EXECUTIVE SUMMARY
TITLE of the PROJECT:
AMOUNT REQUESTED(€): Individual project Collaborative project
YEARS of SUPPORT:Pilot project: Yes No
The undersigned have reviewed the present application, certify the statements herein are true, complete and accurate, have read the conditions and policies of the ELA Research Foundation concerning research support and accept to comply with such conditions and policies if the present application is awarded by the ELA Research Foundation.PRINCIPAL INVESTIGATOR / Name: / Degree(s):
Position: / Institution: / Department:
Address:
Type of Institution: / Department Head:
Phone: / Fax: / E-mail:
DATE & SIGNATURE:
LEGAL GRANT OFFICER / Name:
Institution: / Department:
Address:
Phone: / Fax: / E-mail:
DATE, SEAL of the INSTITUTION & SIGNATURE:
ABSTRACT
See instructions on page 1 of the 2015 Instructions & Policies of the ELA Foundation
ELA 2015 Page1/34 Executive Summary
Principal Investigator:
CO-INVESTIGATORS(if applicable)
The undersigned have reviewed the present application, certify the statements herein are true, complete and accurate, have read the conditions and policies of the ELA Research Foundation concerning research support and accept to comply with such conditions and policies if the present application is awarded by the ELA Research Foundation.CO-INVESTIGATOR 1 (TEAM B) / Name: / Degree(s):
Position: / Institution: / Department:
Address:
Type of Institution: / Department Head:
Phone: / Fax: / E-mail:
DATE & SIGNATURE:
LEGAL GRANT OFFICER for TEAM B / Name:
Institution: / Department:
Address:
Phone: / Fax: / E-mail:
DATE, SEAL of the INSTITUTION & SIGNATURE:
CO-INVESTIGATOR 2 (TEAM C) / Name: / Degree(s):
Position: / Institution: / Department:
Address:
Type of Institution: / Department Head:
Phone: / Fax: / E-mail:
DATE & SIGNATURE:
LEGAL GRANT OFFICER for TEAM C / Name:
Institution: / Department:
Address:
Phone: / Fax: / E-mail:
DATE, SEAL of the INSTITUTION & SIGNATURE:
Describe in a few words why support from the ELA Research Foundation is critical for this project:
ELA 2015 Page1/34 Executive Summary
Principal Investigator:
RATIONALE
See instructions on page 1 of the 2015 Instructions & Policies of the ELA Foundation
PERSONNEL INVOLVED in the PROJECT
See instructions on page 1 of the 2015 Instructions & Policies of the ELA Foundation
ELA 2015 Page1/34 Executive Summary
PUBLICATIONS
See instructions on page 2 of the 2015 Instructions & Policies of the ELA Foundation
ELA Research Foundation, 2010 Page 1/34 Front Page
Principal Investigator:
GLOBAL BUDGET per TEAM
TEAM A / YEAR 1 / YEAR 2 / YEAR 3 / ENTIRE PROJECTPERSONNEL
SUPPLIES
EQUIPMENT
TRAVEL
TOTAL COSTS
REQUESTED ELA CONTRIBUTION / Euros
%
TEAM B (if applicable) / YEAR 1 / YEAR 2 / YEAR 3 / ENTIRE PROJECT
PERSONNEL
SUPPLIES
EQUIPMENT
TRAVEL
TOTAL COSTS
REQUESTED ELA CONTRIBUTION / Euros
%
TEAM C(if applicable) / YEAR 1 / YEAR 2 / YEAR 3 / ENTIRE PROJECT
PERSONNEL
SUPPLIES
EQUIPMENT
TRAVEL
TOTAL COSTS
REQUESTED ELA CONTRIBUTION / Euros
%
OVERALL GLOBAL BUDGET
YEAR 1 / YEAR 2 / YEAR 3 / ENTIRE PROJECTTEAM A
TEAM B(if applicable)
TEAM C (if applicable)
TOTAL COSTS
REQUESTED ELA CONTRIBUTION / Euros
%
List other sources of funding for this project:
ELA 2015 Page 1/34 Executive Summary
Principal Investigator:
RESEARCH PLAN
See instructions on page 2 of the 2015 Instructions & Policies of the ELA Foundation
ELA 2015 Page 1/34 Research Plan
Principal Investigator:
PRINCIPAL INVESTIGATOR’S BIOGRAPHICAL SKETCH – TEAM A
See instructions on pages 2 & 3 of the 2015 Instructions & Policies of the ELA Foundation
Name & Degree:Position:
A. Education, Training, Positions & Honors
B. Peer-Reviewed Publications
ELA 2015 Page1/34 Team A - PI Biographical Sketch
Principal Investigator:
PERSONNEL INVOLVED in the PROJECT – TEAM A
TO BE FUNDED by the PROJECT
