Application Form Funding Instruments I-V, Version 1.0

2017

Competitive Call for Research Proposals

PROJECT APPLICATION FORM

Version 1.0: 5 July 2017

under Call funding Instruments I to V

(Excludes Funding Instruments VI and VII)

DEADLINE FOR COMPLETED APPLICATION SUBMISSION

Thursday 14th September 2017@ 1pm

IN PDF AND BUDGET IN SPREAD SHEETS VIA EMAIL TO

All responses to this Call for Submission of Proposals will be treated in confidence and no information contained therein will be communicated to any third party without the written permission of the applicant except insofar as is specifically required for the consideration and evaluation of the proposal or where co-funded, for the monitoring and evaluation of project and programme outcomes, or as may be required under law, including the Freedom of Information Act 2014, and in accordance with the conditions of that Act.

The Call Specification and Guidelines for Applicants must be read and fully understood in order to correctly complete this Application Form. Annex A of the Guidelines for Applicants provide specific direction for completing each section of this Application Form and accompanying Budget Sheets and must be followed. Responses should be kept brief, preferably expressed in bullet point form and repetition should be avoided.

For official use only
Project Ref. No.
Date Received

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Application Form Funding Instruments I-V, Version 1.0

SECTION 1: DETAILS

Table 1.1 – Summary of Project Details

Research Themes / A / AGRICULTURAL RESEARCH
B / FOOD RESEARCH
C / FOREST RESEARCH
D / CROSS CUTTING RESEARCH
Categorisation / NRPE Report / Food for Health
Sustainable Food Production and Processing
Manufacturing Competitiveness
Processing Technologies & Novel Materials
Other NRPE Priority Area – please state
Other / Research for Policy
Research for Knowledge
Funding Instrument
Research Area(s)
Project Title
Acronym
Lead Institution
Principal Investigator
Project Coordinator
Address
Telephone No.
Mobile No.
Email
Start Date (dd/mm/yy) /

Completion date (dd/mm/yy)

Table 1.2 – Details of Collaborating Research Performing Organisations including Grant Request

Name of RPO / Lead Researcher / RPO Cash Contribution € / RPO In-Kind Contribution € / Total Project Cost[1] € / Total Grant Request €
1.
2.
3.
4.
5.
TOTAL COST

Table 1.3 – Details of Industry or Other Partners (non-funded) Contributions

Name of Industry / Other Partner Organisation / Lead Collaborator / Cash Contribution € / In-Kind Contribution € / Total Project Contribution €
1.
2.
3.
TOTAL CONTRIBUTION

Table 1.4 – Previous Related Applications

Have you previously submitted this proposal or a similar proposal, in part or full, to DAFM or any other funding body? / Yes / No
Are you currently submitting this proposal or a similar proposal, in part or full, to any other funding body? / Yes / No
If yes to either, please provide details including programme name, year and proposal number

Table 1.5 – Technology Readiness Level Scale

Place an ‘x’ below at the point which best matches the submitted proposal on the Technology Readiness Level scale[2]
1 2 3 4 5 6 7 8 9
SECTION 2:
INFORMATION

2.1 Abstract (300 words max)

2.2 Strategic Alignment (300 words max)

2.2 Excellence (1000 words max)

I.  Objectives

II. Relationship to the Call

III.  Research Approach

a.  Concept

b.  Methodology

c.  Industry/Other Partner Engagement

d.  Gender

IV.  Ambition

2.3  Impact, Relevance & Innovation (750 words max)

I. Expected Impacts

II.  Maximising impact

a.  Existing and Related Intellectual Property

b.  Dissemination and Exploitation Plan

c.  Communication Plan

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Application Form Funding Instruments I-V, Version 1.0

SECTION 3: Work plan

Overall Work Plan Structure

Table 3.1 – Summary of Project Tasks

Task No. / Title

Task Details

Please note Dissemination related deliverables referred to in the Dissemination Plan in Section 2 must be included as specific deliverables under the relevant Tasks as appropriate here.

Replicate the number of task tables required for the Project in accordance with this template

Task No [x]
Title: / Start
Month No. / Finish
Month No.
Lead institution:
Other institutions involved: / Name of lead researcher:
Objective(s):
Description, including a breakdown of experimental units and methods.
Milestones (number labelled in prescribed format, also specify the month number each milestones will be achieved).
Deliverables (number labelled in prescribed format, also specify the month number each deliverable will be achieved).

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Application Form Funding Instruments I-V, Version 1.0

SECTION 4: MANAGEMENT PLAN
4.1 Management and Risk Plan (400 words max)

Table 4.1 – Critical Risks for Management

Description of Risk and indicate low/medium or high likelihood / Relevant Task(s) / Proposed Risk Mitigation Measure
4.2 Partnership (400 words max)

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Application Form Funding Instruments I-V, Version 1.0

SECTION 5: SUMMARY OF KEY PARTICIPANTS

5.1 RPO details

Replicate the following Table template as required in accordance with the number of named lead researchers listed in Tables 1.1 and 1.2 of Section 1 of the application form.

Person 1 - Name:

Job Title
RPO Name
Role and Task responsibilities in project
Main Areas of Scientific Expertise
Maximum of 5 most recent publications, products, services or other achievements relevant to the proposal being submitted
List concisely up to 5 most recent EU Framework Programme (Horizon 2020 or FP7) applications, indicating whether as a coordinator or participant
Email contact
Gender

5.2 Details of Non-RPO Lead Collaborators

Replicate the following Table template as required in accordance with the number of named lead collaborators listed in Table 1.3 of Section 1 of the application form.

