2017 Chair of Excellence Program
Application Form
A – Project Main Information
Project:
Project Title:
Applicant’s Family
Name:
Chair Hosting
Fondation
Nanosciences
laboratories:
(listed here)
N°1
N°2
N°3
Partnering
Fondation
Nanosciences
Laboratories:
(listed here)
N°4
N°5
Relevant Theme(s):
Indicate which themes are related to your project with a cross (x).Indicate the main one with a doubled cross
(xx).
Quantum Nanoelectronics
Nanomagnetism and Spintronics
Nanophotonics
Molecular electronics
Project Duration:
Total requested funding
Project Summary:
Nanomaterial, Nanobonding and
Nanostructuration
Nanocharacterisation and Nanometrology
Nano-approaches to life sciences
Nanomodeling: theory and numerical simulation
months over 3 years
(k€):
B – Applicant’s Current Situation
Gender
Male
Female
First Name
Family Name
Birth Date
dd / mm / yyyy
Home Address
Street – Postal Code - City
COUNTRY
Email address
…………@......................
Phone Number
+00 (0)0 00 00 00 00 00
Nationality
Mobile Number
+00 (0)0 00 00 00 00 00
Function / Position
Tenure
Non tenure
Ressearch group /
Laboratory
University/Institution
Work Address
Motivation and commitment:
Please type your text here. 20 lines max.
Chairs of Excellence - Application Form 2017
C – Fondation Nanosciences units involved
Chair Hosting Laboratory
Project’s Coordinator in Grenoble:
Full Name
Position
Laboratory (N°1)
Email address
Phone Number
+00 (0)0 00 00 00 00 00
Mobile Number
+00 (0)0 00 00 00 00 00
Partnering Laboratories
Laboratory N°2:
Must be different that any lab mentioned previously
Correspondent (N°2)
Full Name
Laboratory N°3:
Must be different that any lab mentioned previously
Correspondent (N°3)
Full Name
Laboratory N°4:
Must be different that any lab mentioned previously
Correspondent (N°4)
Full Name
Laboratory N°5:
Must be different that any lab mentioned previously
Correspondent (N°5)
Full Name
Researchers involved
Fill up this table with the all the researchers who will be involved in the project. For any researcher involved
over 25% of the time dedicated to the project - please fill up one Individual Form (as provided page 6)
Institution
Lab
N°:
First Name
Family Name
(CEA, CNRS,
UJF,
Grenoble INP)
Position
% time
dedicate
d to the
project
Chairs of Excellence - Application Form 2017
D – Requested Funding
Total requested funding (k€):
Financial support by partnering laboratory (k€):
The requested funding must be justified in the Project Description (part 5)
Salaries for :
Lab
N°:
Chair of
Excellence
Post Doc
Guide for salary
costs
Ph D student
Post-doc
Chair of Excellence
Operations :
PhD student
Equipement
Monthly net salary
1 550 €
2300 €
3500 - 5000 €
Running costs
TOTAL
Funding to request
115 k€ for 36
months
58 k€ for 12 months
7 - 10 k€ for 1 month
E – Project Description
Project Title:
8 to 9 pages max.
Part 1: Context and position of the project on the international scale
Describe the context and scientific issues of the project by presenting the state of the art at the
national and international level.
Please type your text here.
Part 2: Scientific targets of the project.
Describe the scientific objectives of the project
Specify the originality and innovative character of the project
Present the expected scientific breakthroughs and outputs
Define the new expertise brought to Grenoble by the Chair of Excellence
Please type your text here.
Part 3: Federative aspects of the project within the RTRA scientific community
Present the different partners involved in the project
Specify their expertise in relation with the project, their complementarity
Please type your text here.
Part 4: Scientific program - project management across all partners and timescale.
Present the strategy of the scientific approach,
describe the methods and techniques,
Specify the distribution of objectives and tasks between partners
Give information about the expected timing of the major phases of the project
Please type your text here.
Part 5: Intended use of the requested funding.
Give the scientific/technical justifications of the requested financial support
If a support for a Post Doc/PhD is requested, specify what will be his/her own scientific
program, and how it will contribute to the project.
Please type your text here.
Part 6: Teaching program
Specify which topics could be covered by your teaching program (typically: 12 to 18 hours of
teaching at advanced master and/or graduate level)
Please type your text here
Chairs of Excellence - Application Form 2017
F – Researchers’ Individual Form
First Name
Family Name
Ressearch group /
Laboratory
Function / Position
Tenure
Non tenure
D.H.D.R
Email address
Phone Number
00 00 00 00 00 00
Mobile Number
00 00 00 00 00 00
Involvement in the project
Please type your text here.
Brief summary of the research activities in the last 5 years
Please type your text here.
Relevant and recent publications (maximum 5)
Please type your text here.
Chairs of Excellence - Application Form 2017
G - Curriculum Vitae of the Chair’s program applicant
Your CV shall contain:
 A short biography describing your scientist education, your previous positions, your
expertise (15 lines max)
 A full presentation of your main fields of Research, your recent scientific activities,
as well as any collaboration you may already have undertaken with Grenoble
laboratories
 Distinctions or awards you may have received in your career.
 A detailed list of publications (using bold characters for the 5 most significant ones):
o Journals with editorial review board (Full references are requested –
including paper’s title)
o Scientific reviews
o Book chapters
o Communications at conferences or scientific events
o Patents...
 ... and any other information helping to establish the applicant’s Excellence level
Chairs of Excellence - Application Form 2017
H - Commitment and Agreements
Laboratories’ Agreement:
Hosting
Laboratory
(N°1):
Lab Name
Coordinator:
Name
Signature
Laboratory Director: Name
Signature
Partnering
Laboratory (N°2):
Lab Name
Laboratory Director: Name
Partnering
Laboratory (N°3):
Signature
Lab Name
Laboratory Director: Name
Partnering
Laboratory (N°4):
Signature
Lab Name
Laboratory Director: Name
Partnering
Laboratory (N°5):
Signature
Lab Name
Laboratory Director: Name
Signature
Chair’s applicant commitment form:
I, Applicant’s full name
hereby certify my agreement of the whole project as presented above,
and my commitment to come to work to Grenoble as scheduled in the project.
I agree and understand that my presence in Grenoble will be announced and communicated in
order to facilitate interactions with the local scientific community (i.e seminars, workshops, lectures,
etc…) with the help of the Nanosciences Foundation.
Applicant’s signature:
Date:
Chairs of Excellence - Application Form 2017