Principal Investigator:
EXECUTIVE SUMMARY
TITLE of the PROJECT:
AMOUNT REQUESTED(€): Individual project Collaborative project
YEARS of SUPPORT:1 2 3
The undersigned have reviewed the present application, certify the statements herein are true, complete and accurate, have read the policies of FONDATION POUR L’AUDITION concerning research support and accept to comply with such policies if the present application is awarded.PRINCIPAL INVESTIGATOR / Name: / Degree(s):
Position: / Institution: / Department:
Address:
Department Head:
Phone: / Fax: / E-mail:
DATE & SIGNATURE:
LEGAL GRANT OFFICER / Name:
Institution: / Department:
Address:
Phone: / Fax: / E-mail:
DATE, SEAL of the INSTITUTION & SIGNATURE:
CO-INVESTIGATORS
The undersigned have reviewed the present application, certify the statements herein are true, complete and accurate, have read the policies of FONDATION POUR L’AUDITIONconcerning research support and accept to comply with such policies if the present application is awarded.CO-INVESTIGATOR 1 (TEAM B) / Name: / Degree(s):
Position: / Institution: / Department:
Address:
Department Head:
Phone: / Fax: / E-mail:
DATE & SIGNATURE:
LEGAL GRANT OFFICER for TEAM B / Name:
Institution: / Department:
Address:
Phone: / Fax: / E-mail:
DATE, SEAL of the INSTITUTION & SIGNATURE:
CO-INVESTIGATOR 2 (TEAM C) / Name: / Degree(s):
Position: / Institution: / Department:
Address:
Department Head:
Phone: / Fax: / E-mail:
DATE & SIGNATURE:
LEGAL GRANT OFFICER for TEAM C / Name:
Institution: / Department:
Address:
Phone: / Fax: / E-mail:
DATE, SEAL of the INSTITUTION & SIGNATURE:
FONDATION POUR L’AUDITION, 2017 Page 1/13
Principal Investigator:
PROJECT DESCRIPTION
See guidelines
FONDATION POUR L’AUDITION, 2017 Page 1/13
Principal Investigator:
REBUTTAL (if applicable)
See guidelines
PRINCIPAL INVESTIGATOR’S BIOGRAPHICAL SKETCH – TEAM A
Name & Degree:Position:
A. Education, Training, Positions & Honors
B. Peer-Reviewed Publications
C. Research support
See guidelines
1. ACTIVE, APPROVED or COMPLETED GRANTS related to the present proposal
2. PENDING GRANTS related to the present proposal
3. GRANTS UNRELATED to the present proposal
FONDATION POUR L’AUDITION, 2017 Page 1/13
Principal Investigator:
CO-INVESTIGATOR’S BIOGRAPHICAL SKETCH – TEAM B
Name & Degree:Position:
A. Education, Training, Positions & Honors
B. Peer-Reviewed Publications
C. Research support
See guidelines
1. ACTIVE, APPROVED or COMPLETED GRANTS related to the present proposal
2. PENDING GRANTS related to the present proposal
3. GRANTS UNRELATED to the present proposal
FONDATION POUR L’AUDITION, 2017 Page 1/13
Principal Investigator:
CO-INVESTIGATOR’S BIOGRAPHICAL SKETCH – TEAM C
Name & Degree:Position:
A. Education, Training, Positions & Honors
B. Peer-Reviewed Publications
C. Research support
See guidelines
1. ACTIVE, APPROVED or COMPLETED GRANTS related to the present proposal
2. PENDING GRANTS related to the present proposal
3. GRANTS UNRELATED to the present proposal
FONDATION POUR L’AUDITION, 2017 Page 1/13