DUTCHKIDNEY FOUNDATION

Final report form

Social Sciences Grant

Version 8 December 2015

The Dutch Kidney Foundation (DKF) General Funding Conditions (‘'Subsidievoorwaarden Nierstichting Nederland'') apply to all awarded DKF subsidies as well as all proposals for DKF subsidies. Applicability of general and other conditions of the applicant, the applicant's institute and of third parties is explicitly excluded.

Dutch Kidney Foundation

Nierstichting

+31 (0) 35 697 8011

Project code: ______

Please submit electronic form (pdf) only. The pdf file should be optimized and preferably smaller than 1 MB. The pdf file must not exceed 9 MB.

Word counts given below are indications for the maximal length of text.

Returned forms should not exceed a total length of 18 pages (using Arial 10 pt; not counting blank pages).

Report Date: ______

1. Title ______

2. Project Leader

Name (M/F)
Institute & Department
Address:
Name Institute Department
Room number
Street name
Postal code,Town/ city
Telephone
E-mail

3. Project

Start date
End date
Duration
DKF budget

I. General information

1. Participants

Please provide the names of all funded and non-funded partners in the project

Name and title / Position / Institute & Department / Funding Source / Hours/week
(Fte) / Email address

2. Summary in Dutch for a Broad Audience / Publiekssamenvatting (max. 400 words)

Address problem, hypothesis and objectives, results and conclusions.

II. Description: original and changes

If applicable, add changes in bold script. Provide a short motivation for changes.

1. Scientific Summary (original and changes; max. 800 words)

2. Hypothesis, Aims and Objectives (original and changes; max. 350 words)

3. Personnel (original and changes; max. 250 words)

4. Work Plan Changes (max. 400 words)

If applicable, describe changes to the original work plan.

5. Time Schedule and Deliverables (original and changes; max. 350 words)

6. Inclusion of Patients (if applicable; max. 200 words)

Describe changes to the inclusion plan.

7. Budget (original and changes)

Use the FM matrix.

III. Final results

1. Project Results (max. 1500 words)

Order the results along the given objectives and aims. Describe the complete project; refer to the progress report(s) if necessary.

2. Short Summary of the Results (max. 200 words)

Summarize the results.

3. Conclusions (max. 300 words)

Draw conclusions. Address the original problem definition and hypothesis.

4. Scientific Publications (references, attach pdfs)

5. Publications in Public Media (references, attach pdfs)

IV. Impact

1. Innovation and Advancements (max. 500 words)

Describe the significance of the project for innovation, for advancing knowledge and for patients. Address if applicable basic and applied knowledge, diagnosis and therapies, patient care, prevention.

2. Products (max. 300 words)

Describe products that resultes from the project.

3. Opportunities for Communicaton and PR (max. 400 words)

V. Knowledge transfer, implementation and follow-up

1. Dissemination of Project Results (max. 400 words)

1. Implementation of Project Results (max. 400 words)

2. Project Follow-up (max. 400 words)

VI. Signatures

Name, position / Signature / Date
Project Leader
Authorized Head of Institute

1