University of São Paulo/Princeton University Strategic Partnership Teaching and Research Collaboration Grant Application Form

Transcription

1 Council for International Teaching and Research University of São Paulo/Princeton University Strategic Partnership Teaching and Research Collaboration Grant Application Form Grant Category (check one): Seed grant - maximum support = 10,000. (5,000 equivalent support from each partner). Funding term: September 1, 2015 August 31, 2016.These grants enable faculty and graduate students to convene to explore prospects for future collaborations. Two-year grant -- maximum support = 50,000. (25,000 equivalent support from each partner). Funding term: September 1, 2015 August 31, These grants support thematic or disciplinary workshops designed by faculty and incorporating graduate students in planning and execution. Three-year open grant - maximum support = 200,000. (100,000 equivalent support from each partner). Funding term: September 1, 2015 August 31, These grants support a variety of activities over a three year period, including undergraduate teaching initiatives, graduate residencies abroad, post-doctoral appointments, faculty residencies and exchanges, and other initiatives that support the goals of the strategic partnership. PRINCETON LEAD APPLICANT AND PRINCIPAL CONTACT Name: Title: Department or program: Address for correspondence: Telephone: USP LEAD APPLICANT AND PRINCIPAL CONTACT Name: Title: Department or program: Address for correspondence: Telephone:

2 PROJECT 1. Title: 2. Project Summary (max 50 words overview, for a general audience) 3. Start date of project: 4. End date of project: 5. Total amount requested: 6. Breakdown of costs Please supply an itemized budget, using the form attached. 7. CV: Please append a two (2) page CV for each of the Lead Applicant(s) PRINCETON DEPARTMENTAL ADMINISTRATIVE CONTACT Departmental administrative/ financial contact: name, address, and ENDORSEMENT BY PRINCETON DEPARTMENT CHAIR Signature of Head/Chair Name of Head/Chair I endorse this application. I agree to provide the necessary facilities and administrative support. Departmental administrative/ financial contact: name, address, and Yes USP DEPARTMENTAL ADMINISTRATIVE CONTACT ENDORSEMENT BY USP FACULTY OR INSTITUTE DEAN Name/Signature of Head/Chair I endorse this application and agree to provide the necessary facilities and administrative support. Yes

3 Breakdown of funds requested (directly incurred costs only) Part I Funds requested from Princeton Please summarize the funds requested by Princeton University financial year (July 1 June 30) Budget cannot support hiring of administrative staff. Other*: please include details on of any additional resources (office or laboratory space, library access etc.). Other*: Indicate additional financial support and amount from sponsoring units or external grants. Purpose Year 3 (2017/18) Total cost all years Travel and Accommodation Consumables Facilities use Number of graduate students and Number of undergraduate students and Number of faculty members and Other* (please specify) Total Notes Princeton/USP funding will commence September Please ensure that the final total listed on this table matches that provided on the main application form.

4 Part II Funds requested from The University of São Paulo Please summarize the funds requested by The University of São Paulo financial year Budget cannot support hiring of administrative staff. Other*: please include details on of any additional resources (office or laboratory space, library access etc.). Other*: Indicate additional financial support and amount from sponsoring units or external grants. Purpose Year 3 (2017/18) Total cost all years Travel and Accommodation Consumables Facilities use Number of graduate students and Number of undergraduate students and Number of faculty members and Other* (please specify) Total Notes Princeton/USP funding will commence September Please ensure that the final total listed on this table matches that provided on the main application form.

5 Breakdown of budget for the proposal Please summarize the budget including the funds from Princeton/ U Sáo Paulo, own fundings and external fundings Items Total all years Real/ Real/ Year 3 (/2017/18) Real/ The Funds from Princeton The Funds from U Sáo Paulo Princeton Department s/ Program s own funds U Sáo Paulo Department s /Program s own funds Princeton Department s/ Program s external funds (please specify) U Sáo Paulo Department s/ Program s external funds (please specify) Total () (Real)