PROJECT SUBMISSION FORM

FIRST NATIONAL CALL FOR MAJOR SCIENTIFIC AND TECHNOLOGICAL EQUIPMENT FOR USER FACILITY CENTERS

CONICYT

Name of the Applicant Center

Santiago, March 2010

TABLE OF CONTENTS

A.  GENERAL INSTRUCTIONS……………………………………………………...... ……………………....1

B.  PUBLIC CHARACTER OF THE INFORMATION OF THE APPLICATION FORM...... …………………….2

1 PROJECT DESCRIPTION 2

1.1 General Project Information 2

1.2 Priority Area and Project Classification 2

1.3 Sectors of Impact by the Project (select the relevant categories for each item) 3

1.4 Project Summary 4

2 BACKGROUND OF THE CENTER OR SPONSORING INSTITUTION 5

2.1 Type of Center 5

2.2 Basic information about the Center or Sponsoring Institution 5

2.3 Basic information about the Legal Representative of the Center or Institution 5

2.4 Staff of the Center 6

2.5 Academic and Professional Background of the Executive Director of the Center 7

2.6 Professional and Academic Background of the Strategic Scientific Committee Members 8

2.7 Academic and Professional Background of the Head of the Management Unit 9

3 BACKGROUND OF THE ASSOCIATED INSTITUTION(S) 10

3.1 Basic Information of the Associated Institution(s) 10

3.2 Basic Information of the Associated Institution’s Legal Representative(s) 10

4 PROJECT CONTENTS 11

4.1 Objective, activities, goals and deadlines 11

4.2 Relevance 12

4.3 Major Scientific Equipment 13

4.3.1 Definition 13

4.3.2 Equipment requested 13

4.3.3 Existing Equipment 14

4.4 Center Management Model 15

4.4.1 User Access Plan 15

4.4.2 Equipment Use and Service Model for the Center 16

4.4.3 Use Cost of the Equipment and Rate Setting 17

4.4.4 Sustainability Strategy 18

4.4.5 Maintenance and Updating Equipment 19

4.4.6 Complementary Factors 20

4.5 Indicators, Baseline, Expected Results and Impact 21

4.6 Expected Impact on the National System of Science and Technology 23

5 ORGANIZATIONAL STRUCTURE 24

6 COMMITTED RESOURCES 25

6.1 Center or Sponsoring Institution 25

6.2 Associated Institution 25

7 BUDGET 25

7.1.1 Center Start-up Expenses 25

7.1.2 Center Operating Expenses 25

See Budget Consolidated in the budget form (budget.xls) 25

7.2 Budget Broken Down by Year, Center Expense and Institution 26

See Budget Broken Down in the budget form (budget.xls) 26

8 ADEQUACY OF INFRASTRUCTURE AND / OR CONSTRUCTION OF SPECIAL FACILITY 27

9 JUSTIFICATION OF MAIN BUDGET ITEMS 28

10 NETWORKS 29

11 INSTITUTIONAL CERTIFICATES AND COMMITMENT LETTERS 30

12 APPENDIXES 31

13 ELEGIBILITY FORM 32

1

ASSOCIATIVE RESEARCH PROGRAM

FIRST NATIONAL CALL FOR MAJOR SCIENTIFIC AND TECHNOLOGICAL EQUIPMENT FOR USER FACILITY CENTERS

2009

APPLICATION INSTRUCTIONS

A.  GENERAL INSTRUCTIONS:

Projects proposals must be submitted until 4:00 p.m. on May 14, at CONICYT’s Associative Research Program (PIA) office, Bernarda Morín 551, third floor, Providencia, Santiago, and be labeled “FIRST NATIONAL COMPETITION FOR SHARED-USE MAJOR SCIENTIFIC AND TECHNOLOGICAL EQUIPMENT SERVICE CENTERS”. For applications from outside Santiago, the mailing date should be on or before the closing date and time indicated above.

Two printed originals of each project application must be submitted, one in Spanish and one in English, along with all other necessary documents including those requiring the original signature of the participants and legal representative(s) of the applicant institution(s). All certificates and contribution commitment letters required on the part of the institutions responsible for the project and the associated institutions must be attached to the Spanish version.

In the case of research projects that involve studies on humans and/or animals, a report approving the ethical and/or bioethical aspects of the project must be submitted by each of the institutions involved in the proposed research. At the time of application, only the request submitted to the respective committee(s) responsible for certifying the ethical/bioethical aspects of the project is required. Once the project is awarded, however, this request must be completely processed and approved by the committee(s).

A digital backup on CD must accompany the physical copies, consisting of independent, properly labeled, virus-free Word/Excel/PDF files that are an exact copy of the Spanish and English paper versions. Any disks that are damaged or that harm the computers and systems used to read them must be replaced by the applicant institution no later than one business day after notification.

