Proposal application form



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Joint Programming Initiative “More Years, Better Lives”

The Potential and Challenges of Demographic Change

PROPOSAL APPLICATION FORM



Joint Transnational Call for Proposals 2017

Ageing and place in a digitising world

Closing date 03 APRIL 2017, 17:00 (CET)

Link to the Proposal Submission Platform



  • All fields must be completed using "Arial font, size 10, 1.5 fold line pitch" characters.

  • Incomplete proposals (proposal missing any sections), proposals using a different format or exceeding length limitations of any sections will be rejected without further review.

  • In case of inconsistency between the information registered in the submission tool and the information included in the PDF of this application form, the information registered in the submission tool shall prevail.

  • Please refer to Guidelines for Applicants when filling out this form.

  • To be submitted by the Coordinator only, converted in a PDF file and uploaded in the electronic submission system.



Joint Call Secretariat

JCS is hosted by

National Institute of Health Carlos III (Spain)

callmybl@isciii.es



  1. Summary and administrative information on applicants



Project Title

     

Acronym (max. 15 characters)

     

Total duration in months (up to 36 months)

     

1.1 General information on the research project

Please add rows for additional Partners if required.




First and last name

Institution

Requested Funding

(Euro)


Total cost (Euro)

Coordinator

     

     

     

     

Partner 1

     

     

     

     

Partner 2

     

     

     

     

     

     

     

     

     

Total







1.2 Keywords (max. 5 to 7, please use the same keywords as in the online submission system)

     


1.3 Please provide a short summary of the project (max. 900 characters)

     


1.4 Abstract (max. 1500 characters)

     




1.5 General information on the transnational research consortium

Please include one table for each individual participating in the consortium.



Coordinator

Name:

     

e-mail:

     

Organisation and position

(full name in original language/ name in English)



Original Language:      

English:      




Country

     

Department

     

Type of organisation (Academia, Clinical/Public Health Sector, Enterprise, Other specify)

     

Address

     

Tel:

     

Fax:

     

Postal code

     

City

     

www:

     

Please duplicate the table below if there is additional Partners.

Partner 1

Name:

     

e-mail:

     

Organisation and position

(full name in original language/ name in English)



Original Language:      

English:      




Country

     

Department

     

Type of organisation (Academia, Clinical/Public Health Sector, Enterprise, Other specify)

     

Address

     

Tel:

     

Fax:

     

Postal code

     

City

     

www:

     



Partner 2

Name:

     

e-mail:

     

Organisation and position

(full name in original language/ name in English)



Original Language:      

English:      




Country

     

Department

     

Type of organisation (Academia, Clinical/Public Health Sector, Enterprise, Other specify)

     

Address

     

Tel:

     

Fax:

     

Postal code

     

City

     

www:

     



  1. Description of the project (max. 10 pages)

2.1 A brief presentation of the overall structure of the Work Plan, including the specific objectives for the project, the advance the proposal would provide beyond the state of the art, the overall approach and methodology and data to implement this methodology, involvement of participants and description of the consortium as a whole, Time Plan, Work Packages, project coordination and management, the innovation potential which the proposal represents, and added value of the proposed solutions compared to the existing ones (max. 7 pages)

     




2.2 Diagram which compiles the Work Plan, Timeline, sequencing of Work Packages, the contribution of the partners to each Work Package and their interactions (Timeplan, Gantt and/or Pert, max. 1 page)

     


2.3 Added value of the proposed international collaboration (please explain the International dimension of the research and the proposed research activities, the necessity for a transnational approach (max. 1 page)

     




2.4 Description of the relationship with ongoing projects or other proposals pending evaluation related to the chosen research(s) topic(s) indicating synergies and how overlaps with proposal are avoided (max. 1 page).

     



  1. Impact of the project and engagement in responsible research and innovation (max. 6 pages)

3.1 How will the outcomes of the project provide relevant information for policy-making and society (max. 1 page)?

     




3.2 Description of how the consortium will communicate the project and its findings and engage with societal actors during and after the research process and how they will develop outreach and dissemination activities during and at the end of the project to ensure the widest-possible transfer of the produced knowledge (max.3 pages).

     




3.3 Description of how ethical issues of the project proposal will be tackled - especially when dealing with vulnerable groups - to ensure quality and integrity of the research (i.e. by adopting existing codes of ethical conduct in research). Ethical and legal issues (e.g. informed consent, ethical permits, data protection) should comply with national regulations when applicable, (max. 1/2 page).

     




3.4 Description of the way the gender dimension will be dealt with by fostering gender balance in research teams and integrating the gender dimension in research content to improve quality and societal relevance and expected results (max. 1 page).

     



3.5 Description of how intellectual property rights will be handled (e.g. any barriers to sharing materials or results), both within and outside the research consortium. Please include background and foreground information to help understand your starting intellectual property position and place that in context with any intellectual property that may be generated during the research (max. 1/2 page).

     





  1. Information on the project consortium

Please add details for the Coordinator as well as each Partner (max 1 page per CV).

Please duplicate the table below as required. Please include one table for each individual participating in the consortium.

Coordinator

Role in Project:

     

First Name:

     

Surname:

     

With respect to the activities in the project, please provide details of relevant experience and activities within the field of the project

     

With respect to the activities in the project, please provide details of relevant publications in the last five years (maximum of 5)

     

Partner 1

Role in Project:

     

First Name:

     

Surname:

     

With respect to the activities in the project, please provide details of relevant experience and activities within the field of the project

     

With respect to the activities in the project, please provide details of relevant publications in the last five years (maximum of 5)

     


Partner 2

Role in Project:

     

First Name:

     

Surname:

     

With respect to the activities in the project, please provide details of relevant experience and activities within the field of the project

     

With respect to the activities in the project, please provide details of relevant publications in the last five years (maximum of 5)

     


  1. Cost calculation

Please add the financial summary for each project consortium partner and, in accordance to relevant national eligibility rules, justify the resources to be committed.

Please duplicate the tables below for each partner as required.

  • Coordinator

Organisation name:

     

Country:

     

Please indicate if the costs are listed with or without taxes according to the national funding rules (eligible costs) of your country:



Year:     

Year:     

Year:    




Total:

Project costs per Partner in €

Personnel

     

     

     




     

Overhead


     

     

     




     

Travel and allowance


     

     

     




     

Equipment


     

     

     




     

Consumables


     

     

     




     

Other costs


     

     

     




     

Subcontracting

Please specify subcontracting




     

     

     




     

Total costs

     

     

     




     

Financing per Partner in €

Funding requested

     

     

     




     

Co-financing

     

     

     




     

Co- financing: Please describe how you plan to finance costs not covered by funding organisations participating in this call (e.g., by internal funds) :

     

Describe the nature of the subcontracting and, if possible, the name and address of subcontractors.



Nature, name and address of subcontractors

     


In accordance to relevant national/regional eligibility rules, please justify the resources to be committed.

Please list explicitly any costs (requested costs and their justification) (max. 1 page).




Personnel Costs

Please specify (e.g. PhD students, Post Doc researchers, technicians and the number of Person-Months)


     




Travel and allowance

Please specify (e.g. allowances, meeting fees etc.)


     



Equipment

Please specify equipment


     



Consumables

Please specify (e.g. Lap-tops, Software, Peripheral devices (screen, hard disk), Book, review, subscription, Data access etc.)


     



Subcontracting

     



Other costs

(including indirect costs) Please specify (e.g. provisions, licensing fees, patents, publications, etc

     





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