SFI Discover Programme Call 2015
APPLICATION FORM
------------------------------------------------------------------------------------------------------------------Deadline for Submission
Completed documents must be received by 17.00 hours on 28th July 2015 Irish Summer Time (GMT +1)
Applications must be submitted in PDF format by email to discover.programme@sfi.ie
------------------------------------------------------------------------------------------------------------------Webinar and Informal Consultation Sessions


A webinar on the SFI Discover Call 2015 will take at 10.00am on Wednesday, 10 June 2015. Please register
for the webinar here. The webinar will also include a Q&A session.
Informal Consultation Sessions will be organised in the following locations subject to demand:
Dublin on Friday, 12 June 2015 / Galway on Monday, 15 June 2015 / Cork on Tuesday, 16 June 2015
Please ensure that you have listened to the webinar (either live or recorded) so that you are familiar with
the Call. The purpose of the informal consultation sessions is to discuss your proposed project and / or
ask questions related to your project. If you wish to book an appointment please email
discover.programme@sfi.ie
------------------------------------------------------------------------------------------------------------------Section A:
To be completed by all applicants
Section B:
To be completed by all applicants
Section C:
To be completed by Non-Eligible Research Bodies
Section D:
To be completed by Eligible Research Bodies
Appendices:
To be completed by all applicants
SFI Discover Programme Call 2014
Application Form – Section A – To be completed by all applicants
The SFI Discover Programme aims to:



Promote and support STEM education
Promote STEM career pathways
Increase the general public’s engagement with STEM and its importance in society
How will your project contribute to the achievement of one or more of these aims?
Your project must clearly address at least one of the above aims to be considered for funding under
this Call.
(250 words max)
Is your application for (please tick as appropriate)
SFI Discover project funding (2016)

or
Strategic Partnership funding (2016/2017) 
See Guidance Document for details.
If applying for Strategic Partnership Funding please outline below why your project should qualify as a
Strategic Partner to SFI Discover as outlined in the Guidance Document.
(500 words max)
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SFI Discover Programme Call 2014
Application Form – Section B – To be completed by all applicants
1.
Project Title
(10 words max)
2.
Executive Summary of Project
(400 words max)
3.
Project Lead
Person responsible for delivery of outputs and impact of the project and central contact point for the project.
Full Name:
Title:
Job Title:
Organisation:
Address:
Contact Telephone Number:
Email Address:
Role in Project:
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SFI Discover Programme Call 2014
4.
Project Team
Individuals responsible for a variety of roles required in the project – both internal and external to the Project Lead’s
organisation. Roles should be clearly defined.
Full Name:
Title:
Job Title:
Organisation:
Address:
Contact Telephone Number:
Email Address:
Role in Project:
Full Name:
Title:
Job Title:
Organisation:
Address:
Contact Telephone Number:
Email Address:
Role in Project:
Full Name:
Title:
Job Title:
Organisation:
Address:
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SFI Discover Programme Call 2014
Contact Telephone Number:
Email Address:
Role in Project:
(the above table may be duplicated as required).
A one page CV written with relevance to this project must be included for each team member to
demonstrate the skills and experience necessary to deliver their responsibilities to the project. CVs
should be attached in Appendix A.
5.
What is your project?
Short synopsis of the project details – what the project involves and what it will deliver (800
words max)
6.
Why are you doing it?
How have you identified the need for this project amongst what audience? You should
reference any similar successful projects identified while researching your project. (500 words
max)
7.
Who is your project aimed at? (tick all that are applicable)
 as appropriate
Young People 12 years age and under
Young People between 12 -16 years age
Young People between 16 -18 years age
Young adults between 18-25 years age
Adults aged 25+
Parents
Teachers - Primary
Teachers – Second Level
Career Guidance Counsellors
General Public
Schools – Primary
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SFI Discover Programme Call 2014
Schools – Second Level - Junior Cycle
Schools – Second Level – Senior Cycle
Other (please specify below)
National
Regional (please specify which regions below)
Audience Reach
2016
2017
Str. P/ship Only
Direct Engagement (target number)
Explain how you plan to reach this audience in terms of promotion, marketing and use of
networks. (500 words max)
8.
