2011 Vidi Form DEF VOORBEELD

Vernieuwingsimpuls/Innovational Research Incentives Scheme
Grant application form 2011
Please refer to Explanatory Notes when completing this form
Vidi scheme
Registration form (basic details)
1a. Details of applicant
Title(s):
First name:
Initials:
Prefix:
Surname:
Male/female:
Address for correspondence (for the period of the Vidi-round):
Preference for correspondence in English: yes/no
Telephone:
Cell phone:
Fax:
E-mail:
Website (optional):
Use of extension clause (see Notes): yes/no
(if ‘yes’, give reasons and calculation)
1b. Title of research proposal
1c. Summary of research proposal
(max. 300 words)
1d. Keywords
(max. five keywords)
1e. Host institution (if known)
1f. NWO Division (choose one)
Interdivisional*
ALW
CW
EW
GW
MaGW
ZonMw
N
STW
* Elucidation of the interdivisional character of the proposal (only to be filled out if
you have chosen to submit your application as interdivisional, 50-100 words):
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Vernieuwingsimpuls/Innovational Research Incentives Scheme
Grant application form 2011
Please refer to Explanatory Notes when completing this form
Vidi scheme
1g. NWO divisional discipline
In case you submit to one of the following divisions: Physical sciences (EW), Humanities
(GW), or Social/Behavioural sciences (MaGW), please indicate the main NWO divisional
discipline code, applicable to your application. For a list of these codes, please follow the
division link (see Notes). You can select only one main code. You can indicate a second
(additional) discipline code in case your research is multi-disciplinary within the NWO
division.
Division
EW or
First discipline
code (main code)
Description
GW or
MaGW
1h. NWO Domain (choose one)
Alfa-Gamma
Beta
Life Sciences
2
Second discipline
code (additional)
Description
Vernieuwingsimpuls/Innovational Research Incentives Scheme
Grant application form 2011
Please refer to Explanatory Notes when completing this form
Vidi scheme
Research proposal
2a. Scientific/Scholarly quality
Use a maximum of 4000 words on no more than 8 pages. Include details of:
- Overall aim, key objectives, scientific/scholarly background
- Originality and/or innovative elements of the topic
- Research plan including practical timetable over the grant period
- Experimental techniques and/or methodology
- Originality and/or innovative elements of the approach
- Local, national and international collaboration
2b. Research impact – Optional, but when filled out the results of the
assessment of the research impact, whether positive or negative, will be taken
into account in the overall rating of the application.
(max. 1000 words)
-
Describe the (possible) contribution of the research results to the solution to a
cultural, societal, technological or economical problem.
Describe possible use of the results in the near and/or distant future.
Indicate the expected cultural, societal, technological or economical relevance or
impact of the research results.
Identify the target groups/ interested parties.
Indicate the steps you will take to get the research results to the target groups.
What contact and or arrangements you have with users and or target groups.
2c. Number of words used: section 2a ______________ (max. 4000 words)
Number of words used: section 2b ______________ (max. 1000 words)
2d. Any other important remarks with regard to this application (max. 50 words)
2e. Literature references
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Vernieuwingsimpuls/Innovational Research Incentives Scheme
Grant application form 2011
Please refer to Explanatory Notes when completing this form
Vidi scheme
Cost estimates
3a. Budget
Scientific Staff
Staff costs per calendar year in k€ incl. surcharge
Intensity Duration
Year 1
Year 2
Year 3
Year 4
(fte)
(months)
k€
k€
k€
k€
Year 5
k€
TOTAL
k€
Intensity
(fte)
Applicant
Postdoc
PhD student
Non-scientific
staff (NWP)
Academic level
Duration
(months)
HBO/Bachelorlevel
MBO/Foundation
Degree-level
Non-staff costs in k€
Year 1
k€
Year 2
k€
Year 3
k€
Year 4
k€
Year 5
k€
TOTAL
k€
Year 1
k€
Year 2
k€
Year 3
k€
Year 4
k€
Year 5
k€
TOTAL
k€
Give a description of the non staff
cost, as detailed as possible
TOTAL
3b. Indicate the time (in fte) you will spend on the research
3c. Intended starting date
3d. Have you submitted the same idea elsewhere or have you requested any
additional grants for this project either from NWO or from any other institution?
yes/no (if ‘yes’, see Notes)
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Vernieuwingsimpuls/Innovational Research Incentives Scheme
Grant application form 2011
Please refer to Explanatory Notes when completing this form
Vidi scheme
Curriculum vitae
4a. Personal details
Title(s), initial(s), first name, surname:
Male/female:
Date and place of birth:
Nationality:
Birth country of parents:
4b. Master's (‘doctoraal’)
University/College of Higher Education:
Date (dd/mm/yy):
Study/main subject:
4c. Doctorate
University/College of Higher Education:
Date (dd/mm/yy):
Supervisor (‘promotor’):
Title of thesis:
4d. Current employment
Current position
Post Doc
Assistant professor (UD)
Associate professor (UHD)
Full professor (HGL)
Other, please specify:
Fixed term
Permanent
4e. Work experience since completing your PhD
Specify per appointment: number of fte, tenured term (‘vast’) / fixed-term (‘tijdelijk’),
and supervisory responsibilities (if any).
4f. Man-years of research
(see Notes)
4g. Brief summary of research over the last five years
(max. 250 words)
4h. International activities
4i. Other academic activities
4j. Scholarships, grants and prizes
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Vernieuwingsimpuls/Innovational Research Incentives Scheme
Grant application form 2011
Please refer to Explanatory Notes when completing this form
Vidi scheme
List of publications
5a. Publications
-
International (refereed) journals
Include impact factors of journals. Only compulsory if your proposal is to be
submitted to Medical Sciences or Life Sciences.
-
National (refereed) journals
-
Books, or contributions to books
-
Other
5b. Average impact factors for your own field
Only compulsory if your proposal is to be submitted to Medical Sciences, otherwise
optional: see Notes.
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Vernieuwingsimpuls/Innovational Research Incentives Scheme
Grant application form 2011
Please refer to Explanatory Notes when completing this form
Vidi scheme
Statements by the applicant
I endorse and follow the Code Openness Animal Experiments (if
applicable)
(see Notes)
I endorse and follow the Code Biosecurity (if applicable)
(see Notes)
I have completed this form truthfully
Name:
Place:
Date:
Please submit the application to NWO in electronic form (PDF format is required!) using
the Iris system, which can be accessed via the NWO website (www.nwo.nl/vi). The only
exception to this rule concerns applications within the Medical sciences. The Medical
Sciences division uses a similar system called ProjectNet, to which access is provided via
the division’s own website (www.zonmw.nl). For any technical questions regarding
submission, please contact the Iris helpdesk ([email protected]).
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