Application Number (Office Use Only) RDGS /14

APPLICATION FOR

CENTRAL RESEARCH GRANT SCHEME 2013

For Funding Commencing in 2014

When completing this form,it is essential to refer to the Central Research Grant Schemeguidelines for 2013 (

Applications must be SUBMITTED ELECTRONICALLYby4.00pm on Friday 18 October 2013.

Please provide the Office for Researchwith ONE complete signed PDF electronic copy sent to the email below(one attachment only). If the application is in any other format and/or if itis submitted unsigned, it will be considered ineligible.

Late applications will not be accepted.

Applications are to be SUBMITTED to:

Zana Stefanovski

Senior Officer, Research Funding

Please use Arial Point 12 to complete this application

Early Career Researcher Application
Indigenous Researcher Application /
First named Chief Investigator
Indicate thePanel that this application should be forwarded to (tick appropriate box) / Arts and Education
Business, and Law & Justice

Engineering and Science

Health & Biomedicine and Sport & Exercise Science
  1. Total funds requested in this application
  1. Project title (Short descriptive title in lay language and 20 wordsmaximum).
  1. Project summary ( In 100 wordsmaximum and in lay languagediscuss aims, significance, expected outcomes and if applicable, the nature of the collaboration with your External Partner(s))
  1. If you hold a Postdoctoral Research Fellowship, explain (100 words maximum) how this Project differs from your current fellowship focus.
  1. If you are an Indigenous Researcher explain (100 words maximum) how this Project will benefit Indigenous people/individuals/families and/or communities.
  1. Explain how your Project aligns with the University’s Research Plan(100 words maximum):
  1. Describe the existing, or developing research environment within your College for this Project under these titles: 1. Intellectual environment 2. Facilities, infrastructure, equipment (150 wordsmaximum).
  1. Summary of participants, including all Chief, Mentor, Partner and Associate Investigators (to be retained in the same order throughout the application).

Person
Number / Family Name / Title / Initials / College/Centre/Institute / Role
(CI, MI, PI or AI)
1
2
3
4
5
  1. Research classification codes

(Refer to the Office for Research website at

Field of Research
(FOR) codes / % / Socio-Economic Objective
(SEO) codes / %
  1. Participant details

Individual details for each Chief, Mentor, Partner or Associate Investigator

Complete a new page for each participant listed in Section 8

Person number (see Section 8)

Name and personal details

Family name / Title
First name / Second name
Role (CI, MI, PI or AI) / Sex / Email
Phone / Fax
College/Centre/Institute

Current position

Position
title / Year appointed to VU
Highest academic qualification
Type / Organisation / Country
Year/month
awarded / (or) Date thesis submitted
(or) Conferred
  1. Industry/Community Partner and/or Organisation Details (if applicable)

Complete a copy of this page for each Industry/Community Partner and/or Organisation associated with the proposal.

Organisation contact

Family name / Title
First name / Second name
Phone / Fax
Email

Organisation postal address (abbreviate the State)

Organisation
Postal address line 1
Postal address line 2
Locality / State / Postcode / Country
  1. What will be the specific researchoutputs from your project?
  1. Budget

All costs should be quoted excluding GST.

Detailed Budget (List all items individually) / $ Amount
Requested / Other Support
(cash (C) and/or in-kind (IK); define which and source)
PERSONNEL
(include type and level of appointment and salary on-costs)

EQUIPMENT
MAINTENANCE
TRAVEL
OTHER
TOTAL:
  1. Certification by Chief, Mentor, Partner and Associate Investigators

I certify to the best of my knowledge that:

1.This application adheres to the Central Research Grants Scheme Guidelines 2013 supplied to all applicants; and

2.I am submitting one application to the Central Research Grants Scheme2013 where listed as a Chief Investigator; and

3.That this application has been subjected to the Quality Assurance processes for such applications provided by my College;

4.If I am successful, I will accept the Conditions of Award relating to theCentral Research Grants Scheme, and

5.I understand and agree that all statutory requirements, as itemised in the application form, must be met before payment for the proposed research can be made; and

Names, Signatures and Position on Grant -Chief/Mentor/Partner/AssociateInvestigator

1.______Date:

2.______Date:

3.______Date:

4.______Date:

5.______Date:

  1. Certification for Indigenous Research Projects

I certify that theMoondaniBalluk Academic Unit approves of this Indigenous Research Project.

Name:

Signature: ______Date:

  1. Certification by College Research Director

1.I certify that the Project which is the subject of this Application can be accommodated within the general facilities in my College and that sufficient working and office space is available for any proposed additional staff.

2.I am prepared to have the Project carried out in my College under the circumstances set out by the applicant/s in this Application.

3.I have noted the time commitment which the investigator/s propose to devote to the Project and certify that it is appropriate to existing workloads; and

4.I agree that this Application adheres to the Central Research Grants Scheme guidelines supplied to all applicants.

Note: A confidential statement may be forwarded if thought advisable.

Name:

Signature: ______Date:

Notes: All certifications must be signed and dated prior to submission of the Application.

For applications which involve researchers from more than one College, it would be expected that the application is handled and certified through the College of the first-named Chief Investigator.

ADDITIONAL INFORMATION: FREE FORM TEXT

In no more than FIVE pages, provide the following information in lay language:

RESEARCH PROPOSAL

Research Plan (Under the following titles)

1.Aims, significance and expected outcomes and impacts of the Research Project. Include any specific hypotheses to be tested if applicable.

2.Research plan, methods, techniques and proposed timing.

3.Justification of the budget.

4.Benefit of project outcomes to the wider community

Research Team and Collaboration (Under the following titles)

5.Relevance of Chief Investigator skills, training and experience to the Project.

6.Role of each named Investigator in the proposed Project; include role of any other participant/s.

7.Explanatory statement of track record of Chief, Mentor, Partner and Associate Investigator relative to opportunity.

8.Relevance of research to Industry/Community Partner and/or Organisation (if applicable), and Western region of Melbourne and beyond.

9.Relationship of the Project to a University Institute or Research Centre

(Refer to:

Future Funding

10.Expected outcome of the Project in relation to the preparation of future funding proposals.

ITEMS ADDITIONAL TO THE FIVE PAGE LIMITATION:

1.Project references list (one page limit).

2.List of top ten publications for each Chief/Mentor/Partner/AssociateInvestigator.

You must number your publications continuously, beginning with the most recent and asterisk the publications relevant to this Project.

3.For each MI and CI, please provide a 3 page (or less) CV summary.

4.Signedletter(s) of support from the industry/communityorganisation(s) involved (if applicable).

5.Progress report for anycurrent Victoria University internal grant if applicable

6.Copy of any final report(s) for completed RDGS project(s) within the last 2 years (if applicable).

7.Include any investigator eligibility clarifications (including ECR) provided by the Office for Research.

8.If relevant, include one page argument for ECR career interruption.

1