Inquiries may be directed to the Associative Research Program via the website www.conicyt.cl/oirs. Inquiries will only be received up to seven consecutive days before the competition closing date. Similarly, clarifications made by CONICYT will be published at www.conicyt.cl/PIA no later than five consecutive days after the enquiry was made. The replies to these inquiries and any clarifications made to the competition terms and conditions will be considered an integral part of the same.

Project submissions must follow the instructions outlined in this document. THOSE PROJECTS THAT DO NOT COMPLY WITH THE TERMS AND CONDITIONS OR THE INSTRUCTIONS OUTLINED IN THIS FORM WILL NOT BE EVALUATED. An eligibility form is included listing all documents required for a complete and eligible project application. CONICYT will review this requirement checklist in order to review the eligibility of the projects. .

The project format is specified in these instructions and in the application form. The submitted project must: 1) be printed on letter size paper, 2) keep the margins established in these instructions, 3) be single spaced, 4) use size 11 Arial font or another similar font and 5) accomplish with the length limits specified in each section.

Wherever possible, all graphics or non-text material (topographic maps, other maps, statistics, diagrams etc.) must be inserted in the text and must be considered as part of the maximum page limit.

Project submissions will not be returned.

B.  PUBLIC CHARACTER OF THE INFORMATION OF THE APLICATION FORM.

In accordance with Article 4 of Law N° 19,628, on the Protection of Private Life or the Protection of Personal Information, the applicant Center authorizes the publication of the information contained in the following chapters: :

·  Executive Director of the Center

·  Head of the Management Unit

·  Members of the Strategic Scientific Committee

·  Director of the Strategic Scientific Committee

B1. And the following information extracted from the resumes of the Center personnel:

·  Name

·  Sex

·  Nationality

·  Position at the project

·  Academic background

·  Academic and professional activities

·  Publications

·  Conference presentations

·  Human capital training

·  Advising or consulting work

B2. Likewise, the applicant Center authorizes the publication of the information contained in the following sections:

·  Executive summary of the proposal

·  Identification of the Center or Sponsoring Institution

·  Priority area and project classification

ASSOCIATIVE RESEARCH PROGRAM

FIRST NATIONAL CALL FOR MAJOR SCIENTIFIC AND TECHNOLOGICAL EQUIPMENT FOR USER FACILITY CENTERS

2009

APPLICATION FORM

1  PROJECT DESCRIPTION

1.1  General Project Information

Project Title:
The title should be short, descriptive and should make clear reference to the proposed Major Scientific and Technological Equipment for User Facility Center. If the proposal is selected, this name or title will be used during the entire project execution. It will also be used whenever necessary to disseminate projects activities via public media as determined by CONICYT.
Acronym or Abbreviated Name of the Project:
Director of the Project:
Telephone:
Fax:
E-mail:

1.2  Priority Area and Project Classification

Priority Area / OECD Scientific Discipline(s) Associated with Project
----- Genomics and Proteomics
----- High-capacity Computer Technology
----- Advanced Microscopy
----- Animal Laboratory Facility

Priority area and project classification: This call will cover projects in four priority areas (described in the terms and conditions) that represent the creation of capacities currently not present in the country or the strengthening and/or scaling of existing capacities, always under standards of excellence. Projects submitted to this call must fit exclusively under one of these priority areas. In addition, proposals must be classified within the OECD Field of Science and Technology category(ies) that most closely match the project (see OECD Field of Science and Technology classification published on this site).

1.3  Sectors of Impact by the Project (select the relevant categories for each item)

Priority Cluster / CONICYT Areas of Cross Support / Economic Activity / Center’s Development Region / Center’s Impact Region
Agrofood Industry / Energy / Agriculture, Livestock, Hunting and Silviculture. / 1 / 1
Aquaculture / Environment / Fishing. / 2 / 2
Mining / ICTs / Exploitation of Mines and Quarries. / 3 / 3
Offshoring (Global Services) / Education / Manufacturing Industries. / 4 / 4
Special Interests Tourism / Health / Supply of Electricity, Gas and Water. / 5 / 5
Astronomy / Construction. / 6 / 6
Earth Sciences / Wholesaling and Retailing. / 7 / 7
Oceanography / Hotels and Restaurants. / 8 / 8
Transport, Storage and Communications. / 9 / 9
Financial Intermediation. / 10 / 10
Real Estate, Business and Rental Activities. / 11 / 11
Public Administration and Defense. / 12 / 12
Education. / MR / MR
Social and Health Services. / 14 / 14
Other Community, Social and Personal Services. / 15 / 15