Name & Degree / Date of birth / Position / Institution / SIGNATURENOT FUNDED by the PROJECT
Name & Degree / Date of birth / Position / Institution / SIGNATUREELA 2015 Page1/34 Personnel Form – Team A
Principal Investigator:
PERSONNEL’S BIOGRAPHICAL SKETCH – TEAM A
See instructions on page 3 of the 2015 Instructions & Policies of the ELA Foundation
ELA 2015 Page1/34 Team A - Personnel Biographical Sketch
Principal Investigator:
GLOBAL BUDGET – YEAR 1 – TEAM A
PERSONNEL / Name / % Effort / Annual Base Salary (€) / Annual Salary Requested (€) / Annual Fringe Benefits (€) / TOTAL (€)ELA
NON-ELA FUNDED
SUBTOTALS:
SUPPLIES
EQUIPMENT
TRAVEL*
TOTAL COSTS
REQUESTED ELA CONTRIBUTION / in Euros
in % of the TOTAL COSTS
GLOBAL BUDGET – YEAR 2 (if applicable) – TEAM A
PERSONNEL / Name / % Effort / Annual Base Salary (€) / Annual Salary Requested (€) / Annual Fringe Benefits (€) / TOTAL (€)ELA
NON-ELA FUNDED
SUBTOTALS:
SUPPLIES
EQUIPMENT
TRAVEL*
TOTAL COSTS
REQUESTED ELA CONTRIBUTION / in Euros
in % of the TOTAL COSTS
*See instructions on page 3 of the 2015 Instructions & Policies of the ELA Foundation
ELA 2015 Page1/34 Team A - Budget Form 1
Principal Investigator:
GLOBAL BUDGET – YEAR 3(if applicable) – TEAM A
PERSONNEL / Name / % Effort / Annual Base Salary (€) / Annual Salary Requested (€) / Annual Fringe Benefits (€) / TOTAL (€)ELA
NON-ELA FUNDED
SUBTOTALS:
SUPPLIES
EQUIPMENT
TRAVEL*
TOTAL COSTS
REQUESTED ELA CONTRIBUTION / in Euros
in % of the TOTAL COSTS
*See instructions on page 3 of the 2015 Instructions & Policies of the ELA Foundation
GLOBAL BUDGET SUMMARY – TEAM A
TEAM A / YEAR 1 / YEAR 2 / YEAR 3 / ENTIRE PROJECTPERSONNEL
SUPPLIES
EQUIPMENT
TRAVEL
TOTAL COSTS
REQUESTED ELA CONTRIBUTION / in Euros
in % of TOTAL COSTS
SEAL of the INSTITUTION & SIGNATURE of the LEGAL GRANT OFFICER: ……………………………..
ELA 2015 Page1/34 Team A - Budget Form 2
Principal Investigator:
GLOBAL BUDGET JUSTIFICATION FORM– TEAM A
Personnel
See instructions on page 3 of the 2015 Instructions & Policies of the ELA Foundation
Supplies
See instructions on page 3 of the 2015 Instructions & Policies of the ELA Foundation
ELA 2015 Page1/34 Team A - Budget Justification Form
Principal Investigator:
Equipment
See instructions on page 3 of the 2015 Instructions & Policies of the ELA Foundation
Equipment / Purchase price(€) / Depreciation rate / Annual depreciation amount (€)TOTAL (€):
Travel
See instructions on page 3 of the 2015 Instructions & Policies of the ELA Foundation
ELA 2015 Page1/34 Team A - Budget Justification Form
Principal Investigator:
CO-INVESTIGATOR’S BIOGRAPHICAL SKETCH – TEAM B(if applicable)
See instructions on pages 2 & 3 of the 2015 Instructions & Policies of the ELA Foundation
Name & Degree:Position:
A. Education, Training, Positions & Honors
B. Peer-Reviewed Publications
ELA 2015 Page1/34 Team B - PI Biographical Sketch
Principal Investigator:
PERSONNEL INVOLVED in the PROJECT – TEAM B(if applicable)
TO BE FUNDED by the PROJECT
Name & Degree / Date of birth / Position / Institution / SIGNATURENOT FUNDED by the PROJECT
Name & Degree / Date of birth / Position / Institution / SIGNATUREELA 2015 Page1/34 Team B - Personnel Form
Principal Investigator:
PERSONNEL’S BIOGRAPHICAL SKETCH – TEAM B(if applicable)
See instructions on page 3 of the 2015 Instructions & Policies of the ELA Foundation
ELA 2015 Page1/34 Team B - Personnel Biographical Sketch
Principal Investigator:
GLOBAL BUDGET – YEAR 1 – TEAM B(if applicable)
PERSONNEL / Name / % Effort / Annual Base Salary (€) / Annual Salary Requested (€) / Annual Fringe Benefits (€) / TOTAL (€)ELA
NON-ELA FUNDED
SUBTOTALS:
SUPPLIES
EQUIPMENT
TRAVEL*
TOTAL COSTS
REQUESTED ELA CONTRIBUTION / in Euros
in % of the TOTAL COSTS
GLOBAL BUDGET – YEAR 2- TEAM B(if applicable)
PERSONNEL / Name / % Effort / Annual Base Salary (€) / Annual Salary Requested (€) / Annual Fringe Benefits (€) / TOTAL (€)ELA
