Research Application

Project Overview

Project Title*

Total Amount Requested From SCIDF*

Start Date

End Date

Principal Investigator

Name

Email

Title

Organization

Mailing Address

Phone Number

Fax Number

Director of Organization

Co-Investigator 1

Name

Email

Title

Organization

Mailing Address

Phone Number

Fax Number

Director of Organization

Co-Investigator 2

Name

Email

Title

Organization

Mailing Address

Phone Number

Fax Number

Director of Organization

Executive Summary

Project Details

Introduction / Rationale

Research Plan / Methodology

Project Significance

Description of Related Work

Project Milestones

M1

Description

Completion Date

MM/YYYY

% of Expenditures

M2

Description

Completion Date

MM/YYYY

% of Expenditures

M3

Description

Completion Date

MM/YYYY

% of Expenditures

M4

Description

Completion Date

MM/YYYY

% of Expenditures

Proposed Budget

Manpower Expenditures

Cash

Year 1

In-kind

Year 1

Cash

Year 2

In-kind

Year 2

Cash

Year 3

In-kind

Year 3

Operating Expenditures

Cash

Year 1

In-kind

Year 1

Cash

Year 2

In-kind

Year 2

Cash

Year 3

In-kind

Year 3

Travel Expenditures

Cash

Year 1

In-kind

Year 1

Cash

Year 2

In-kind

Year 2

Cash

Year 3

In-kind

Year 3

Technology Transfer Expenditures

Cash

Year 1

In-kind

Year 1

Cash

Year 2

In-kind

Year 2

Cash

Year 3

In-kind

Year 3

Other Expenditures

Cash

Year 1

In-kind

Year 1

Cash

Year 2

In-kind

Year 2

Cash

Year 3

In-kind

Year 3

Total Expenditures

Cash – Year 1

Total of All Year 1 Cash Fields

In-kind – Year 1

Total of All Year 1 In-kind Fields

Cash – Year 2

Total of All Year 2 Cash Fields

In-kind – Year 2

Total of All Year 2 In-kind Fields

Cash – Year 3

Total of All Year 3 Cash Fields

In-kind – Year 3

Total of All Year 3 In-kind Fields

Notes

Other Sources of Funding

Fund 1

Fund 2

Fund 3

Fund 4

Previous Unsuccessful Applications

Signatures

Name*

Principal Investigator

First Last

Signature*

Date

Name*

Supervisor / Director

First Last

Signature*

Date

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