€¦ · Web viewDetailed description of the proposed research program (the word limit, includes figure legends but excludes tables, figures and references – these can be included

Application form for a BRCCH Multi-Investigator Project (MIP)

All enquiries and application forms (including attachments) can be directed to [email protected]

General Information

Application title:

Duration (max. 60 months):

Proposed start date:

Applicants

Investigator

Last name:

First name:

Function (title):

Academic institution:

Ensured position for the duration of the project:

☐ Yes ☐ No

Level of employment (%):

Date of birth:

Gender:

Correspondence address:

E-mail:

Telephone number:

Contribution to project (brief explanation):

Co-Investigator 1

Last name:

First name:

Function (title):


Ensured employment for the duration of the project:

☐ Yes ☐ No


Date of birth:

Gender:


E-mail:

Telephone number:


Co-Investigator 2 (if applicable)

Last name:

First name:

Function (title):



☐ Yes ☐ No


Date of birth:

Gender:


E-mail:

Telephone number:



Last name:

First name:

Function (title):



☐ Yes ☐ No


Date of birth:

Gender:


E-mail:

Telephone number:



Last name:

First name:

Function (title):



☐ Yes ☐ No


Date of birth:

Gender:


E-mail:

Telephone number:



Last name:

First name:

Function (title):



☐ Yes ☐ No


Date of birth:

Gender:


E-mail:

Telephone number:


Collaborator 1 (if applicable)

Last name:

First name:

Function (title):



☐ Yes ☐ No


Date of birth:

Gender:


E-mail:

Telephone number:



Last name:

First name:

Function (title):



☐ Yes ☐ No


Date of birth:

Gender:


E-mail:

Telephone number:



Last name:

First name:

Function (title):



☐ Yes ☐ No


Date of birth:

Gender:


E-mail:

Telephone number:



Last name:

First name:

Function (title):



☐ Yes ☐ No


Date of birth:

Gender:


E-mail:

Telephone number:



Last name:

First name:

Function (title):



☐ Yes ☐ No


Date of birth:

Gender:


E-mail:

Telephone number:


Budget requested (max. 5 Mio. CHF)

Total budget requested for the entire length of the project:

Detailed budget:

BRCCH will require a detailed budget for the project at the time of shortlisting for the BRCCH project workshop. For now, the application only requests a rough budget break down (see table below).

The BRCCH funding regulations correspond to the “General Implementation Regulations for the Funding Regulations” of the Swiss National Science Foundation (SNF). Exceptions are specified below.

Eligible costs are: salaries according to SNF guidelines, consumables directly related to the research project, costs for materials, software and equipment of enduring value (funding must be of key importance to the project; a justification of such purchases will be asked for at a later stage), field expenses, travel costs or third-party charges.

MIP funding does not cover any costs related to the employment of Investigators and Co-Investigators (their employment must be guaranteed for the entire duration of the project).

MIP funding does not cover costs related to the employment of Collaborators working outside of the four partner institutions.

The MIP salary requests for eligible individuals working on the project will need to relate to full economic staff costs (i.e. salary, benefits, insurance contributions, employer’s contributions, etc.).

BRCCH grant support does not cover the indirect costs of the relevant institute.

Please update this table by right clicking the total sums (“Update field” / “Felder aktualisieren”)

Cost category

Investigator

Co-Investigator


Staff costs

PhD students

Research Technician

Project / data manager

Postdoctoral fellow

N.N.

1000

1000

1000

Consumables

1000

1000

1000

Costs of enduring value

1000

1000

1000

Travel Costs

1000

1000

1000

Costs of Collaborators

1000

1000

1000

Other direct costs (field costs; third party expenses)

1000

1000

1000

Total (in CHF)

6000

6000

6000

Cost category




Staff costs

PhD students

Research Technician

Project / data manager

Postdoctoral fellow

N.N.

1000

1000

1000

Consumables

1000

1000

1000

Costs of enduring value

1000

1000

1000

Travel Costs

1000

1000

1000

Costs of Collaborators

1000

1000

1000

Other direct costs (field costs; third party expenses)

1000

1000

1000

Total (in CHF)

6000

6000

6000

Total cost of all applicants (in CHF)

36000

Project details

Research area

Select the area most relevant for your project (please see definitions of areas in the call)

☐ Applied Health Care for Children

☐ Intelligent Systems for Medical Decision Support

☐ Translational Research from Cellular to Health Control

Lay Summary (max. 200 words)

Provide a summary of your proposed research for a non-specialist audience including background, objectives, translation and expected impact.

13/14

Research Summary (max. 300 words)

Scientific summary of your proposed research, including background, key objectives, methods, translation and its relevance for low- and middle-income countries.

Project Description (max. 5000 words)

Detailed description of the proposed research program (the word limit, includes figure legends but excludes tables, figures and references – these can be included as an attachment at the end of the application form).

The research plan needs to be structured as follows:

Background and RationalePlease mention:

Previous insights and research findings that provide the foundation to this project

Where are the gaps in knowledge and why these gaps have not been previously addressed?

