Application form - Institut de recherche pour le développement (IRD)

Sud Expert Plantes
Développement Durable
(SEP2D)
Application form – 4th call for projects
« Collections »
1- PRESENTATION SHEET
Project n° (do not fill) :
Received on (do not fill) :
Project acronym:
Project full title:
Name and position of the project leader:
Name of the collection:
Organisation to which the collection belongs (name, legal status, geographical localisation)
Eventual partner organisations (name, legal status, geographic localisation):



Partner 2:
Partner 3:
…
Activities carried, nature of the collections at stake and geographical origin (in few lines):
Project duration:
Budget: (please add columns in case there are more than 3 partners)
PARTNER 1
(PARTNER 2)
(PARTNER 3)
…
Expenses
Contributions
Amount of the grant requested to the SEP2D programme [Total expenses – Total
TOTAL
contributions]
Keywords:
SEP2D: Application form – 4th call for project: Collections
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2- ABSTRACT (1 page maximum)
Present in one page maximum the project purpose, the planned activities and the expected results as
well as the partners involved in the project (if any) and their role in the project achievement.
3- PROJECT DESCRIPTION (6 pages maximum)
This part must hinge on 5 components:
3.1. Context
Make a general presentation of the collection(s) at stake and the management, conservation and
valorisation issues of this (these) collection(s). Underpin the issues the project is seeking to address.
3.2. Project purpose
Describe the global objective and specific objectives of the project.
3.3. Foreseen Activities
Present the operational consistency and the concrete activities that would be pursued in keeping
with the objectives.
3.4. Expected results and deliverables
For every specific objective, present the expected concrete results and deliverables, as well as the
adapted and ascertainable success and measurement indicators that could help evaluate the project
at its end. Underline the expected impact of the collection’s project in terms of: i) the improved
accessibility for scientists (virtual or in real life), ii) attendance iii) entrenchment beyond the project
duration and iv) possible integration in a national, regional or international network.
3.5. Brief presentation of the project team
Briefly present everyone’s role in the project achievement. In case of any partnership between
several institutions, detail the respective responsibilities in this achievement and provide elements
proving the relevance of the partnership.
4- IMPLEMENTATION SCHEDULE
Define the development over time of the project activities (a provisional timetable is suggested). The
calendar must clearly present the dates of deliverables’ restitution.
SEP2D: Application form – 4th call for project: Collections
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5- PROVISIONAL BUDGET
Use the frame of the Excel sheet proposed in the attached file to inform the total expected
expenditures, as well as the provisional expenses for each partner.
Justify in a narrative form the major expenses items (1 page maximum). For any material expenses
above 5.000 euros, please attach three quotation to the application form.
6- ANNEXES
6.1. List of literature reference or publications
This list could include books or publications that have been achieved with the support of the
collection concerned by the project (herbaria/ botanical garden) such as flora, atlas, information or
popularisation supports, etc.
6.2. A summarized project presentation
This summarized presentation of 10 to 15 lines maximum must be written for communication
purpose. It could be used to present the project for institutional communication, in case the project
would be financed by the SEP2D programme.
6.3. Summary table of the people involved in the project
Family Name / Age
First Name
Organisation
Position
Grade
% of working time
dedicated to the
project
1
2
…
6.4. Resume of the project leader
6.5. Presentation sheet of the institution (or institutions in case of partnership)
In case of partnership, for each project partner, please fill a distinct presentation sheet that includes
the following information:
SEP2D: Application form – 4th call for project: Collections
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 General presentation:
 Name of the team involved
 Name of the affiliated institution
 Team leader (not necessarily the project leader)
 Address
 Telephone number
 E-mail
 Description of the team: its institutional or professional anchorage, its activities, its expertise in
respect to the activities planned for the project and its assets in order to achieve the project.
 Valorisation works of the collection(s): present the projects led the last 10 years that aimed at
improving the management, the conservation, the preservation or the valorisation of the
collections concerned by the project. In case of scientific publication, ensure to underline the
name(s) of the member(s) of the team applying.
6.6. Consent to the form disclosure
The consent letters (one per organisation) must be written on official letterhead papers and must be
signed by the team leader or the head of the service, then be covered by the head of the institution.
Pease do use the model below.
SEP2D: Application form – 4th call for project: Collections
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Name of the institution
I, the undersigned, ………………………………………….., duly declare that the information conveyed through this
form are authentic and assure the « Institut de Recherche pour le Développement » as well as every funding partner
of the SEP2D programme, that this demand has obtained my agreement and my engagement to fully support the
project in the name of the authority bested upon me.
Accordingly and in line with the project leader, Mr. or Ms. ………………………………, I request the project named
hereafter to be submitted to the SEP2D Scientific and Pedagogical Council’s appreciation, in charge of its
reviewing, for the purpose of possible financing from the SEP2D programme.
Name of the Institution:
Project title:
Name and position of the signatory:
Date and signature :
Official stamp of the head of the establishment / the Name :
research institution to which belongs the project
leader
Position :
Date :
Signature :
SEP2D: Application form – 4th call for project: Collections
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6.7. Commitment letters of each of the partners involved [to provide upon the executive secretariat
demand, in case the project is selected]
These consent letters (one per organisation) must be written on official letterhead papers. They
must summarize:
- The activities in the project that the team is committing to accomplish
- The relations and the data/skills/technologies transfer the team is committing to accomplish
in favour of other partners (if any) involved in the project
- Its contribution to the project total budget, in-kind or in-cash.
These commitment letters must be signed by the leader of each team involved in the project, then
covered by the head of their respective host institution. More than an agreement of supervisory
authorities, this statement is intended to express their commitment to support every aspects of the
project implementation (key resource people, equipment, students mentoring, etc.)
6.8. Signature of the SEP2D charter [to provide upon the executive secretariat demand, in case the project
is selected]
SEP2D: Application form – 4th call for project: Collections
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Project leaders are asked to submit their form to the SEP2D Executive Secretariat by
e-mail to
[email protected]
At the latest on SUNDAY, APRIL the 2nd 2017
For all further information, please contact:
Executive Secretary: Stéphanie ARDILA-CHAUVET
[email protected]
Field Technical Officer: Jean-Pierre PROFIZI
[email protected]
Private Partnership Officer: Anshuman RANA
SEP2D: Application form – 4th call for project: Collections
[email protected]
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