NON-ELA FUNDED
SUBTOTALS:
SUPPLIES
EQUIPMENT
TRAVEL*
TOTAL COSTS
REQUESTED ELA CONTRIBUTION / in Euros
in % of the TOTAL COSTS
*See instructions on page 3 of the 2015 Instructions & Policies of the ELA Foundation
ELA, 2015 Page1/34 Team B - Budget Form 1
Principal Investigator:
GLOBAL BUDGET – YEAR 3- TEAM B(if applicable)
PERSONNEL / Name / % Effort / Annual Base Salary (€) / Annual Salary Requested (€) / Annual Fringe Benefits (€) / TOTAL (€)ELA
NON-ELA FUNDED
SUBTOTALS:
SUPPLIES
EQUIPMENT
TRAVEL*
TOTAL COSTS
REQUESTED ELA CONTRIBUTION / in Euros
in % of the TOTAL COSTS
*See instructions on page 3 of the 2015 Instructions & Policies of the ELA Foundation
GLOBAL BUDGET SUMMARY – TEAM B
TEAM B / YEAR 1 / YEAR 2 / YEAR 3 / ENTIRE PROJECTPERSONNEL
SUPPLIES
EQUIPMENT
TRAVEL
TOTAL COSTS
REQUESTED ELA CONTRIBUTION / in Euros
in % of TOTAL COSTS
SEAL of the INSTITUTION & SIGNATURE of the LEGAL GRANT OFFICER: ……………………………..
GLOBAL BUDGET JUSTIFICATION FORM – TEAM B
Personnel
See instructions on page 3 of the 2015 Instructions & Policies of the ELA Foundation
Supplies
See instructions on page 3 of the 2015 Instructions & Policies of the ELA Foundation
ELA 2015 Page1/34 Team B - Budget Justification Form
Principal Investigator:
Equipment
See instructions on page 3 of the 2015 Instructions & Policies of the ELA Foundation
Equipment / Purchase price (€) / Depreciation rate / Annual depreciation amount (€)TOTAL (€):
Travel
See instructions on page 3 of the 2015 Instructions & Policies of the ELA Foundation
ELA 2015 Page1/34 Team B - Budget Justification Form
Principal Investigator:
CO-INVESTIGATOR’S BIOGRAPHICAL SKETCH – TEAM C(if applicable)
See instructions on pages 2 & 3 of the 2015 Instructions & Policies of the ELA Foundation
Name & Degree:Position:
A. Education, Training, Positions & Honors
B. Peer-Reviewed Publications
ELA 2015 Page1/34 Team C - PI Biographical Sketch
Principal Investigator:
PERSONNEL INVOLVED in the PROJECT – TEAM C(if applicable)
TO BE FUNDED by the PROJECT
Name & Degree / Date of birth / Position / Institution / SIGNATURENOT FUNDED by the PROJECT
Name & Degree / Date of birth / Position / Institution / SIGNATUREELA2015 Page1/34 Team C – Personnel Form
Principal Investigator:
PERSONNEL’S BIOGRAPHICAL SKETCH – TEAM C(if applicable)
See instructions on page 3 of the 2015 Instructions & Policies of the ELA Foundation
ELA 2015 Page1/34 Team C – Personnel Biographical Sketch
Principal Investigator:
GLOBAL BUDGET – YEAR 1– TEAM C(if applicable)
PERSONNEL / Name / % Effort / Annual Base Salary (€) / Annual Salary Requested (€) / Annual Fringe Benefits (€) / TOTAL (€)ELA
NON-ELA FUNDED
SUBTOTALS:
SUPPLIES
EQUIPMENT
TRAVEL*
TOTAL COSTS
REQUESTED ELA CONTRIBUTION / in Euros
in % of the TOTAL COSTS
GLOBAL BUDGET – YEAR 2 - TEAM C(if applicable)
PERSONNEL / Name / % Effort / Annual Base Salary (€) / Annual Salary Requested (€) / Annual Fringe Benefits (€) / TOTAL (€)ELA
NON-ELA FUNDED
SUBTOTALS:
SUPPLIES
EQUIPMENT
TRAVEL*
TOTAL COSTS
REQUESTED ELA CONTRIBUTION / in Euros
in % of the TOTAL COSTS
*See instructions on page 3 of the 2015 Instructions & Policies of the ELA Foundation
ELA 2015 Page1/34 Team C - Budget Form 1
Principal Investigator:
GLOBAL BUDGET – YEAR 3- TEAM C(if applicable)
PERSONNEL / Name / % Effort / Annual Base Salary (€) / Annual Salary Requested (€) / Annual Fringe Benefits (€) / TOTAL (€)ELA
NON-ELA FUNDED
SUBTOTALS:
SUPPLIES
EQUIPMENT
TRAVEL*
TOTAL COSTS
REQUESTED ELA CONTRIBUTION / in Euros
in % of the TOTAL COSTS
*See instructions on page 3 of the 2015 Instructions & Policies of the ELA Foundation
GLOBAL BUDGET SUMMARY – TEAM C
TEAM C / YEAR 1 / YEAR 2 / YEAR 3 / ENTIRE PROJECTPERSONNEL
SUPPLIES
EQUIPMENT
TRAVEL
TOTAL COSTS
REQUESTED ELA CONTRIBUTION / in Euros
in % of TOTAL COSTS
SEAL of the INSTITUTION & SIGNATURE of the LEGAL GRANT OFFICER: ……………………………..
