TAITA-TAVETA UNIVERSITY

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RESEARCH GRANT PROGRAMME

APPLICATION FORM

2016/2017

Read carefully the Guidelines and general instructions pertaining to specific questions before filling the application form. The form may not be modified from its original format.

1.0 / APPLICANT
Title…………………. Surname:…………………………………
Given name (s) ……………………………… Gender:…………………….
Nationality……………………
ID Number:…………………………(Attach a copy)
Faculty/School: ……………………………….
Department: ………………………………….
PF No. …………………
Highest qualification (e.g. Ph.D, M.Sc, MA, B.Sc, BA, etc) (Attach a copy of the certificate and a brief CV- Max 2 pages).
Contacts:
Email:...... Tel………………………………………..
P.O. Box ……………………………………………………………………………………
2.0 / SIGNATURES
The Staff and the Head of Department must sign this section. It should bear official stamp.
Application’s Signature:______Date:______
I, the Head of this Department, declare:
·  That the above named applicant is a staff at the department;
·  That the department supports this application and will ensure the project is implemented as scheduled if he/she receive the Research Grant;
·  That the proposed project has been approved by the department to commence.
Head of Department’s Signature:______Date:______
Title, Name, Official position and Department stamp:______
______

3.0 GRANT ADMINISTRATION AND PROJECT SITE

3.1 The Department for the applicant that will administer the Grant:
Full Name and Address:
Telephone Numbers of the Department:…………………………. Mobile ……………………
Email: ……………………………………………..
Fax ……………………………..
Official stamp:
3.2 If the research project will be carried outside the Department or location different from the one provided in 3.1, please provide the full address for the project site location in the space below.
(TTUC,ARO Division must be notified immediately when project location changes during the implementation)
Full Name and Address:
Telephone Numbers of the Institution:…………………………. Mobile ……………………
Email: ……………………………………………..
Fax ……………………………

4.0 PROPOSED RESEARCH

(Expand the spaces provided in the form to fit. The proposal should not exceed 20 pages, Times New Roman font size 12, single spacing) excluding relevant appendices e.g. CV, letter of approval etc)

Title of your Research:
Area of specialization:
Abstract: (Maximum of 300 words)
Select 3 – 5 key words describing the project:
i)______ii)______
iii)______iv)______
v)______
4.1. Give background to the proposed research. Define the problem that the proposal seeks to address, stating the justification the project (Maximum 5 Pages)
4.2. Up-to-date scholarly knowledge (Provide relevant and updated literature review information related to your proposed research. Max 2 pages)
4.3. State the objectives of the research (1/4 Page)
4.4. State your hypothesis/research question (1/4 Page)
4.5. State clearly the expected outputs of the research and linking them with the objectives (1/4 Page)
4.6. Identify clearly the potential beneficiaries of the research results and the expected impacts to the community (Max. 1 Page)
4.7. Provide list and Contacts of the Co-investigators or Coordinators and state their roles in the project (Attach their CVs, Max 2 pages)

5.0. RESEARCH DESIGN AND DATA ANALYSIS

5.1 Describe the research Methodology (Provide clearly descriptions of the scientific methodologies you will use in this research, indicating statistical methods, experimental designs and analysis to be used etc)(Maximum 5 Pages)
5.2 Identify specialized equipments, facilities and infrastructure which are required for the project (1/2 Page)
5.3 For studies using human participants indicate eligibility (inclusion/exclusion) criteria, access and recruitment, incentives, etc (1/2 Page)

6.0 PROJECT ACTION PLAN

§  How long will your Project last? ______months

§  When do you wish to start your project? ______/______(month/year)

Detailed Plan of Activities:

Provide a clear indication of the tasks that will be performed to complete the work in the following format. (Attach the workplan separately).

Task / Year
Q1 / Q2 / Q3 / Q4
Activity 1
Activity 2
Etc,

7.0 FACILITIES AND FUNDING

7.1 / List facilities relevant to the research project available at your department
(1/4 Page)
7.2 List any other funds that you or your donor or your department have obtained or applied for this research project
Donor / Time frame / Amount (Kshs)
7.3 If you have Co-funding for your project, please give details of the funding you have received and why this Grant is needed to complement the other support

8.0 BUDGET

(Note that institutional overheads/charges, administration fee are not accepted. Emphasis on budget allocation should be placed on expendable supplies. (This Grant does not support the acquisition of :- Laptops; Desktop Computers; Printers; Microscopes; Refrigerators; Deep freezers; Microwaves; Cameras; Mobile phones and tuition fees). Any equipment procured will remain property of the university.

8.1 / Expendable supplies / Costs (Ksh)
Sub-total
8.2 / Equipment (Specify each item) / Costs (Ksh)
Sub-total
8.3 / Documentation, literature, information / Costs (Ksh)
Sub-total
8.4 / Local travel / Costs (Ksh)
Sub-total
8.6 / Other costs (specify) / COST IN KSHS
Sub-total
TOTAL BUDGET (Kshs): ……………………………………………………….
(Total budget must not exceed the Advertised limit. Any applications exceeding the limit will not be considered)
8.7 List the items you requested funding for in the budget, describing their function, explain their cost, and justifying their use in this research (Attach clear explanatory notes of the budget).
References (List all publications/literature materials cited in this application)

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