Appel d’offres structurant CGO 2016 - Sciences Humaines et Sociales

  1. SUMMARY

Research project title
Please type your title here
Project acronym
Please indicate your project acronym here.
Key words
Please type specific key words that you think best describe and categorize your proposed research.
Applicant’s full name (project leader)
Title[1]
First Name
Last Name
Function[2]
Team number
Department / laboratory
University / Faculty / School
Host Institution[3]
CONTACT DETAILS
Address
E-mail
Tel(direct line) / mobile
Fax (if available)
Technology Transfer Office
Requested budget & total duration of the project
Requested amount : / (K€) / Total duration of project: / months
  1. TABLE OF CONTENTS

  1. Summary
/ 1
  1. Table of contents
/ 2
  1. Project abstract
/ 3
  1. Associated teams and personnal involved in the project
/ 4
  1. Funding beneficiary Institution
/ 6
  1. Scientific project
/ 7
  1. Project management
/ 8
  1. Exploitation of the project results
/ 9
  1. Other informationkey
/ 10
  1. Skills and expertises
/ 11
  1. Signatures
/ 13
  1. PROJECTABSTRACT

Application domain, innovative component, objective, expected outcomes (Max one page)

  1. ASSOCIATED TEAMS AND PERSONNAL INVOLVED IN THE PROJECT

Name / Téléphone
E-mail / Affiliated institution3 / Position2 / % time allocated to the project
Team 1
Manager
Other involved staff
Team 2
Manager
Other involved staff
Team 3
Manager
Other involved staff
Team 4
Manager
Other involved[4] staff
Name / Téléphone
E-mail / Affiliated institution3 / Position2 / % time allocated to the project
Team 5
Manager
Other involved staff
Team 6
Manager
Other involved staff
Team 7
Manager
Other involved staff
Team 8
Manager
Other involved staff
  1. FUDING BENEFICIARY INSTITUTION

Team / Funding recipient body / Legal representative
Adress / Administrative representative in charge of the dossier
Email
Tel (direct line)
Fax
Team 1
Team 2
Team 3
Team 4
Team 5
Team 6
Team 7
Team 8
  1. SCIENTIFIC PROJECT

(cf. cahier des charges détaillé dans le texte de l’appel à projets)

Scientific project (max. 20 pages)
  • Description of the project
  • Context, hypothesis and research work’s main objective(s),
  • National and international relevance, state of the art
  • Detailed description of the envisionned methodology
  • each associated team and partnership added value
  • expected results
  • research outcomes

  1. PROJECTMANAGEMENT

Description of management -Added value of the associated teams -meeting, reports and communication - methods for project management and quality control- funding adequacy and justification of the estimated funding
Max 2 pages
  1. EXPLOITATION OF THE PROJECT RESULTS

Perspectives in terms of: IP (patent), technological, economic and social potential
  1. OTHER KEY INFORMATION

Please indicate below eventual key additional information that you have not indicated previously:

  1. Skills and expertises

Coordinator
Short CV of the coordinator (max 2 pages)
Major scientific publications of the project coordinator demonstrating his/her expertise in the project field during the last five years
1.
2.
3.
4.
5.
Scientific managers of the involved teams
Short CV of the managers (max 2 pages)
Major scientific publications of the associated team manager demonstrating his/her expertise in the project field during the last five years
1.
2.
3.
4.
5.

11 - SIGNATURES

Signature of the project coordinator
I the undersigned, Last and first name of the project coordinator:
confirm the feasibility of the project such as has been described in the application file.
Signature:Signed in on
Signature of the director of the laboratory that hosts the project coordinator / Signature
I the undersigned, Last and first name of the director of the laboratory:
authorize M or Mme
to develop and coordinate this project and contract to allow this person to carry it out.
Signature:Signed in on

ENGAGEMENT DU COORDONNATEUR DU PROJET

Dans le but de garantir le bon déroulement du projet, il est indispensable que le coordonnateur consacre le temps nécessaire au suivi des différents travaux réalisés dans le cadre du projet, à la communication entre les partenaires et à la production des rapports et documents qui seront à adresser au Cancéropôle Grand Ouest et aux régions partenaires de cet appel d’offres.

De plus, le coordonnateur s’engage à informer tous les établissements et/ou organismes gestionnaires susceptibles de recevoir des fonds.

Nom: Prénom:

Date:

Signature:

1

Appel d’offres structurant CGO 2016 - SHS

[1]Examples: PhD, engineer, professor, medical doctor, PhD Student, Other

[2] Examples: team leader, lab head, research director, senior scientist, clinician…

[3]Examples: CNRS, INSERM, CEA. University, CHU, other (precise)

[4]Exemples: CNRS, INSERM, CEA. Université, CHU et autres organismes impliqués dans le projet…

5 Exemples: Chercheur, Universitaire, Hospitalo-Universitaire (HU), Praticien-Hospitalier (PH), Clinicien, ITA/ IAT OS, doctorant, post-doctorant et autres CDD