ELA 2015 Page1/34 Team C - Budget Form 2
Principal Investigator:
GLOBAL BUDGET JUSTIFICATION FORM – TEAM C
Personnel
See instructions on page 3 of the 2015 Instructions & Policies of the ELA Foundation
Supplies
See instructions on page 3 of the 2015 Instructions & Policies of the ELA Foundation
ELA 2015 Page1/34 Team C - Budget Justification Form
Principal Investigator:
Equipment
See instructions on page 3 of the 2015 Instructions & Policies of the ELA Foundation
Equipment / Purchase price (€) / Depreciation rate / Annual depreciation amount (€)TOTAL (€):
Travel
See instructions on page 3 of the 2015 Instructions & Policies of the ELA Foundation
ELA 2015 Page1/34 Team C - Budget Justification Form
Principal Investigator:
OVERALL GLOBAL BUDGET(if applicable)
YEAR 1 / YEAR 2 / YEAR 3 / ENTIRE PROJECTTEAM A
TEAM B
TEAM C
(if applicable)
TOTAL COSTS
REQUESTED ELA CONTRIBUTION / in Euros
in % of TOTAL COSTS
LAY SUMMARY
ELA 2015 Page1/34 Overall Budget & Lay Summary Form
Principal Investigator:
RESEARCH SUPPORT – TEAM A
See instructions on page 3 of the 2015 Instructions & Policies of the ELA Foundation
1. ACTIVE, APPROVED or COMPLETED GRANTS related to the present proposal
2. PENDING GRANTS related to the present proposal
3. GRANTS UNRELATED to the present proposal
RESEARCH SUPPORT – TEAM B(if applicable)
See instructions on page 3 of the 2015 Instructions & Policies of the ELA Foundation
1. ACTIVE, APPROVED or COMPLETED GRANTS related to the present proposal
2. PENDING GRANTS related to the present proposal
3. GRANTS UNRELATED to the present proposal
RESEARCH SUPPORT – TEAM C(if applicable)
See instructions on page 3 of the 2015 Instructions & Policies of the ELA Foundation
1. ACTIVE, APPROVED or COMPLETED GRANTS related to the present proposal
2. PENDING GRANTS related to the present proposal
3. GRANTS UNRELATED to the present proposal
TABLE OF CONTENTS
EXECUTIVE SUMMARY......
CO-INVESTIGATORS (if applicable)
RESEARCH PLAN......
A.Specific Aims
B.Background and Significance
C.Preliminary Studies
D.Research Design & Methods
E.Timeline
F.Leadership Plan
G.Literature Cited
PRINCIPAL INVESTIGATOR’S BIOSKETCH – TEAM A......
PERSONNEL FORM – TEAM A......
PERSONNEL’S BIOGRAPHICAL SKETCH – TEAM A......
GLOBAL BUDGET – TEAM A......
GLOBAL BUDGET JUSTIFICATION FORM – TEAM A......
TEAM B (if applicable)
CO-INVESTIGATOR’S BIOSKETCH......
PERSONNEL FORM
PERSONNEL’S BIOGRAPHICAL SKETCH......
GLOBAL BUDGET......
GLOBAL BUDGET JUSTIFICATION FORM......
TEAM C (if applicable)
CO-INVESTIGATOR’S BIOSKETCH......
PERSONNEL FORM
PERSONNEL’S BIOGRAPHICAL SKETCH......
GLOBAL BUDGET......
GLOBAL BUDGET JUSTIFICATION FORM......
OVERALL GLOBAL BUDGET......
LAY SUMMARY......
RESEARCH SUPPORT – TEAM A......
RESEARCH SUPPORT – TEAM B (if applicable)
RESEARCH SUPPORT – TEAM C (if applicable)
ELA 2015 Page1/34 Research support