WESTERN INTERNAL GRANT COMPETITION
FUNDED BY THE ALZHEIMER SOCIETY LONDON AND MIDDLESEX & THE ALZHEIMER FOUNDATION LONDON AND MIDDLESEX
Important Information and Regulations:
If you wish to receive a preliminary administrative review by Research Development & Services (RD&S), email your application to before the deadline date.
1. Application must be completed and signed by the PI, and Chair before submitting for Dean’s approval. Email application to appropriate contact for Dean’s approval. Please note that only the award recipient will be required to complete a ROLA Proposal post adjudication.
2. RD&S Deadline: Submit your completed application with all required signature approvals in one PDF document to by 4:30 pm on December 1, 2014. CV’s, quotes and other supporting documents can either be copied into the last page of your application or emailed as separate attachments. Please note that hard copy submissions are not required, but will also be accepted.
See Research Western website for deadlines at: http://www.uwo.ca/research/funding/internal/AFLM_Premier_Research_Grant.html.
Require Assistance? Internal competitions are administered by Research Development & Services (RD&S), Room 5150, Support Services Building. (Tel: 519-661-2111 ext 84500, E-mail: ).Investigator Profile and Signature:
Principal Investigator: I have read and agree to adhere to the policies as outlined in the Western Internal Grants and the AFLM Premier Research Grant Guidelines.
Name: / Rank:Department or School: / Faculty:
E-mail:
Signature of Applicant: / Date of 1st Appointment at Western:
Co-Investigators:
Name / Rank / Affiliation / Signature
Summary:
Project title:
Amount Requested: $
Round amount requested to the nearest dollar (must be in Canadian currency).
Chair (or Director) and Dean Signatures:
Signature approval confirms support for this application and agreement that the terms and conditions as outlined in Western’s policies, as well as, the Internal Grants and AFLM Premier Research Grant Guidelines have been met.
Chair’s (or Director’s) Signature:
Signature, Department Chair
or Director: Date: R
Dean’s Signature:
Signature, Dean of Faculty: Date: R Grant Information:
Research Grant Information:
Justification for Application to this Competition
Brief Description of the Project
Describe the project in 200 words or less and in language suitable for communication with the general public. If funding is awarded, this description may be used in reports, newsletters, or media releases. A brief statement of the objectives, method of investigation, and potential results should be included.Project Proposal
Describe the project in detail and in terms and language capable of being understood by an academic from another discipline. Detailed technical terms and jargon should be avoided.· Maximum length of 3 pages. minimum size 10 font, and ¾ inch margins.
· References, if necessary, may follow on a separate page.
· All the following items must be identified by sub-headings:
a) Provide the objectives and underlying hypotheses.
b) Present state of the knowledge bearing on the proposed project.
c) Describe the procedures or research design, including methods, analyses, and criteria for evaluation of results.
d) Explain the significance for your field of study and for the University.
e) Outline the form of publication and/or presentation you expect the results to take.
f) Explain the contribution to the development of Highly Qualified Personnel (HQP).
BUDGET
Double click on Spreadsheet to activate MS Excel and fill in your budget amounts. Click outside the spreadsheet when complete and resave the document. Please fill in greyed sections only. Scroll back to top of budget sheet prior to exiting. Refer to Program Specific Guidelines for ineligible expenses.
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BUDGET JUSTIFICATION:
Please refer to Program Specific Guidelines for eligible and ineligible expenses.
Budget Justification
An adequate budget justification is required for this internal program. Applicants are required to provide written quotes for equipment, air and train fares, which can be copied at the end of this application or emailed as separate attachments.CV, Quotes and Other Supporting Documents:
On this page, please insert your full CV (eg. Common, SSHRC, FORM 100 or other CV format), required quotes and/or any other additional documents, such as letters of support.
Please note that all CV submissions must include from the past 5 years (at minimum): Publications, Graduate Student Supervision, and Funding for Pending, Present and Past Awards. CV submissions will only be used for the purpose of this competition.
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