Person 1 – Name:

Job Title
Name and Description of the Institution or Organisation
Main Areas of Expertise
Task responsibilities in project
Where relevant, maximum of 5 most recent publications, products, services or other achievements relevant to the proposal being submitted
Where relevant, list concisely up to 5 most recent EU Framework Programme (Horizon 2020 or FP7) applications, indicating whether as a coordinator or participant
Email contact
Gender

5.3 Existing Research Facilities

Institution 1 (repeat box as required)

RPO or Organisation Name
Laboratories
Equipment
Other

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Application Form Funding Instruments I-V, Version 1.0

SECTION 6: CONFLICT OF INTEREST

Please confirm by ticking box below that the lead partners named in Tables 1.1 and 1.2 of section 1 of the Applications Form, have read, noted and understand their responsibilities regarding conflict of interest matters covered in the research integrity and ethical requirements in Section 11, 12 and 13 of the Guidelines for Applicants.

Please note completion of this check box is mandatory.

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Application Form Funding Instruments I-V, Version 1.0

SECTION 7: BUDGET DETAILS
7.1 Budget details

·  Please complete the accompanying excel file for this section.

7.2 Justification of Grant-Aided Costs

7.2.1 Staff

Justify the role and need of each person in the project by RPO.

Person 1 (repeat box as required for number of recruited staff)

RPO Name
Grant Amount Requested
Position in Project
Task Responsibilities
Justification of the role and need for this position

7.2.2 Equipment

Justify the purchase of each item of equipment by RPO claimant

Equipment Item 1 (repeat table as necessary)

RPO Name
Grant Amount Requested
Reasons for need
Use on the project (tasks/tests etc)
Justification for cost

7.2.3 Consumables

Justify the purchase of consumables by RPO claimant

Consumable Item 1 (repeat table as necessary)

RPO Name
Grant Amount Requested
Quantities required
Use on the project (tasks/tests etc)
Justification for cost

7.2.4 Travel and Subsistence

Justify Home and Foreign travel by RPO (repeat as required)

RPO Name:

1.  Home travel

2.  Foreign travel

7.2.5 Other agreed costs

Justification of other agreed costs by RPO:

7.3 Explanation of Cash and/or In-Kind Contributions

Table 7.3.1 – Summary of Cash Contributions by Organisation and Expenditure Type

Contributing Organisation Name / Staff € / Equipment € / Consumables € / Travel and Subsistence € / Other € / Total €
Overall Total

Table 7.3.2 – Summary of In-Kind Contributions by Organisation and Expenditure Type

Contributing Organisation Name / Staff € / Equipment € / Consumables € / Travel and Subsistence € / Other € / Total €
Overall Total

7.3.1 Staff

Explain the contribution towards each funded person by RPO.

Person 1 (repeat box as required for number of staff fully or part funded)

Beneficiary RPO Name
Name of Contributing Organisation
State amount, and clarify whether it is a Cash and/or In-Kind Contribution
Position in Project
Task Responsibilities
Explanation of the role and how it compliments grant-aided funding

7.3.2 Equipment

Explain the contribution towards equipment by RPO

Equipment Item 1 (repeat table as necessary)

Beneficiary RPO Name
Name of Contributing Organisation
State amount, and clarify whether it is a Cash and/or In-Kind Contribution
Reasons for need
Use on the project (tasks/tests etc)
Explanation of the cost item and how it compliments grant-aided funding

7.3.3 Consumables

Explain the contribution towards consumables by RPO

Consumable Item 1 (repeat table as necessary)

Beneficiary RPO Name
Name of Contributing Organisation
State amount, and clarify whether it is a Cash and/or In-Kind Contribution
Quantities required
Use on the project (tasks/tests etc)
Explanation of the cost item and how it compliments grant-aided funding

7.3.4 Travel and Subsistence

Explain the contribution towards Home and Foreign travel by RPO (repeat as required)

Beneficiary RPO Name: Contributing Organisation Name:

1.  Home travel

2.  Foreign travel

7.3.5 Other agreed costs

Explain the contribution towards other costs, not covered under the categories listed in sections 7.3.1 – 7.3.4, by RPO and how it compliments grant-aided funding:

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Application Form Funding Instruments I-V, Version 1.0

SECTION 8: DECLARATION

Failure to provide all four signatures requested will result in the proposal being deemed ineligible.

DECLARATION

We declare that the information contained in this application is correct to the best of our knowledge, and that this project is not the subject of grant aid from any other source.

We declare that the research to be undertaken will be compliant with research integrity, ethical and conflict of interest requirements set out in Section 11, 12 and 13 of the Guidelines for Applicants.

Signed:______(Project Coordinator) / Date:______
Print Name:
Signed:______(Principal Investigator) / Date:______
Print Name:
Signed:______(Authorised officer VP, Head of Research) within lead Institution / Date:______
Print Name:
Signed:______(TTO officer within lead Institution) / Date:______
Print Name:

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Application Form Funding Instruments I-V, Version 1.0

ANNEX 1: REFERENCES

List all cited references in alphabetical order.

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[1] If there are any Industry or Other non-RPO Partners making cash and/or in-kind financial contributions this ‘Total project contribution’ (from final column of Table 1.3) should be added to RPO contributions and grant request in the ‘Total Project’ column in Table 1.2.

[2] Refer to Section 1 of Annex A for full TRL scale details