UCL’S HEIF KNOWLEDGE EXCHANGE AND INNOVATIONFUND APPLICATION

Please refer to the guidance when preparing your application. Other things to note:

–Guidance and additional templates are available on the scheme’s webpage.

–All fields are mandatory unless indicated otherwise.

–Your application must be understood by a non-specialist reader.

–All boxes can be expanded, but a 6 page maximum page limit applies (not including checklist).

–No additional appendices are allowed except where specifically requested.

–CPD/short course project applicants must contact Life Learning () to apply.

  1. General

Call
(tick only one box) / Pre-Commercialisation
Knowledge Exchange (KE) Project (specific category needed in part 3)
Project title
PI / academic lead at UCL / Name / UCL Email
PI Department
Co-I at UCL
(if any) / Name / UCL Email
Co-I Department
  1. Partner Organisation(if any; to add more, please use the ‘Additional template.docx’, p.1)

Name
Organisation type / (i.e. Public, Private Limited Company, Registered Charity, etc.)
Size of company / (i.e. Micro, SME, Large, Large Multinational)
Lead contact / Name / Email
Address
Sector(select up to 2 applicable boxes):
Aerospace, Defence, Marine
Agriculture, Food, Drink
Chemicals
Communities and Social Services/Policy
Construction
Creative Economy
Culture, Heritage, Museums and Collections
Digital/Comms/Info Tech
Education
Electronics
Energy / Environment
Financial Services & Management Consultancy
Government, Democracy and Justice
Healthcare
Leisure, incl. sports, recreation & tourism
Manufacturing, incl. Industrial Biotechnology
Pharmaceuticals and Medical Biotechnology
Retail
Security, Diplomacy
Transport
Other (please specify):
  1. Planned Activities

Proposed activity category(KE projects ONLY; Select as many as applicable):
Workshops or seminars
Employment of specialist staff
Publications
Engagement events with industry/users
For Secondments and people exchange, please see guidance. / Networking
Training
Public Policy activities
Commercial ventures/Social Enterprises
Other (provide details)
Summary of aims and objectives of the project (max. 1500 characters):
Describe fully the activities to be undertaken and how they will increase the impact of the underpinning research (max. 2 pages; add additional pages and Gantt chart if required):
  1. Impact and risk assessment

How does this project fit in with the UCL Innovation Enterprise Strategy 2016–21 and UCL2034?
Provide an outline of why this project matters in ‘real-world’ terms:
Describe (i) anticipated outcomes, (ii) the potential impact and beneficiaries and (iii) measures of success:
Plan for ongoing activity and securing further funding if project is successful:
Risk assessment and competitor analysis:
Commercialisation possibilities, including UCLB engagement (MANDATORYfor pre-commercialisation projects ONLY):
UCLB Business Manager(full name; attach evidence of UCLB support (e.g., email) where applicable):
  1. Track Record

Summary of underpinning research and link to grant portfolio (where applicable)
Project numbers:
Research Council grant(s) / Other
Engagement in KE/Enterprise to date
Project numbers and date received(where applicable):
UCL HEIF / Other UCL / External
  1. Resources and Financial Details

Proposed start / DD/MM/YYYY / Proposed end / DD/MM/YYYY
Partner
contribution
(if any) / Details of contribution from partner organisation:
Cash (£) / In kind (£) / Total (£)
HEIF funding requested
(£, direct costs only) / Staffing and recruitment requirements(include all current/new staff who will work on project, if any):
Justification of resources requested:
Salaries / Consumables / Travel / Other / Total
Describe expected spend by month(please refer to guidelines for details):
Funding Request per financial year(1st Aug–31st July):
Financial Year 2018/19 / Financial Year 2019/20
Staff to be funded 1
(if any) / Name / FTE / Date from/to
UCL background
Doctoral student PDRA Academic staff Technical/support Teaching
Other (please specify)
Staff to be funded 2
(if any) / Name / FTE / Date from/to
UCL background
Doctoral student PDRA Academic staff Technical/support Teaching
Other (please specify)
Staff to be funded 3
(if any) / Name / FTE / Date from/to
UCL background
Doctoral student PDRA Academic staff Technical/support Teaching
Other (please specify)
Financial administration / Departmental Administrator full name (and email)
Worktribe ID / MyFinance Organisational Unit(see guidance)

We will be unable to process your application if any of the required documents are missing.

Completed submissions to be emailed to: using the subject line given for the relevant call for proposals.

Please ensure that the following are included or we will not consider the application:

Complete application form: all sections of the form should be complete, unless stated otherwise.The editable (Word) version should be provided.

Approval of the costings and project from (via email; not through Research Finance Unit (RFU) approval):

the Head of Department

the administrator with budgetary responsibility (i.e., oversees Departmental budget)

Standalone Worktribe costings for applications over £10,000, and for any applications wheresalaries are being funded (Budget Breakdown version).

Evidence of UCLB support (e.g., email) where applicable.

Where a partner organisation is in place:email or scanned letter (headed paper and dated) from the partner organisation, including

(i)a statement of support;

(ii)details of the nature of any cash or in-kind contribution and its value;

(iii)commitment to liaise with UCLB and Research Contracts Office to protect and maximise the value of UCL’s IP; and commitment to sign a UCL Research Services approved contract if the project is awarded

Note that a template has been provided (‘Additional templates.docx’, p.2).

No additional appendices should be included (except if more than 3 staff are to be employed or more than 1 partners are in place, in which case their details can be provided on a separate document).

FOR I&E OFFICE USE ONLY:

Date received:

Notes:

1

Version July 2018