Ref No: ……….../…………. (Office Use Only)

CNRS-Oxford Collaboration Scheme

Application form to support activities in 2014

This form should be completed jointly by the applicant from a CNRS-affiliated unit and the Oxford applicant. A Word version of the completed form together with a scanned copy with the requested signatures on page 3 should be submitted in an email addressed to both and and by 15 September 2014.

APPLICATION TYPE
Which organisation are you seeking funding from?[1] / CNRS / Oxford / Both
Type of Grant sought: / Research Visit / Research Workshop
For a Research Visit, which organisation is the hosting institution? / CNRS / Oxford / Both (i.e. an exchange)
For a Research Workshop, which organisation is the hosting institution? / CNRS / Oxford
DETAILS OF CNRS-AFFILIATED UNIT APPLICANT / DETAILS OF OXFORD APPLICANT
Name: / Name:
Title (Prof, Dr, Ms, Mr etc): / Title (Prof, Dr, Ms, Mr etc):
CNRS-affiliated unit name: / Division:
Laboratory code for CNRS-affiliated unit: / Department:
Relevant CNRS thematic Institute: / Telephone:
Evaluation committee at CNRS: / Email:
Name of head of CNRS-affiliated unit:
Address for correspondence:
Telephone:
Email: /
PROJECT LISTING
It is the policy of Oxford (under the conditions of its John Fell OUP Research Fund) to publish a summary of grants awarded (name of award holder, CNRS laboratory/centre, Oxford department, title of project, amount of grant) on its website: / Please check this box if you do not consent to this:
PROJECT DESCRIPTION
  1. Title:

  1. Project Summary (max 50 words overview, for a general audience):

  1. Start date of project:

  1. End date of project:

  1. Total amount requested:
/ CNRS:
Oxford Fell Fund:
  1. (For Oxford only):Fell Fund match by the Department or Division

  1. Breakdown of costs:
/ Please supply an itemised budget, using the form attached.
Project Statement / Please append a project statement (max. two (2) A4 pages, minimum 11 point font) which should :
  • describe the proposed activity and timeline
and address the following selection criteria:
  • the strategic importance or added academic value of the collaboration
  • expected outcomes
  • the extent of any existing collaboration (where present) between the applicants and/or their departments/laboratories (including joint publications, joint grant funding etc)
  • how the activity will strengthen an existing collaboration and/or lead to new opportunities (including through access to research facilities or other resources of each organisation)
  • participation of early career researchers
  • how the collaboration will be sustained beyond the term of the award (including how this will lead to new funding opportunities from external agencies)

ENDORSEMENT BY HEAD OF CNRS-AFFILIATED UNIT / ENDORSEMENT BY OXFORD HEAD OF DEPARTMENT/CHAIR OF FACULTY
I endorse this application and agree to provide the necessary facilities and administrative support
Signature of Head:
Name of Head: / I endorse this application and agree to provide the necessary financial, facilities and administrative support
Signature of Head/Chair:
Name of Head/Chair:

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Budget request form

Funds requested from CNRS – for costs incurred by CNRS only

Note:Maximum grant value:3000 euros (Research Visit)
5000 euros (Research Workshop)

All funds must be spent by the end of 2014 financial year

Purpose / Description / Amount (euros) / Amount requested from Scheme (euros)
Travel:
Accommodation:
Other (please specify):
Total

Funds requested from Oxford – for costs incurred by Oxford only

Note:Maximum grant value:£2400 (Research Visit)
£4000 (Research Workshop)

All funds must be spent by 28 February 2015

Purpose / Description / Amount (£) / Amount requested from Scheme (£)
Travel:
Accommodation:
Other (please specify):
Source of the funds to match the Fell Fund grant
Total

[1] Applicants from CNRS-affiliated units should seek funding for their costs from CNRS. Oxford applicants should seek funding for their costs from Oxford.