Professional Documents
Culture Documents
___________________________________
Cooperation & Development Center - CODEV
CM 2
STATION 10
CH-1015 LAUSANNE
Tel:
E-mail:
Web Site:
+41 21 693 60 12
cooperation@epfl.ch
http://cooperation.epfl.
ch
APPLICATION FORM
GENERAL INFORMATION
Project title
Keywords
Related event (focus of
the research)
Field(s) of research1 /
Discipline(s)
Swiss institution
Partner institution
Other partners
Short summary
(5 lines)
Intended start date
Project duration (in
months)
Total funding requested
(in CHF):
I hereby confirm that all the information given in this application and in the attachments is correct to the
best of my knowledge
-------------------------------------------------
-------------------------------------------------------
Place, Date
PERSONAL DATA
Swiss Principal Investigator
1 Please refer to the official typology, cf. this list
http://www.snf.ch/SiteCollectionDocuments/allg_disziplinenliste.pdf
EPFL CODEV Leading House
Title:
Family name:
First name(s):
Date of birth:
Nationality:
Academic degree:
Current position:
Institution:
Mailing address:
Phone number:
Email address:
REQUESTED FUNDING
Please fill in and attach the budget form in Excel format to your application.
SUMMARY of the budget (in CHF):
Total budget requested by the Swiss partner (FLASH
project funding)
Total budget of the partners abroad
Swiss principal investigators other funding (in cash)
TOTAL
2) Description of the event and how the proposed research relates to it (max. page):
Please refer to the evaluation criteria and the definition of event in the Call document.
3) Current state of research (max. 1 pages): Briefly describe the state of the art in the
proposed field of research. Explain the relevance of the planned research, in particular for
the scientific community.
Also make sure to describe the state of your own research.
4) Objectives and justification (max. 1 page): Describe in detail the objectives of the
proposed project. Mention the main research questions that will guide your research.
Briefly discuss the significance of the expected results and the value of collecting and
analysing this information that would not be accessible in a normal situation.
6) Partnership aspect (max. 1 page): Outline the previous work and performance of the
applicants in the proposed area of research. Briefly describe their strengths and
complementarities.
Milestones
Related activities
Expected date
9) Ethical, safety and regulatory issues: Does the proposed research raise ethical, safety
or regulatory issues? If yes, please specify how you will deal with it.
10) Suggested experts for peer review: Please name 3-5 experts in the research field who
could review the proposal.
ATTACHMENTS
In addition to the form, please provide:
For all applicants, a brief curriculum vitae (max. 2 pages) including a list of the five most
important publications related to the proposed research.
Letter of the Dean, Chair or Head of the involved institutes (for Swiss institutes only) stating
support for the proposed activities and certifying that there will be no overhead or other
indirect costs charged.
CONTACT
EPFL CODEV
CM2, Station 10
CH-1015 Lausanne
Switzerland
Caroline Cherpillod,
Programme Assistant