CPER CTRL Project Coordinator

DER
CPER CTRL 2014-2020
Centre Transdisciplinaire de Recherche sur la Longévité
Call for Projects 2016
Application form
The admissibility of the application will be evaluated based on information given on
the application form and provided by the applicant. Incomplete applications will not
be considered nor returned. Please fill precisely the set of elements presented below.
1. General Information
If more than two teams are involved in the project, please duplicate the tables
 CPER CTRL Project
Acronym
Title of the project (English)
Titre du projet (Français)
Team 1 - CPER CTRL Project Coordinator
First name and name
Title/Position
UMR / Laboratory
Partner institutions (UMR/laboratory)
Postal Address
Phone number
e-mail address
1
Team 2 - CPER CTRL Project Partner
First name and name
Title/Position
UMR / Laboratory
Partner institutions (UMR/laboratory)
Postal Address
Phone number
e-mail address
 Team members implicated in the CPER CTRL Project
Team 1 - CPER CTRL Project Coordinator
Name and first
Name
Institution(s)
Title/Position
Number of personmonths dedicated
to CPER CTRL
Project
Duplicate lines if necessary
2
Team 2 - CPER CTRL Project Partner
Name and first
Name
Institution(s)
Title/Position
Number of personmonths dedicated
to the CPER CTRL
project
Duplicate lines if necessary
For each Principal Investigator (CPER CTRL Project Coordinator and CPER
CTRL Project Partner):
 Curriculum vitae
 List of peer-reviewed articles of the 5 last years, including patents
and grants obtained as main investigator for this period (with grant
titles and funding instrument)
3
2. Research project - 10 pages maximum
Acronym :
Title of the project (English):
Titre du projet (French):
 Scientific Abstract – English (max 250 words)
 Public Abstract - English (max 250 words) justifying the project on
longevity research
 Résumé public - Français (max 250 mots) expliquant la relation du
projet avec la recherche sur la longévité
4
 Detailed CPER CTRL Research project
Precise description of the CPER CTRL research project
workpackages description, impact) including a short bibliography
(objectives,
(word times 12, single spaced)
Future research and perspectives (max 250 words)
5
3. CPER CTRL Project Gantt chart
Summarizing the project (workpackages/main steps of the project for each team
involved)
4. CPER CTRL Project Budget
Maximum budget allocated:
 PROJECTS “CTRL COLLABORATIFS”: 200 000 € maximum - 24 months
(equipment, consumables, personnel costs including post-doc)
 PROJECTS “CTRL EXPLORATOIRES”: 50 000€ maximum - 12 months
(consumables only)
 “POST-DOCTORANTS CTRL” : 114 000 € Post-Doc position - 24 months
(personnel costs only)
Budget
Total
Year 1
Year 2
Comments
Not applicable
to
Projects
“CTRL
Exploratoires”
and
“CTRL
Post Doc”
Equipment
(>500 € per item)
Personnel costs
Not applicable
to
Projects
“CTRL
Exploratoires”
Other costs including:
Not applicable
to
Projects
“CTRL
Post
Doc”
-
Consumables
Internal invoicing
(IPL)
Sub-contracting
(Travel costs not eligible)
Year 2 budget
not applicable
to
Projects
“CTRL
Exploratoires
Budget justification:
Describe budget needs for the execution of the CPER CTRL Project by each
team in terms of:
6
-
Equipment:
-
Personnel :
-
Other costs including:
o Consumables
o Internal invoicing (IPL)
o Sub-contracting
(Travel costs not eligible)
7
5 Signed agreements
CPER CTRL Project Principal Investigators (Project Coordinator
and Project Partner, Research Unit Directors, Team Leaders)
Acronym :
Title of the project (English):
Team 1 – CPER CTRL Project Coordinator
CPER CTRL Project Coordinator
Name
Signature
Team Leader (if applicable)
Name
Signature
Director of Research Unit
Name
Signature
Team 2 - CPER CTRL Project Partner
CPER CTRL Project Partner
Name
Signature
Team Leader (if applicable)
Name
Signature
Director of Research Unit
Name
Signature
8
The complete application must be assembled as a single document.
Contact person: Fabienne Jean
[email protected]
Deadline: October 3, 2016
*Three hard copies of the application, received October 3, 2016 at the latest,
to the attention of :
Pr. Patrick BERCHE
Directeur Général
Institut Pasteur de Lille
1 rue du Pr. Calmette BP 245
59019 LILLE cedex
*An electronic copy (WORD + PDF version) before October 3, 23h59 sent to :
[email protected]
[email protected]
Please use the following name for electronic documents:
Projects CPER CTRL Collaboratifs: “CPER CTRL_Coll16_acronym_coordinator name”
Projects CPER CTRL Exploratoires: “CPER CTRL_Expl16_acronym_coordinator name”
Projects CPER CTRL Post Doc: “CPER CTRL_PostD16_acronym_coordinator name”
9