TECHNOLOGY TRANSFER GRANTS PROPOSAL SUBMISSION CHECKLIST PLEASE CHECK (√) TO CONFIRM THAT DOCUMENT DESCRIBED IS UPLOADED AS PART OF THE APPLICATION TTG Application form Budget Workbook including Work plan / Implementation Plan Abridged CVs of Lead Applicant and Research Team (Not more than 3 pages per person per team attached as one single pdf document) Letter of Support from Industry Partner (Can be provided during the application process or prior to the award of grants) Questionnaire (Optional) References (Optional) PROPOSAL PAGE LENGTH GUIDE Please refer to the guide for the proposal page length below in completing the Grant Application Form NO. SECTION 1. 2. 3. 4. 5. Information on Lead Applicant Project Summary Problem Description Description of Project Other Related Grants TOTAL NUMBER OF PAGES MAXIMUM PAGE LENGTH 1 page 1/2 page 1 page 31/2 pages 1/2page 6 1/2 pages Important Notification: Successful applicants would be required to assist the TDTC in engaging potential private sector firms to whom the technology would be transferred; as well as work closely with the TDTC to facilitate the transfer of the technology to the private sector. Kindly take note that you may be required to put in place a Memorandum of Understanding/ Letter of Support with the identified private sector company if your application is successful. Grantees are encouraged to identify and transfer technologies to firms with membership in the Association of Ghana Industries (AGI) or Private Enterprise Federation (PEF). Nonetheless, technology transfers to other companies who do not belong to either group are welcome. Successful applicants would be required to gather baseline data on target/ identified beneficiary firms. Such data include but not limited to revenue, productivity, net profit, employment levels. This Call for Proposal is open until 5.00pm on Monday, 1st June 2015. Kindly note that incomplete applications received before the deadline would be rejected and would not be available to the applicant after the date and time indicated above. TECHNOLOGY TRANSFER GRANT APPLICATION FORM This document must be typed using font size 11 with single spacing. Please take note that hand written applications will not be considered. 1. INFORMATION ON LEAD APPLICANT Project Title: Name of Lead Applicant: Email Address: please provide UG email address Mobile Phone No: Office Phone (IP): Rank: Department: School/ Institute/ Centre College: Total Budget Requested: Signatures: Lead Applicant’s Signature: Date: Head of Department’s name and signature/stamp: Date: Dean / Director’s name and signature/stamp: Date: Provost’s name and signature / stamp: Date: Information on Industry Collaborator(s): Identify at least two potential firms to whom the technology can be transferred Name of firm /Industry Name of Contact Person 1. Email Contact Number 2. Page 2 of 8 TTG Application Form 05-2015 2. PROJECT SUMMARY Give a brief description of the technology to be enhanced/ modified and transferred. What does the technology propose to do and what would it achieve? (Maximum 1/2 page) 3. PROBLEM DESCRIPTION i. Show how the technology can be used to solve an identified industry need or problem. (Maximum 1/2 page) Page 3 of 8 TTG Application Form 05-2015 ii. Identify its expected impact on the business in question, the extent to which it would impact positively on women as well as its contribution to Ghana’s development issues. (Maximum ½ page) 4. DESCRIPTION OF PROJECT (Maximum 31/2 pages) a) Overall objective of the project b) Specific objectives: Indicate the specific objective(s) to solve the identified problems Page 4 of 8 TTG Application Form 05-2015 c) Specific activities to be carried out to achieve the objectives indicated above. (Maximum ½ page) Project Objective d) Activities Responsible person(s)/institution Expected Results Methodology: Describe in detail, the methodology to be used on the project / how the project will be carried out). State clearly how the grant amount will be used to solve the problems identified above. (Maximum ½ page) Page 5 of 8 TTG Application Form 05-2015 e) Transfer of Technology: i) Provide details of a company/ companies in the private sector who have expressed interest in adopting this technology for use after its enhancement / modification. (Maximum ½ page) ii) The transfer of technology to the identified private sector company through training or support is encouraged. If the technology would be transferred through hands-on practical training, describe how it will help trained beneficiaries to overcome the problems indicated as well as how it will increase productivity. On the other hand, if it is technology support (being acquired or developed), describe how it can solve the problem you have mentioned above and increase productivity of the identified firm. (Maximum 1/2 page) Page 6 of 8 TTG Application Form 05-2015 f) Sustainability Arrangements: Explain how you intend to sustain the results indicated above. (Maximum ½ page) g) Management / Administrative Arrangements: Provide details of management/ administrative arrangements which would be put in place to ensure successful project delivery. h) Monitoring and Evaluation: Statement for monitoring and evaluation 0f the project. Page 7 of 8 TTG Application Form 05-2015 5. OTHER RELATED GRANTS: Provide details of other grants related to the proposed technology modification/ enhancement project. (Maximum ½ page) Sponsor/ Donor Amount awarded Duration of award Purpose (month/ year) (indicate currency) 6. ABRIGED CV OF PI AND RESEARCH TEAM Kindly upload an abridged CV of the Lead Applicant and Research Team as part of this application. Please note that the abridged CV of each member of the team should not exceed three (3) pages. FOR OFFICIAL USE ONLY Date received: Stamp: APPLICATION DEADLINE: 5:00 PM ON MONDAY, 1ST JUNE 2015 Kindly ensure all the required completed documentation; i.e. Application Form; Budget Workbook including Workplan/ Implementation Plan; Abridged CV of Research Team; are forwarded to [email protected] by the deadline of Monday, 1st June 2015. Please do not send hard copies of the completed documents. Kindly take note that incomplete applications sent before the deadline would be rejected and would not be available to the applicant after the date and time indicated above. Page 8 of 8 TTG Application Form 05-2015
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