Priority Cluster: These should be correlated to the priority economic areas defined by the National Council on Innovation for Competitiveness (CNIC), see “Hacia una Estrategia Nacional de Innovación para la Competitividad”, Vol. II (2008) at the following link: http://www.cnic.cl/content/view/472445/Presentacion.html

CONICYT Areas of Cross Support: These correspond to areas identified by CONICYT as needing cross-cutting support both in order to strengthen clusters and to broaden the country’s development. See “Logros CONICYT, más Ciencia y Tecnología para Chile”, CONICYT 2009 at the following link: http://www.conicyt.cl/573/article-31980.html

Economic Activity: Economic activities as defined by the International Standard Industrial Classification (ISIC). See the following link: http://www.ideam.gov.co/temas/calidad/ciiu3.pdf

Center’s Development Region: Region where the Major Scientific and Technological Equipment for User Facility Center will be physically located.

Center’s Impact Region: Potential region(s) where the Major Scientific and Technological Equipment for User Facility Center will have a positive impact on regional research.

1.4  Project Summary

The summary must provide a concise description of the project objectives, scheduled activities and relevance of acquiring the major scientific and technological equipment, as well as the priority areas where the project will have an impact. It should also make general reference to the piece(s) of equipment requested for a new Center or to strengthen an existing one, as well as outlining the equipment access and use plan.

This summary should be suitable for potential evaluators and researchers from related disciplines, as well as for other researchers from less closely related areas. The maximum length must be two printed pages.

2  BACKGROUND OF THE CENTER OR SPONSORING INSTITUTION

2.1  Type of Center

Creation of a new Center
Strengthening and/or scaling of existing Center

Mark the corresponding box with an X

2.2  Basic information about the Center or Sponsoring Institution

Name or Legal Name: / National ID Number:
Year of establishment: / Postal code:
Address: / District:
City: / Region:
E-mail: / Web page:

The Center or Institution responsible for the project will be the recipient of the funds, which must be used exclusively for the development of the Center. If the Center is legally incorporated, it will receive the funds directly. If not, the funds will be received by the Institution responsible for the project.

2.3  Basic information about the Legal Representative of the Center or Institution

Name of Legal Representative: / National ID Number:
Position: / E-mail:
Telephone: / Fax:
Signature of Legal Representative:

Repeat this table as many times as necessary

2.4  Staff of the Center

Board Members /
/ Last Name / Second Last Name / First and Middle Name / National ID Number / Institutional Affiliation
(Indicate the principal one) / Signature /
Executive Director of the Center
Director of the Strategic Scientific Committee
Members of the Strategic Scientific Committee
/ Last Name / Second Last Name / First and Middle Name / National ID Number / Signature /
1
2
3


Members of the Management Unit
/ Last Name / Second Last Name / First and Middle Name / National ID Number / Signature /
Head of the Management Unit
Management Unit Professional (identify position)

Information about the staff of the project : Executive Director of the Center, members and director of the Strategic Scientific Committee, and members and head of the Management Unit must fill in the requested information and sign this section of the project.

2.5  Academic and Professional Background of the Executive Director of the Center

Last Name / Second Last Name / First and Middle Name / National ID Number
Professional and Academic Degrees / University / Country / Graduation Date
Professional Degrees:
Academic Degrees:
Current Position / Experience in Leading Technological Projects
Institution / Institution / Position / From / To
Contract (hrs./month contracted)
Position held
Experience in Upper Management positions (public or private) Universities, Government Agencies, Technological Centers, Research Institutes, Technology-based Companies, etc.
Institution / Position / From / To
R&D&i Projects in the last 5 years
Projects / Institution / Funding / Role in the project / From / To
Main Publications in the last 5 years
Main Awards and Distinctions received in the last 5 years

NOTE: The information in the above table must include the most relevant background of the Executive Director career, and thus must be a synthesis. A résumé of a maximum of four pages must also be attached as an appendix.

2.6  Professional and Academic Background of the Strategic Scientific Committee Members

Last Name / Second Last Name / First and Middle Name / National ID Number
Professional and Academic Degrees / University / Country / Graduation Date
Professional Degrees:
Academic Degrees:
Current Position / Previous Positions Relevant to the Project
Institution / Institution / Position / From / To
Contract (hrs./month contracted)
Position Held
(1) Name of Main Studies and/or Consultancies
Study and/or Consultancy Work / Hiring Institution / From / To
(2) R&D&I Projects in the last 5 years
Projects / Institution / Funding / Role in the project / From / To
(3) Conferences and Seminars in the last 5 years:
(4) Teaching/Training of Students/Researchers:
(5) Main Publications in the last 5 years:

Repeat the table for each one of the Strategic Scientific Committee Members