Where and when will your project take place?
Where will your project take place – location and venue – and indicate why you have chosen
this location and timing
Proposed start date
(dd/mm/yy)
Proposed end date
(dd/mm/yy)
Outline key milestones or dates of note in the project, e.g. specific events
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SFI Discover Programme Call 2014
9.
How much will the project cost?
There are no fixed limits on the amount that can be requested (up to a maximum of €50,000 for project
funding and €150,000 for Strategic Partnership funding) but all costs need to be reasonable and justified
and will undergo cost challenge.
2016
€
2017
€
Str. P/ship Only
Project Management
Direct activity and production costs (include venue, AV,
catering etc)
Marketing & Promotion (include website)
Consumables
Training
Evaluation
Expenses (e.g. travel)
Other – details must be provided
10.
How do you propose to fund this project?
We would like to understand how you propose to fund this project. Applicants should demonstrate how
funding/in-kind contributions are being sourced from other partners to deliver this project. (Note: 2017
only relevant to Strategic Partnership Funding applications).
How much funding are you requesting from SFI Discover
under this Call?
2016
€
2017
€
Str. P/ship Only
List project partners and their contribution to the project including funding/in-kind contribution as
applicable. Any income derived from the project should also be included here.
Partner Organisation
Contribution to Project
Cash
€
2016
2017
In Kind
€
2016
2017
Budget Justification / Clarification
If you would like to clarify or provide justification for the project costs, please do so below. (500 words max)
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SFI Discover Programme Call 2014
Budget in excess of allowable thresholds
If your application is for more than the allowable thresholds (see Guidance Document), a strongly justified
case for exceeding this limit must be provided here. (500 words max)
11.
How will you measure success?
Please note that this information will be used as the project progresses to measure its success
Outline project outputs and outcomes and outline how you will evaluate whether they have been
achieved. (500 words max). Refer to the SFI Discover Programme Evaluation Toolkit <link>.
12.
What is the long term impact of this project?
How will learnings / best practice from this project be shared with other interested parties? (500 words
max). Outline your impact statement here – see guidance on writing impact statements here. You should
refer here to the SFI Impact Statement, particularly Societal / Public Policy Impacts – Typesofimpact
13.
What is the future of this project?
What is the long term plan for this project and / or outline how you plan to end it. (500 words max)
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SFI Discover Programme Call 2014
Application Form – Section C
To be completed by Non-Eligible Research Bodies in relation to the Project Lead’s Organisation
Please ensure that you complete all parts of Section C
1.
Organisation Details
Organisation Name:
Address
Telephone Contact Number:
Email Address:
Legal Status: e.g. company limited by
guarantee, limited company etc.
Registration Number (including Charitable
Registration Number)
Auditors:
Name:
Address:
Telephone:
Email:
Partner with
responsibility for Audit:
Solicitors
Name:
Address:
Telephone:
Email:
Bank:
Name:
Address:
Telephone:
Account Officer:
2.
Organisational Structure & Management
Please provide details of your organisation structure in chart form, detailing positions and names of post
holders.
3.
Documentation to be provided with the application
Please supply ALL of the following information:
1. A copy of the most recent Annual Report
2. A signed copy of the most recent Audited Financial Statements (if applicable)
3. A copy of the organisation’s current valid Tax Clearance Certificate
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SFI Discover Programme Call 2014
Application Form – Section D
To be completed by Eligible Research Bodies
Eligible Research Body – Cover Sheet for Proposal
Programme Name:
SFI Discover Programme Call 2015
Closing Date:
21st July 2015
Title of Proposal (10 words maximum):
Name of Host Institution:
Principal Applicant’s Name:
Total Project Budget:
Total Funding Requested:
Project Start Date:
Project End Date:
Project Duration:
Signatures below confirm acceptance and agreement with the SFI grants and awards Terms and Conditions,
and that the institution ensures the applicant meets eligibility requirements, and that the project is in full
agreement with all legal and regulatory matters governing research in Ireland, and all details provided are
correct.
