Director (up to $50k): I endorse this proposal and confirm that facilities and other resources required for this project will be made available, and that no aspect of any proposed research contravenes University policy. Signature (Head of School/Director) Date: Approval by Pro Vice Chancellor (FACULTY/VET) (up to $500k): Signature (Pro Vice Chancellor -Dean) Date: Approval by Deputy Vice-Chancellor (above $500k): Signature Approved: Manager Research Grants and Business Development Date: November 2013 Date: Version 2.1 Page 5 of 5