National Roads Authority Fellowship Programme 2010

APPLICATION FORM

Applicant(s)[1] (Academic staff):

Department / School / University / Institute:

Phone: Fax: e-mail:

Project Title:

PhD □ Post-Doctoral □

Proposed start date: Proposed finish date:

Breakdown of Funding

Year 1 / Year 2 / Year 3
Fellowship stipend
PhD ~€20,000
Post-Doctorate ~€40,000
Associated costs
(Fees, etc. Provide list)
Other project costs
(Provide list)
Total


PROJECT TITLE:

1. PROJECT ABSTRACT

Provide a concise description of the project, the overall aim and the expected outputs

2. PROJECT DESCRIPTION

2.1 Background

Provide background to the proposed project to indicate an understanding of the problems being investigated and the relevance to the NRA

2.2 Objectives

Provide the general aim and specific objectives of the project

2.3 Justification

Provide full justification for the project: eg, gaps in existing knowledge, economic benefits, other expected benefits, revised standards, improved practice, etc.

2.4  Workplan and timescale

Provide details of the proposed Workplan including a description of tasks and subtasks along with a Gannt chart showing timescale, dependencies and deliverables.

No / Task / Timescale / Any other relevant information
Number / Title / Number of months / Text (750 characters)

2.5 Methodology and other details

Provide a detailed methodology indicating how the project will be carried out. Include details of project management and risks.

2.6 Expected outcomes

Provide a detailed description of the project milestones and expected outcomes. A table of proposed deliverables with timescales should be provided.

Task / Title / Due / Description
Number / Text (500 characters) / Month number / Text (750 characters)

2.7 Dissemination of results

Provide a proposed dissemination plan.

3. CONCLUSION

4. APPENDICES

Include any background documents, CVs, letters of support, etc.

For PhD Fellowship, the candidate’s CV should be provided if the candidate is known.

For Post-doctoral Fellowship, the candidate’s CV should be provided.


5. AFFIRMATION

Signature of main institute applicant: Date:

Signature/Stamp of official (eg, VP for Research, Dean, Registrar, Industrial Liaison Officer, etc) of applicant's institute.

Date: ………………………

Completed application form, in hard copy using this template, fully signed by an authorised person,

must be returned by 12:00 on Friday, 14 May, 2010 to

Albert Daly

Research Manager

National Roads Authority

St. Martin’s House

Waterloo Road, Dublin 4

e-mail:

[1] First named will be taken as the primary supervisor