What other research projects / initiatives are currently underway that are relevant for your project?

Pilot projects, proofs of concepts, and/or whether your project will build upon previous projects. If so, what were those findings?

Research Aim and DesignPlease list the overall research objectives and specific aims, describe the methods to be used, and discuss the expected results and their impact for the field and beyond.

Innovation and impactWhat are the innovative and exceptional aspects of the project that provide incomparable value aligned with BRCCH’s remit?Relevance for child healthWhy is this project especially important and what is its benefit for child health and well-being?TranslationWhat is the translational aspect/potential of the project proposal and how can its findings be applied to low- and middle-income countries?Scalability and SustainabilityDetails will need to be provided to address

Potential for scalability (including low and middle income countries)

Potential or plans for project continuation after the funding period

Timetable and productivity

Please provide a timetable for your project and indicate yearly deliverables and milestones.

What output(s) do you anticipate (e.g. patents, spin offs, publications, products, datasets, software and research materials, devices, inventions)?

Feasibility (max 300 words)

Please comment on how you would envisage the management of your research project to be coordinated between all research partners involved. Please comment on past and present collaborations between the proposed project partners (if any)

Research requiring authorisation or notification

Research on humans ☐ Yes* ☐ No

*If yes, please attach official permission or briefly comment:

Research on human embryonic stem cells ☐ Yes* ☐ No


Research on animals ☐ Yes* ☐ No

Species:

Permission for animal experiments:

☐ Yes* ☐ No

Expiry date permission animal experiments:


Research with identifiable/potentially identifiable data ☐ Yes ☐ No

Data management plan (max. 200 words)

Please indicate your plans for data sharing and governance

Public engagement (max. 300 words)

Provide a brief outline of your plan to engage with the non-academic public.

Conflict of Interest (max. 300 words)

Disclose any conflicts of interest. The BRCCH commits to Scientific Integrity as outlined by the Swiss National Science Foundation and the Swiss Academy of Arts and Sciences (http://www.snf.ch/en/theSNSF/research-policies/scientific-integrity/Pages/default.aspx).

Curriculum Vitae

Please submit a CV for each Investigator, Co-Investigator, and Collaborator

Each CV should not exceed a total of 4 pages and should include the following information:

Personal information

Full Name

Position

Institution

Department

Address

Phone

E-mail

Website

Researcher IDs if applicable (e.g. Google Scholar ID)

Brief Personal Statement

Please state your research interests and expertise, and their relevance for research into child health and well-being.

Education

Employment history including current position(s)

Major scientific achievement(s)

Please list your most important career contributions relevant for this project, and detail their (translational) impact to your scientific field of expertise. These may include (but are not limited to):

Peer-reviewed publications (journals, books, conference papers)

Datasets, software and research materials;

Inventions, patents and commercial activity e.g. spin offs

Currently approved research projects

What projects are you currently involved with? Please indicate funding source and amount, duration of project, your level of involvement, and your type of contribution to the project.

Memberships in panels, boards, etc., and individual scientific reviewing activities

Active memberships in scientific societies, academies

Prizes, awards, fellowships

Science outreach

Please comment on your activities that are aimed at communicating science to the public and mentoring younger scientists. Please do not list graduate students in your lab or scientific talks given to fellow researchers, but please do list talks given to a public audience. Other examples include, but are not limited to, educational materials, outreach activities, mentorship programs, media aimed the public.

Publication list

Please provide a list of each applicant’s publications over the last 5 years separate to the CVs for each Investigator, Co-Investigator, and Collaborator

Provide citations in full (Complete list of authors (unless >4, in which case please use ‘et al’ but ensure your position as author remains documented); title, Journal, Year, Issue, Pages) and DOI. Do not include abstracts.

Botnar Research Centre for Child Health

University of Basel & ETH Zurich

Mattenstrasse 24a, Postfach 3350

4002 Basel

City, dd/mm/yyyy

Re: BRCCH Multi-Investigator Project (MIP) | Letter of confirmation by host institution

Dear BRCCH Executive Team,

The institution confirms its adherence to the commitments listed below should a BRCCH MIP be granted to name of investigator, co-investigator, collaborator.

The research institution confirms that

Applicants that act as Investigators or Co-Investigators of a MIP are employed for the entire duration of the BRCCH Multi-Investigator Project (MIP)

Applicants have access to the institution’s infrastructure, equipment and other services as necessary for conducting research in the context of the MIP;

Adequate administrative assistance is provided including access to Human Resources, Accounting, Research Services, etc.);

The Applicant’s scientific independence is guaranteed;

Clinically active collaborators will be exempt from clinical services to the extent that they receive salary contributions from BRCCH for research directly related to the project.

Kind regards,

Name

Function (e.g. Department Head, Director)

2/3

Documents

€¦ · Web viewDetailed description of the proposed research program (the word limit, includes figure legends but excludes tables, figures and references – these can be included