project number template - canada foundation for … foundation for innovation project number...

Project number Innovation Fund

Proposal

Project information

Project title:Language of proposal:Applicant institution:

Project leader

Name:Title/position:

Project funding

Total project cost:Amount requested from theCFI ($):Percentage of the total projectcost requested from the CFI(maximum 40%):

Disciplines

Primary discipline:Primary sub-discipline:Secondary discipline:Secondary sub-discipline:Tertiary discipline:Tertiary sub-discipline:

Areas of application

Primary:Secondary:

Keywords

Research or technologydevelopmentSpecific infrastructure

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Canada Foundation for Innovation Project number

Project summary Proposal

Plain language summary

This summary will not be used in the review process. Should the project be funded, the CFImay use it in its communication products.

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Lead institution Project summary Project number

Project summary – attachment (maximum three pages)

In language appropriate for a multidisciplinary assessment committee (MAC), provide a general description of the research or technology development to be undertaken and a general overview of the infrastructure being requested. This summary must concisely address the extent to which the proposal meets the competition objectives. The objectives of the 2015 Innovation Fund are to enable institutions and their best researchers to:

• Strive for global leadership by conducting world-class transformative research andtechnology development in areas of institutional strategic priority;

• Forge and foster productive, value-added partnerships within and amonginstitutions, sectors and disciplines that will nurture creativity and innovation which willresult in the effective and sustainable use of the research infrastructure and facilities;

• Identify and develop plans and potential pathways to social, health, environmentaland economic benefits for Canada, including better training and improved skills forhighly qualified personnel.

For projects recommended for funding by the MAC, the project summary is the only section of the proposal that will be provided to the special multidisciplinary assessment committee (S-MAC) to assist in its deliberations. This section of the proposal may be translated by the CFI for the S-MAC’s use. In such cases, institutions will be provided a copy of the translated text for the opportunity to comment and/or correct the translation prior to review by the S-MAC.

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Key participants Proposal

Principal users

Name Institution Department

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Other users Proposal

Other users

Name and title/position Institution and departmentdata data

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Lead institution Assessment criteria and budget justification

Project number

Assessment criteria and budget justification (maximum 40 pages)

For this section of the online form, upload a PDF document that contains key information on how the proposal meets the objectives and established assessment criteria for this competition as well as a budget justification for the infrastructure items requested. Refer to the Guidelines for completing a notice of intent and a proposal for the 2015 Innovation Fund for detailed instructions.

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Financial resources for operation and maintenance Proposal

Financial resources for operation and maintenance

These tables outline annual costs and sources of support committed to ensuring effectiveoperation and maintenance of the infrastructure for the first five years after it becomesoperational. They do not include costs related to research and/or technology development.When applicable, funding from CFI's Infrastructure Operating fund (IOF) is included in theinstitutional contributions category.

Operation and maintenance budget summary

Costs Year 1 Year 2 Year 3 Year 4 Year 5 Total

Personnel 0 0 0 0 0 0

Supplies 0 0 0 0 0 0

Maintenance andrepairs 0 0 0 0 0 0

Services 0 0 0 0 0 0

Other (specify) 0 0 0 0 0 0

Total $0 $0 $0 $0 $0 $0

Funding sources

Funding sources Year 1 Year 2 Year 3 Year 4 Year 5 Total

Institutionalcontributions

0 0 0 0 0 0

Otherorganizations 0 0 0 0 0 0

User fees 0 0 0 0 0 0

Other (specify) 0 0 0 0 0 0

Total $0 $0 $0 $0 $0 $0

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Proposal

Infrastructure project funding

This table provides a summary of total contributions and eligible costs for the project.Individual item costs are detailed in the “Cost of individual items” section.

empty Total

Total eligible costs

Contributions from eligible partners

Amount requested from the CFI

Percentage of the total eligible cost requested from the CFI (may not exceed 40%)

Summary of eligible costs

This table provides a summary of the total eligible costs for each type of expenditure.Individual items are listed in the 'Cost of individual items' section.