Institutional Signatory Authority
Name:
Position:
Contact Telephone Number:
Email:
Correspondence Address:
Signed:
Date:
Principal Applicant
Name:
Signed:
Date:
This cover sheet must be stamped with the official stamp of the relevant institution.
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SFI Discover Programme Call 2014
Appendices – To be completed by All Applicants
Appendix A: Project Team CVs
One page (max) CVs for project team members written with relevance to this project
to demonstrate the skills and experience necessary to deliver the responsibilities to
the project.
Appendix B:
Track record in STEM Education and Public Engagement (max 4 pages)
Please provide details of track record in Education and Public Engagement which
should include any relevant current projects – audiences reached, evaluation reports,
project partners etc.
Appendix C:
Declaration of Bona Fides (attached)
Completed and signed Declaration of Bona Fides must be included with this
application.
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SFI Discover Programme Call 2014
Appendix C:
Declaration of Bona Fides
THIS DECLARATION, DULY COMPLETED, MUST BE SUBMITTED BY PRINCIPAL APPLICANT
Name of Principal Applicant:
Address:
Please tick Yes or No as appropriate to the following statements relating to the current status of your organisation
No.
Question
1.
The Principal Applicant is bankrupt or is being wound up or its affairs are being administered by the court or has
entered into an arrangement with creditors or has suspended business activities or is in any analogous situation
arising from a similar procedure under national laws and regulations.
2.
The Principal Applicant is the subject of proceedings for a declaration of bankruptcy, for an order for compulsory
winding up or administration by the court or for an arrangement with creditors or of any other similar proceedings
under national laws and regulations.
3.
The Principal Applicant, a Director or Partner or Co-Applicant, has been convicted of an offence concerning his
professional conduct by a judgment which has the force of res judicata or been guilty of grave professional
misconduct in the course of their business.
The Principal Applicant has not fulfilled its obligations relating to the payment of taxes or social security
contributions in Ireland or any other State in which the tenderer is located.
Y
N
Please 
4.
5.
The Principal Applicant, a Director or Partner or Co-Applicant has been found guilty of fraud.
6.
The Principal Applicant, a Director or Partner or Co-Applicant has been found guilty of money laundering.
7.
The Principal Applicant, a Director or Partner or Co-Applicant has been found guilty of corruption.
8.
The Principal Applicant, a Director or Partner or Co-Applicant has been convicted of being a member of a criminal
organisation.
The Principal Applicant, a Director or Partner or Co-Applicant has been guilty of serious misrepresentation in
providing information to a public buying agency.
The Principal Applicant has contrived to misrepresent any information relevant to this application.
9.
10.
I certify that the information provided above is accurate and complete to the best of my knowledge and belief. I
understand that the provision of inaccurate or misleading information in this declaration may lead to my organisation
being excluded from participation in this and future funding calls.
Signature
Date
Name
Position
Telephone
Email
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SFI Discover Programme Call 2014
Checklist
Application Submission Checklist
In order to allow SFI to fully evaluate completed applications, you should ensure that the response includes ALL of
the following information:
1. Completed Application Form – all applicants must complete Sections A, B and either Section C or Section D.
2. One page (max) CVs for each of the project team members written with relevance to this project (Appendix
A)
3. Track record in STEM Education and Public Engagement (max 4 pages) (if applicable) (Appendix B)
4. Signed Bona Fides (Appendix C)
5. Any letters of support / commitment to the project from partners if appropriate. Letters of support are only
required from relevant organisations whose contribution is a key element to the delivery of the project
6. Any relevant corporate / financial information as outlined in Section C (non Eligible Research Bodies)
7. Completed and signed cover sheet – Section D (Eligible Research Bodies)
The above checklist is for guidance purposes only and SFI will not accept any responsibility for omissions from this
checklist or in application. Applicants are advised to read all the documentation and appendices in full in order to
provide a comprehensive application.
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