ATTACHMENT 1 RESEARCH PROPOSAL FORM GENERAL INFORMATION ABOUT THE PROJECT PROJECT TITLE: TOPICS KEYWORDS (UP TO 3, SEE THE LIST IN ATTACHMENT 2): BUDGET REQUESTED: PRINCIPAL INVESTIGATOR: Name and Surname Position Title: Present affiliation Phone number: / Email address: Att. 1 Research Proposal Form 1
PROPOSED RESEARCH TEAM RESEARCH TEAM LEADER (PI): EXPERTISE RESEARCH TEAM EXPERTISE REQUIRED FOR ADDITIONAL RESEARCHERS TO BE INVOLVED: TIME REQUIRED FOR EACH ADDITIONAL RESEARCHER PER YEAR: TECHNICAL EXPERTISE REQUIRED : TECHNICIANS TIME REQUIRED PER YEAR: RESEARCH EXPERTISE TO BE PROVIDED BY THE HOST RESEARCH GROUP AT INT TECHNOLOGIES REQUIRED FOR THE PROJECT AND TO BE PROVIDED BY THE HOST RESEARCH GROUP AT INT INT RESEARCH GROUP WHERE YOU ASKED TO CONDUCT YOUR RESEARCH PROJECT DESCRIBE THE REASON FOR YOUR CHOICE Att. 1 Research Proposal Form 2
1. ABSTRACT (MAX 3.200 CHARACTERS) 2. BACKGROUND AND STATE OF THE ART / PRELIMINARY DATA / (INCLUDE 5 RELEVANT REFERENCES IN PEER REVIEWED JOURNALS) (MAX 10.000 CHARACTERS) FIGURES (MAX 2, IN PDF FORMAT) Att. 1 Research Proposal Form 3
3. HYPOTHESIS (MAX 3.000 CHARACTERS) 4. AIMS (MAX 2.000 CHARACTERS) SPECIFIC AIMS: AIM 1: AIM 2: AIM 3: Att. 1 Research Proposal Form 4
5. PROPOSAL MAIN BODY (MAX 23.000 CHARACTERS) a. EXPERIMENTAL DESIGN b. EXPECTED RESULTS AND MILESTONES ALONGSIDE THE PROJECT c. METHODOLOGIES AND STATISTICAL ANALYSIS d. PITFALLS AND CAVEATS GANTT CHART (ADD PDF FILE, MAX 2 Mb) 6. SIGNIFICANCE AND INNOVATION (MAX 3.000 CHARACTERS) 7. GENERAL TRANSFERABILITY, POTENTIAL IMPACT OF RESULTS, AND OUTPUT(S) OF THE PROJECT (MAX 6.500 CHARACTERS ) Att. 1 Research Proposal Form 5
COST OF THE PROJECT MANAGEMENT (in Euro) COST CATEGORY REQUIRED FUNDING () 1 st year 2 nd year 3 rd year Total Salary of the PI Consumables and supplies Meetings and travel costs Publication costs Subcontracting for services TOTAL JUSTIFICATIONS 1 st year PROJECT STAFF CONSUMABLES AND SUPPLIES MEETINGS AND TRAVEL COSTS PUBLICATION COSTS SUBCONTRACTING FOR SERVICES 2 nd year PROJECT STAFF CONSUMABLES AND SUPPLIES MEETINGS AND TRAVEL COSTS PUBLICATION COSTS SUBCONTRACTING FOR SERVICES Att. 1 Research Proposal Form 6
3 rd year PROJECT STAFF CONSUMABLES AND SUPPLIES MEETINGS AND TRAVEL COSTS PUBLICATION COSTS SUBCONTRACTING FOR SERVICES Att. 1 Research Proposal Form 7
Short European CV of the P.I. (MAX 1 PAGE; ADD A LIST OF PUBLICATIONS FROM THE LAST 5 YEARS) REPORT UP TO 10 REFERENCES RELEVANT TO THE TOPIC AREA OF THIS PROPOSAL) Att. 1 Research Proposal Form 8
List all the public and private grants you were awarded during the last 3 years Alternatively, indicate at least one project that was not funded but obtained a score just below threshold (please, indicate score and threshold level) Awards List the papers you published as first, last or corresponding author Participation in clinical studies (profit/noprofit, title of the Study, name and affiliation of its Principal Investigator) Att. 1 Research Proposal Form 9
BIOETHICAL REQUIREMENTS Research on Humans Does the research plan include clinical trials with patients and/or healthy volunteers, or involve the use of human biological samples, genetic material or data collection? YES NO If yes, please check one of the following boxes (the clearance must be valid through the entire funding period): I have obtained the clearance from the competent Ethics Committee/Institutional Review Board, and I am attaching it to the application as an Addendum. I have not obtained the clearance from the competent Ethics Committee/Institutional Review Board yet, but I will provide it before the start of the grant, if awarded. Date.. 2017 PI s signature Research on animals Does the proposed research involve animal experimentation? YES NO If yes, please check one of the following boxes (the clearance must be valid through the entire funding period): o o I have obtained the clearance from the Ministry of Health to carry out the described animal experimentation, and I am attaching it to the application as an Addendum; I have not obtained the clearance from the Ministry of Health yet, but I will provide it before the start of the grant, if awarded. In any case, the applicant declares that the research studies are accurately described in the proposal and conform to all regulations protecting animals used for research purposes, including those of the DL 26/2014. The experiments described in the proposal will be performed following the guidelines described in: Wolfensohn S, Lloyd M: 'Handbook of Laboratory Animal Management and Welfare, 4th Edition' (Wiley Blackwell, 2013). Date 2017 PI s signature Att. 1 Research Proposal Form 10