Application form
STELLAR Theme Teams
Deadline 15/01/2010
For official use only Reference number :
Acronym
(if any)
Theme Team Title
Linked with the
following Incubator
proposal
(if applicable)
Member number
M1 Theme Team
Leader
M2
M3
M4
M5
Name of the researcher
Table of members
Country
Legal name of institution
Type
Member 1 (Theme Team Leader)
Full legal name of the
institution
Short name / acronym
Address
Postcode
Legal Status
 For profit
City
 Not for profit
Street number
Country
Title of the researcher
Family name
(Theme Team
responsible)
First name
 Male  Female
Department
Position
Address
Street number
Postcode
City
Country
Telephone 1
Telephone 2
Mobile
Fax
Contact Email
Website
General description of the research activity carried out by the researcher: [max. 250 words] scope of work, areas of specific
expertise and competence in relation to the Theme Team proposed
Member 2
Full legal name of the
institution
Short name / acronym
Address
Postcode
Legal Status
 For profit
City
 Not for profit
Street number
Country
Title of the researcher
Family name
First name
 Male  Female
Department
Position
Address
Street number
Postcode
City
Country
Telephone 1
Telephone 2
Mobile
Fax
Contact Email
Website
General description of the research activity carried out by the researcher: [max. 250 words] scope of work, areas of specific
expertise and competence in relation to the Theme Team proposed
Member 3
Full legal name of the
institution
Short name / acronym
Address
Postcode
Legal Status
 For profit
City
 Not for profit
Street number
Country
Title of the researcher
Family name
First name
 Male  Female
Department
Position
Address
Street number
Postcode
City
Country
Telephone 1
Telephone 2
Mobile
Fax
Contact Email
Website
General description of the research activity carried out by the researcher: [max. 250 words] scope of work, areas of specific
expertise and competence in relation to the Theme Team proposed
Member 4
Full legal name of the
institution
Short name / acronym
Address
Postcode
Legal Status
 For profit
City
 Not for profit
Street number
Country
Title of the researcher
Family name
First name
 Male  Female
Department
Position
Address
Street number
Postcode
City
Country
Telephone 1
Telephone 2
Mobile
Fax
Contact Email
Website
General description of the research activity carried out by the researcher: [max. 250 words] scope of work, areas of specific
expertise and competence in relation to the Theme Team proposed
Member 5
Full legal name of the
institution
Short name / acronym
Address
Postcode
Legal Status
 For profit
City
 Not for profit
Street number
Country
Title of the researcher
Family name
First name
 Male  Female
Department
Position
Address
Street number
Postcode
City
Country
Telephone 1
Telephone 2
Mobile
Fax
Contact Email
Website
General description of the research activity carried out by the researcher: [max. 250 words] scope of work, areas of specific
expertise and competence in relation to the Theme Team proposed
A brief summary [max. 250 words]
Give the reason for the proposed Theme Team, a concise description of the output/results, the innovative character and relevance in
the field of TEL.
A description of the Theme Team [max. 500 words]
Explain the topic, especially the relation to one or more of the STELLAR Grand Challenges, the goals of the Theme Team, as well as
the way the Team is expected to contribute to integrate different TEL research communities in Europe and beyond.
A description of the envisaged output [max. 500 words]
Describe the type of output, the kind of synergies it is expected to create/consolidate, etc.
Organization of the work towards the output [max. 500 words]
Give a plan of activities, specifying the time schedule as well.
Dissemination/Transfer plan [max. 250 words]
Describe the plan for disseminating/transferring the output/results.
Management and Monitoring [max. 250 words]
Describe how the Theme Team Leader will manage the Team (website, etc.) and the concrete instruments used for monitoring the
work.
Budget
Provide a tentative budget, by specifying the costs you envisage in relation to travel and subsistence of the events you are planning,
as well as other costs (if any) related to the production of the output.