Expenditure type Total

13. Purchase of equipment (including shipping, taxes and installation)

14. Lease of equipment or facility

15. Personnel (for infrastructure acquisition & development)

16. Components

17. Travel (infrastructure related)

18. Software

19. Extended warranties / Service contracts

20. Construction/renovation costs essential to house and use the infrastructure

21. Initial training of infrastructure personnel

22. Other

Total eligible costsTEMPLATE 0$

0$

0$

.00%

0$

0$

0$

0$

0$

0$

0$

0$

0$

0$

0$


Proposal

Cost of individual items

This table provides the details of eligible infrastructure acquisition and development costs.It shows the full costs of each item, including taxes (net of credits received), shipping andinstallation. For infrastructure that will be used for multiple purposes, the table includes pro-rated research (or technology development) costs only.The lead institution was instructed to follow its existing institutional policies and proceduresfor the preparation of budget estimates. The CFI expects that costs included in this budgetare close estimates of fair value.

Eligible costs

Item # Type Item description

Numberof

items Cash In-kind TotalDate acquired orto be acquired

Total eligible costs

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0$ 0$ 0$

Lead institution Floor plans Project number

Floor plans (if applicable) - attachment

For proposals that include construction or renovation involving multiple rooms, please provide floor plans of the proposed area(s), showing the location of the infrastructure and the scale of the plans. The floor plans must be legible when printed in black and white on standard letter size paper (8.5" x 11").

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Proposal

Contributions from eligible partners

The following table provides details of funding from eligible partners. It does not include theamount requested from the CFI

Partner name Partner type Cash In-kind TotalSecured orexpected

Total contributions from eligible partners

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Proposal

Infrastructure utilization

This table outlines the percentage utilization of the requested infrastructure by category.

Category Percentage

Research/technology development and associated training

Education, excluding research / technology development training (not eligible for CFI support) data

Administration data

Clinical or other service function data

Other (specify) data

Total

This section provides a breakdown of eligible costs included in each of the abovecategories.If the infrastructure will be used for non CFI-eligible purposes, the lead institution wasinstructed to explain the methodology used to estimate the percentage of utilization for eachcategory and how the budget was pro-rated.

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CV

Curriculum vitae

Identification

Family name:

First name and initials:

Position:

Institution:

Department/Division:

Mailing address

Contact information

Telephone: Extension:

Fax:

Email address:

Web Address:

Academic background

Degree typeYear

received orexpected

Discipline/Field/Speciality Institution and country

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CV

Name:

Area(s) of expertise

Keywords:

Discipline: Subdiscipline:

Work experience

PeriodPosition/Organization Department/DivisionStart date End date

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CV

Name:

Research/Technology development contributions in the last five years

This section provides details on research or technology development contributions over the past five years. It shouldinclude:

the most significant contributions to research/technology development (refereed articles, monographs, books, patents,copyright, products, services, technology transfer, other forms of research output),

the significance in terms of influence and impact on the target community for the most important contributions; and

other activities that show the impact of the work, such as research training, awards, consulting, contributions toprofessional practice or public policy, and membership on committees, boards, or policy-making bodies.

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CV

Name:

List of published contributions

This section provides a list of the most significant published contributions (e.g. submitted and/or published articles,

patents, technical reports) over the past five years.

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CV

Name:

Research or technology development funding

This table lists support held over the past five years as an applicant or co-applicant for grants and contracts from all sources,including industry and academic/research institutions. Support can be either under review (R) or awarded (W).

Title of proposalName of Principal Applicant / ProjectLeader

Funding sourceProgram name

Time commitment(hours per month)

R, W Averageamount per year

Support Period

From To

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Suggested reviewers Proposal

Suggested reviewers

The decision whether or not to use the suggestions remains with the CFI.

Name:

Institution/Organization:

Country:

Email:

Telephone:

Fax:

Online CV or biography:

Area(s) of expertise (keywords):

Name:


Country:

Email:

Telephone:

Fax:



Name:


Country:

Email:

Telephone:

Fax:



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Suggested reviewers Proposal

Name:


Country:

Email:

Telephone:

Fax:



Name:


Country:

Email:

Telephone:

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Name:


Country:

Email:

Telephone:

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Area(s) of expertise (keywords):TEMPLATE

project number template - canada foundation for … foundation for innovation project number...

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