STELLENBOSCH UNIVERSITY
FACULTY OF MEDICINE AND HEALTH SCIENCES
APPLICATION FOR EARLY-CAREER RESEARCH FUNDING FOR 2016
(To be completed electronically)
Purpose
The purpose of these awards is to provide funding for early-career researchers to enable them
to embark on a research project that would lead to the production of research outputs that would
enable them to apply for national and international grants.
Eligibility
 South Africans and foreign nationals are eligible to apply
 Applicants must be staff (full time, part time or jointly appointed) at the Faculty of
Medicine and Health Sciences (FMHS), Stellenbosch University
 Applicants must be in possession of a PhD degree or a medical specialist qualification,
e.g. MMed or CMSA, obtained within the last 10 years
 Applicants may hold a MRC Career Development Award or NRF Career Advancement
Fellowship at the time of application
 Postdoctoral fellows and students are not eligible to apply
Conditions
 Proof of ethics approval for the earmarked project must be provided by 30 April of the
funding year
 A report of project outcomes and outputs should be submitted within 12 months of
receiving an Early-career Research Funding award
Recommendations
 Applicants will be expected to apply for at least one appropriate national grant during the
year of the award, if eligible
Funding award
Up to ten (10) Early-career Research Funding awards, ranging from R 50,000 to R 150,000, will
be made available for a period of 1 year, depending on well-motivated budget requirements.
Funding can be utilised towards the following:
 Research materials
 Minor research equipment
 Publication costs
 Student bursaries (not towards applicant)
 Research assistance (not towards applicant)
 Lecturer replacement (if approved by departmental head)
Submission
Completed applications must be submitted in hard copy and electronically to Ms Bronwyn
Coombs (bcoombs@sun.ac.za), Room 5009A, 5th Floor, Teaching building, Tygerberg campus.
Deadline for submission of applications: 16 November 2015 (Monday)
Outcomes of the applications will be made known during February 2016
ECRF application 2016
2
STELLENBOSCH UNIVERSITY
FACULTY OF MEDICINE AND HEALTH SCIENCES
EARLY-CAREER RESEARCH FUNDING FOR 2016
SECTION 1.
APPLICANT
SURNAME
FIRST NAME
DIVISION / CENTRE / UNIT
DEPARTMENT
NATIONALITY
EMPLOYER (INSTITUTION)
STAFF
(FULL TIME)
E-MAIL ADDRESS
TELEPHONE NUMBER
EMPLOYMENT POSITION
UT NUMBER
STAFF
(PART TIME)
STAFF
(CONTRACT)
END DATE OF
EMPLOYMENT
(if applicable)
QUALIFICATIONS
DEGREE
FIELD OF STUDY
INSTITUTION
YEAR OBTAINED
RESEARCH IMPACT
NRF RATING (and category)
H-index (and source)
3
RESEARCH OUTPUTS
PEER-REVIEWED RESEARCH ARTICLES DURING THE PAST 10 YEARS
(Number fully referenced articles and underline your name in each case)
OTHER RESEARCH OUTPUTS DURING THE PAST 5 YEARS (since 2011)
(List any other outputs, indicating the category of each, eg. Books, Book chapters, Conference
presentations, Conference posters, Patents, etc.)
4
STUDENT SUPERVISION: GRADUATED STUDENTS
STUDENT NAME
SUPERVISOR /
CO-SUPERVISOR
INSTITUTION
Honours / MSc /
MPhil / MMed / PhD
YEAR
OBTAINED
STUDENT SUPERVISION: ENROLLED STUDENTS
STUDENT NAME
SUPERVISOR /
CO-SUPERVISOR
INSTITUTION
Honours / MSc /
MPhil / MMed / PhD
OTHER AWARDS OR ACHIEVEMENTS
ANTICIPATED
GRADUATION
5
SECTION 2.
PROJECT
TITLE
SHORT SUMMARY OF THE PROJECT (Maximum 250 words)
DURATION OF PROJECT
FROM:
(YEAR)
TO:
(YEAR)
ETHICS APPROVAL
(Please complete all relevant sections)
FOR A NEW PROJECT, PROJECTED
DATE OF SUBMISSION FOR
ETHICS APPROVAL (MONTH, YEAR):
APPROVED
(YES or NO)
APPROVAL
NUMBER
DATE
APPROVED
EXPIRY DATE
NOTE:
1.ETHICS APPROVAL IS REQUIRED BEFORE
FUNDING WILL BE DISBURSED (Kindly
submit a copy of the ethics approval letter).
2.Failure to supply ethics proof by 30 April 2016
will result in the cancellation of this award.
6
RESEARCH AREA (Please mark with an X)
INFECTIOUS DISEASES (HIV, TB, etc.)
MATERNAL & CHILD HEALTH
MENTAL HEALTH & NEUROSCIENCES
VIOLENCE, INJURIES, TRAUMA &
REHABILITATION
HEALTH SYSTEMS STRENGTHENING
NON-COMMUNICABLE DISEASES
(cancer, diabetes, coronary vascular
diseases, etc.)
Other (please name):
PURPOSE OF RESEARCH PROJECT (Please mark all the relevant box(es) with an X)
Student Honours degree project
Non-degree research project
Student Masters degree project
Contract research project
Student Doctoral degree project
Pilot study
Other (please name):
AIMS AND OBJECTIVES OF RESEARCH PROJECT
7
SUMMARY OF METHODOLOGY AND PROPOSED TIMELINE OF PROJECT (Provide enough relevant
detail to assess the feasibility of the project)
8
ENVISAGED OUTPUTS AND IMPACT (Clearly indicate the number and types of degrees that this project
will yield, as well as the number of peer-reviewed accredited journal articles, other outputs and the impact
of the work)
NAMES OF RESEARCH TEAM AND/OR COLLABORATORS
(List any other researchers and/or students involved in this project,
also indicate their affiliations and roles in this project)
9
SECTION 3.
BUDGET REQUIREMENTS FOR 2016
NOTE: This budget total should be more than R50,000 but should not exceed R150,000.
Provide a brief description and amount in the relevant categories as required for the project.
DESCRIPTION
AMOUNT
REQUESTED (Rand)
1. Research materials
2. Minor research equipment
3. Publication costs
4. Student bursaries
5. Research assistance
6. Lecturer replacement (Attach a letter of approval from the Head of Division or Department)
BUDGET TOTAL:
R
10
BUDGET MOTIVATION
(Motivate your budget requirements strongly for each of the categories requested. If funding is already
available for the project, motivate why additional funding is required.)
11
DECLARATION OF OTHER SOURCES OF FUNDING
(List all funds currently available and all funds applied for from funding agencies, including internal SU
funds, national & international sources for this project)
FUNDING ALREADY AWARDED
FUNDING AGENCY
CATEGORY
AMOUNT
FUNDING YEAR(S)
FUNDING APPLIED FOR (pending outcome)
FUNDING AGENCY
SECTION 4.
CATEGORY
FUNDING YEAR(S)
SIGNATURES
APPLICANT
HEAD OF DIVISION /
DEPARTMENT
AMOUNT
DATE
SIGNATURE:
DATE
PRINT NAME: