Standard for the Three Type of Projects

PROGRAMA DE INVESTIGACION ASOCIATIVA

RESEARCH TEAM PROJECTS IN SCIENCE AND TECHNOLOGY, SOCIAL SCIENCES AND HUMANITES, ANTARCTIC SCIENCE

APPLICATION FORM

(STANDARD FOR THE THREE TYPE OF PROJECTS)

I. PRESENTATION

1.Project type

2.Título del Proyecto

Project title

3.Key Words and Discipline (s)

KEY WORDS / DISCIPLINE(S)

4. Resumen del Proyecto(Extensión máxima extensión dos páginas impresas con letra tipo Calibri punto 11, espaciado simple entre líneas y márgenes iguales a los del presente formulario).

Project Summary (Maximum extension 2 pages in Calibri 11 format, single-spaced lines and margins indicated in this form).

5. Institutions/ participating entities (Repeat the record as may times necessary to include all participating institutions

Name Institution/0rganization/entity / Category (According to guidelines) / Legal ID Number
Legal Representative Name / ID Number / Signature (only for non online applications)

6. Research Team(Must be filled in only by main and associated researchers).

Personal data

Name / RUT/Passport
number / Category / gender
Institution Name / Department, Faculty or other / Department / Unit
Current position
Working address / City
Contact phones / E-Mail address
Latest Deegre or title obtained / Institution where it was obtained / Date it was obtained
Commitment to the project (Weekly hours) / Annual requested fees (M$) / Signature

______TO BE PRESENTED IN ORIGINAL BY MARCH 16TH______

2. Currículum vitae of each main and associated researcher(Maximum extension each should be 5 pages

and must include)

Publications of the last 5 years (Include ISI and non-ISI publications, books, book chapters, etc.) and number of citations for each article updated,
Participation in National and International Congresses and/or Symposia,
Training and tutorship of students. Indicate tutor and co-tutorships, training through reseearch seminars, regular courses among others,
Participation in R&D projects indicating the source of funds, years of funding ad role within the project,
Consulting projects, studies and similar services provided to individuals, institutions and/or enterprises related to this project subjet(s) and any other data you consider relevant to the duties and role you will play in this project.

En todas las actividades previas señalar aquellas en colaboración con algún otro participante de este proyecto (para ello marcar en negritas el apellido de la otra persona involucrada) y aquellas realizadas en ámbitos interdisciplinarios (para ello indicarlas con un asterisco).

II. PROJECT DESCRIPTION (Maximum extension 20 pages-not including Apppendices)

Research background, objectives and activities

Human capital training and formation

International Cooperation

Dissemination of results and knowledge transfer to non-academic environments.

National Networks (Only forprojects participating in the national tender process for Research Team Projects in Social Sciences and Humanities)
Application and / or of knowledge transfer and impact on Public Policy (Only forprojects participating in the national tender process for Research Team Projects in Social Sciences and Humanities in Public Policy Innovation mode.
References

III.WORKING PLAN.

IndicaTE THE OBJECTIVES AND ACTIVITIES FOR EACH YEAR OF THE PROJECT. (RepEAt tHE TABLE FOR EACH YEAR)

WORKING PLAN YEAR PERIOD
Objectives and activities / MONTHS
1 / 2 / 3 / 4 / 5 / 6 / 7 / 8 / 9 / 10 / 11 / 12
Objective 1
Activity 1.1
Activity 1.2
Activity 1.3
Objective 2
Activity 2.1
Activity 2.2
Objective 3

IV.RESEARCH TEAM ORGANIZATION (Modify the organigram adjusting it to your own proposal)

INFORMATION BASELINE AND INDICATORS

Funding sources contributing to the proposal / Source (Chilean/Foreigner) / Name Funding Source * / Amount ($)
Total funds received for the implementation of the project from sources outside this Program, indicating the funding entity (expressed in Chilean pesos)

The following two tables summarize the indicators’ baseline by the time of this application. Add as many line as you need.

(*) Name of national/foreign agencies, foundations, programs, etc. that will provide funds to this projectsucha as FONDECYT, ICM, NSF, among others.

