Application No. ______
RESEARCH APPLICATION
1. General application information
Research Title:
principal investigators:
Project coordinator
Last Name: First Name: Academic Appointment:
Department: Institute:
Last Name: First Name: Academic Appointment:
Department: Institute:
Last Name: First Name: Academic Appointment:
Department: Institute:
Last Name: First Name: Academic Appointment:
Department: Institute:
Last Name: First Name: Academic Appointment:
Department: Institute:
Requested Budget in NIS
No. of years: ______Total Budget: ______NIS
Keywords: ______
2. scientific abstract (up to 1 page)
3. research program – (up to 20 pages, see guidelines)
4. Figures (up to 5 pages)
5. Bibliography (up to 5 pages)
6. Time schedule and work plan
Please outline the timetable for accomplishing the major targets of this project
Major objectives / Beginning / Expected completion date1.
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Explanatory Notes
7. Authorities' Approvals
List all required approvals.
8. budget details (see guidelines)
In all the following tables, add lines as needed
8.1. Personal
Name (last, First) / Role in Project / % time devoted / Salaries (in NIS)1st year / 2nd year / 3rd year / 4th year / 5th year
Total Personnel
8.2. Supplies, Materials & Services
Item / Requested Sums (in NIS)1st year / 2nd year / 3rd year / 4th year / 5th year
Total Supplies, Materials & Services
8.3. Miscellaneous
Requested Sums (in NIS)1st year / 2nd year / 3rd year / 4th year / 5th year
Photocopies and office supplies
Publication charges in scientific journals
Professional literature
Internet Connection
Memberships in scientific associations
Total Miscellaneous
8.4. Equipment
Item / Requested Sums (in NIS)Total Price
Other expenses (including shipping,
installation, customs and taxes):
Total Sum requested from ISF
8.5. Budget Summery
Requested Sums (in NIS)1st year
6% / 2nd year
14% / 3rd year
20% / 4th year
30% / 5th year
30%
Personnel, Supplies, Materials, Services & Miscellaneous
Overhead
Equipment
Total Budget
8.6. Budget Justification: ______
9. Curriculum Vitae & Publications (Use this form only).
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9.1.
9.1.1. Name (last, first):
9.1.2. ACADEMIC BACKGROUND
From-To / Institute / Degree / Area of specialization9.1.3. PREVIOUS EMPLOYMENT - begin with present position (do not include students’ tutoring, memberships in scientific associations or guest lectures)
From-To / Institute / Degree / Area of specialization9.1.4. GRANTS AND AWARDS: Grants and contracts the investigator has at present for this or related research subjects:
Project title / Source / Total grant / From date / To dateMonth/Year / Month/Year
9.1.5. Grants and contracts the investigator has at present on other subject:
Project title / Source / Total grant / From date / To dateMonth/Year / Month/Year
9.1.6. Previous grants and awards received within the past three years
Project title / Source / Total grant / From date / To dateMonth/Year / Month/Year
9.1.7. Previous experience with similar projects
From-To / Project title / Project role / Project budget9.1.8. LIST OF PUBLICATIONS (other than those included in the comprehensive list of publications for the overall program; please add a comment referring to this part for the reviewers' attention) - (up to 5 single-space pages) - articles published in scientific journals or books; list full titles; do not include abstracts presented in scientific meetings, MSc or PhD dissertations, etc.
10. Collaborations Letters (see guidelines)
1 /2017