Focus Area DynAge

APPLICATION FORM: 5thCALL 2016

Please submit your application in English as a PDF document to by 30 April2016.

Please use Arial11-point font (single-spacing) and comply with the provided structure. Reply to all fields in this application form. Instructions in grey and italic type fontare directions for filling out the application form and should be deleted.

(A) Project Overview and Information on the Group of Collaborating Applicants

1. Principal Investigators

Please nameone PI for each co-funding institution involved in the project(for 5thCall: Freie Universität Berlin, FUB; Charité – Universitätsmedizin Berlin, CUB; Deutsches Institut für Ernährungsforschung, DIfE; Robert Koch-Institut, RKI).All applications should have at least one PI from a university institution (FUB or CUB). If two of the co-funding institutions are involved in your project, name two PIs, if three co-funding institutions are involved, name three PIs, if all four co-funding institutions are involved, please name four PIs. Please name title, first name, surname, affiliation with address, e-mail, telephone and fax number and career stage using the following classification: R1: First Stage Researcher (up to PhD); R2: Recognized Researcher/PostDocs up to about 4 years following PhD; R3: Established Researcher/PostDocs from about 4 years following PhD (researchers who have developed a level of independence; Nachwuchsgruppenleiter, W1 Prof); R4: Leading Researcher (researchers leading their research area or field, W2-/W3-Prof).

2. Collaborating Researchers

Please nameall further participating project partners (title, first name, surname, affiliation, email). Please also state career stage of each collaborating researcher using the following classification: R1: First Stage Researcher (up to PhD); R2: Recognized Researcher/PostDocs up to about 4 years following PhD; R3: Established Researcher/PostDocs from about 4 years following PhD (researchers who have developed a level of independence; Nachwuchsgruppenleiter, W1 Prof); R4: Leading Researcher (researchers leading their research area or field, W2-/W3-Prof).

3. Title of the Project

4. Keywords (max. 5)

5. Addressed Disease(s) and Levels of the DynAge Matrix

Please activate with a double click the field of your research project in the DynAge matrix of cooperation below.

Tumors / Cardio-Vascular Diseases / Degenerative Diseases of the Musculoskeletal System / Cognitive Disorders & Depression
Societal Level
Individual Level
Molecular Level

6. Summary of the Proposal(limit of 300 words)

Please summarize your research project.

(B) Outline of Project Proposal

Please note the limitation of max. 3 pages for Section B.

1. Current Situation

  • Put your project in the context of previously published empirical research from the general literature.
  • Outline the novelty of your research question(s) from extant empirical research.
  • How does your project address aging-related processes and/or contrast different phases of the life span?
  • State your project’s value to advance current knowledge.

2. Own Previous Work

  • Please list a maximum of three key publications per PI.
  • Please also list project-relevant third party-funding that has been attracted within the past 5 years, if applicable.

3. Aims/ Objectives

  • What is the aim of the research project?
  • How are different phases of the life span addressed?
  • Provide the primary hypothesis of your study, or, if you work with qualitative methods please provide the causalities that you expect to find within your study.

4. Work Plan

How will the above objectives be achieved (a) during the DynAge funding period (07/16 to 06/17) and (b) beyond?

5. Sample

Please provide a brief description of the planned sample(s) (including sample size),

sample recruitment, inclusion, and exclusion criteria.

6. Study Design

E.g., study duration, number of assessments, type of design, description of intervention, …

7. Methods

  • Which outcomes and independent variables will be analyzed?
  • Which (statistical) procedures will be used for data analyses?
  • If applicable, please describe planned pilot work.
  • Information on experiments/studies involving humans, human material, or animals.

8. Requested Funding from the Focus Area: Max. 35.000,- EUR for projects involving members of two co-funding institutions (17.500,- EUR per institution); max. 52.000,- EUR for projects involving members of three co-funding institutions (17.500,- EUR per institution); etc. Co-funding institutions are FUB, CUB, DIfE, and RKI. Please note that every application must entail at least one co-funding university institution (FUB or CUB)

Please present a brief financial plan for the requested DynAge funds. Please list types (staff and/or consumables) and amount of requested funding of both types separately for2016 (i.e., July through Dec) and for 2017 (Jan through June)and separately for each co-funding institution. Please list all requested funds in EUR.

For example, your project group is composed ofresearchers from FUB and RKI. The FUB-researcher plans to hire 3 student research assistants for one year,RKI-researchers need about 17.500 EUR in lab consumables:

Institution / Staff (EUR) / Consumables (EUR) / Total sum (EUR)
FUB
July through December 2016 / 3 student research assistants for six months, à 41h/month: 8.750
FUB
January through June 2017 / 3 student research assistants for six months, à 41h/month: 8.750
CUB
July through December 2016
CUB
January through June 2017
DIfE
July through December 2016
DIfE
January through June 2017
RKI
July through December 2016 / Lab consumables: 8.750
RKI
January through June 2017 / Lab consumables: 8.750
Sum (EUR) / 17.500 / 17.500 / 35.000

Your Project:

Institution / Staff (EUR) / Consumables (EUR) / Total sum (EUR)
FUB
July through December 2016
FUB
January through June 2017
CUB
July through December 2016
CUB
January through June 2017
DIfE
July through December 2016
DIfE
January through June 2017
RKI
July through December 2016
RKI
January through June 2017
Sum (EUR)

9. Envisioned Goals in Attracting Third-party Funding

Please illustrate your envisioned goals for attracting future third-party funding following potential funding by DynAge.

(C) General References

(In addition to proposal authors’ key publications listed in Section B.2)

(D) Brief CVs of Participating Researchers

<Pleaseuse one form per researcher>

Role in consortium / <Consortium PI, Consortium CoPI; Subproject PI; Subproject Co-PI; Coordinator, Investigator>
Full title, full name
Affiliation, department, division
E-mail address
Field of work / <Discipline, subdiscipline (e.g., medicine, oncology)>
Year of PhD/MD
Career stage / R1: First Stage Researcher (up to PhD); R2: Recognized Researcher/PostDocs up to about 4 years following PhD; R3: Established Researcher/PostDocs from about 4 years following PhD (researchers who have developed a level of independence; Nachwuchsgruppenleiter, W1 Prof); R4: Leading Researcher (researchers leading their research area or field, W2-/W3-Prof)
Publications 2011-2016 / <peer-reviewed journal articles, books, book chapters>
Number of times cited (please exclude citations of retracted publications) / <Please use one of the following and indicate which one you used: Web of Science, Google Scholar, Scopus, Harzing’s Publish or Perish. E.g.: Web of Science: n times cited; Google Scholar: n times cited>
Third-party funding 2011-2016 / Title of Consortium:
Consortium PIs:
Title of Subproject:
Own Role:
Funding Agency:
Funding Period:
Amount own Subproject:
Total Amount Consortium:
/or/
Title of Project:
PIs:
Own Role:
Funding Agency:
Funding Period:
Total amount:

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