BASELINE OF RESEARCH TEAM* / N°
Total number of ISI publications of the latest 5 years
Total number of ISI publications of the latest 5 years with international co-authors
Total Number of citations associated to the ISI publications of the latest 5 years
Total number of undergraduate students that are currently trained by all researchers of the team
Total number of graduate students that are currently trained by all researchers of the team
Total number of postdocs that are currently working with researchers of the team
Total number of patents applications and patents granted, obtained by researchers of the research team

* In this table the category of “Research Team ” main and identified associated researchers are the only ones considered. This information does not include other researchers, postdocs, or those professionals that may coordinate management activities and/or administration.

INDICATORS

The following table summarizes the expected indicators to be obtained during the execution of this project. If you consider that there are more adequate indicators to those mentioned here please include them. On the other hand, if you consider that some of them do not apply to this project please indicate so in the table.

General Data / Discipline
Total budget
Percentage of the proposal total costs
financedby other sources than public funds
Nº of main researchers
Nº of associated researchers
Gender ( %) of the previous categories
Scientific production / Nº of ISI publications
Nº of non- ISI publications
Percentage of publications with co-authors external tothis proposal
Percentage of publications co-authored by
researchers of this proposal
Average impact index of the journals with ISI
publications
Average citations per article
Nº of national presentations
Nº of international presentations
Comercial production or others / N° of patents solicitated
N° of patents registered
N° of licenses or Material Transfer
Agreements
Percentage of the project cost financed by enterprises
Number of formal transfer agreements or other with companies
Nº of Spin-offs
Training of young researchers and students / Nº of undergraduate students
Nº of Master´s students
Nº of Ph.D’s students
Nº of postdocs participating in the project
Nº of undergraduate theses finished
Nº of Master´s theses finished
Nº of Ph.D’s theses finished
Percentage of theses co-tutored by researchers
participating in this project
Percentage of theses co-tutored with
Researchers external to this project
Nº of stays of students and researchers in
othercenters or institutions
Collaboration and dissemination / N° of visits from students and researchers from
other centers and institutions
N° of projects with national collaboration
N° of projects with international collaboration
N° of public and/or private entities (not
enterprises) participating
Number of outreach activities / dissemination activities
Times the project is mentioned in the mass media
Nº of total attendants to extramural events
Nº of Chilean academics attending
Nº of Foreign academics attending
Nº of representatives from sectors other than academic
Nº of documents resulting from the events
Public agencies interested in the progress and
results of the project
Other participation activities in public policies
implementation and discussion.

VII. BUDGET (In Chilean pesos-M$)

1) Budget Detail (Please fill up Excell table for that purpose available as contest documentation).

2) Justification of the requested budget (follow instructions for online application provide in the Instructivo de postulación, otherwise fill up the tables)

Code and expense category / Funds requested to CONICYT ($)
Tickets and Per Diems
Equipment and Infrastructure adjustment

Tickets and Per diems (Indicate separately National and International travel)

To calculate these costs use as a reference economic fare in plane tickets and the reference table for per diems generated by FONDECYT.

Justification of Tickets and Per diems: (Use as much space as you require, in online applications this information is a pdf file)

Equipment and infrastructure adjustment (if applies)

Both itens should be justified according to the project objectives and activities. Please list the equipment and the specific infrastructure and space adjustments indicating what will be their use and their estimated costs. DO NOT INCLUDE QUOTATIONS IN THE APPLICATION. If required these will have to be provided later in case the proposal is granted.

Justification of Equipment and infrastructure adjustment: (Use as much space as you require, in online applications this information is a pdf file)

Personnel justification and detail (In online applications the information is unloaded automatically from

the information entered in PRESENTATION section, except for “duties/role in the project” that comes

from the pdf files loaded by you).

Researcher name / Category / Project Commitment (Weekly hours) / Annual amount requested as fees (M$) / Functions/role within the project

Repeat as many lines as researchers you have identified

Participant category

postdocs
Students Technical staff
Administrative Staff
other professionals

/ Project Commitment (Weekly hours) / Annual amount requested as fees (M$) / Functions/role within the project

Repeat as many lines as participants you are planning to have working within the project framework

VIII. LIST OF SUGGESTED REVIEWERS AND THOSE WITH CONFLICT OF INTEREST (OPTIONAL)

Name / Last name / Category

With conflict of interest
suggested as an evaluator

/ Contact data (Current work and address, web site, email address)

Add as many lines as you need

IX.COMPROMISOS INSTITUCIONALES Y certificaciones (Ver Lista de documentación Anexa y condiciones de admisibilidad e Instructivo de Postulación)