URC Grant Application Form

URC Grant Application Form

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APPLICATION FOR A GRANT FROM INTERNAL RESEARCH FUNDS: 2015

Form URC-1

PLEASE READ THE FOLLOWING INSTRUCTIONS BEFORE COMPLETING THE FORM:

  • Only full-time, permanentUJ staff may apply for internal grants. This application may cover both your own research project and those of postgraduate research students under your supervision.
  • This application does not constitute a proposal to register the project for a postgraduate degree.
  • Applications to the University Research Committee must be routed through and recommended by your Faculty Research Committee.
  • Incomplete or incorrectly completed applications may be disqualified from consideration or may be referred back.
  • Applications that have not been signed and dated by all relevant parties will not be considered and may be referred back.
  • PLEASE DO NOT ALTER THE FORM’S FORMATTING, AND PLEASE SUBMIT IT IN THE ORIGINAL MS WORD FORMAT VIA E-MAIL.

SECTION A: PARTICULARS OF APPLICANT
Surname / Title
Initials / Staff number / Date of birth (DD/MM/YY) / / / /
Please refer to / Gender / Race
NOTE 1 below. / F / M / African / Coloured / Asian / White / Other (please specify)
Mark with X
Highest qualification / Year / Institution
Present post / NRF rating
Department / Campus
Faculty
Telephone No. / Fax. / Cell Phone No.
E-mail
* NOTE 1: In terms of Employment Equity requirements these statistics may have to be furnished. Please provide the information requested.
SECTION B: PARTICULARS OF PROPOSAL
Is this proposal a continuation of a previously URC fundedresearch project? (Yes/No) / If Yes, give project number(s)
Title of the Proposal(The title should be descriptive and should be used for the duration of the proposed grant):
Short Title(36 characters MAXIMUM - including spaces)
Keywords(Please list up to 8 keywords or concepts (not more than three words each) for the project, separated by commas.)
1. / 2.
3. / 4.
Under which “CESM” classification code (one only) will this research fall? (see Addendum 1 on the last page for list of values)
Expected duration of project/proposal (DD/MM/YY) / From: / / / / / To: / / / /
How many full-research post-graduate degrees will this project give rise to?
How many of these degrees will be pursued on a full-time basis?
How many course-work masters degrees will this project give rise to?
How many potential accredited journal publications will this project give rise to?
SECTION C : FURTHER QUALIFICATION (IF RELEVANT)
Will this work lead to a higher/further qualification for you, the applicant?
For which qualification are you registered?
At which institution are you registered?
Date of first registration (DD/MM/YY) / / / /
Name(s) of supervisor(s) and qualifications / Supervisor(s) institution(s) / Contact number(s) and E-mail address
If this work will lead to a higher/further qualification for the applicant, please indicate the title of the thesis or dissertation:

URC.206/2013(cc3)

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SECTION D : TEAM MEMBERS
Surname / Title / Initials / Department / Employing organisation / Present post / Citizenship / NRF rating / Gender / Race (See NOTE 1.)
F / M / A / C / AN / W / Other (specify)
Applicant:
UJ staff team members:
Team members outside the UJ:
Envisaged or Current M & D Student Team Members (REGISTERED AT UJ)
Surname / Title / Initials / Degree / Registration / Supervisor / F/P-time / Citizenship / Gender / Race (See NOTE 1.)
enrolled for / date / F / M / A / C / AN / W / Other (specify)
  • NOTE 1: In terms of Employment Equity requirements these statistics may have to be furnished. Please provide the information requested. A = African; C = Coloured; AN = Asian; W = White

SECTION E : FINANCIAL REQUIREMENTS AND COSTING OF RESEARCH (2015 – 2018)
Please list here the amounts requested from the UJ, as well as those requested to date from other sources. It is important that you motivate as best you can the amounts requested from the UJ in each category, showing the relationship to the work plan outlined in your proposal (Section G). Budgets will be scrutinized for reasonableness. Please add more lines within each category of support as required.
Attach the budget motivation as a separate annexure
RUNNING COSTS / These include, for example, consumables, chemicals, copying/printing, services, page costs, etc.
Where necessary please attach a detailed budget breakdown and motivation as Appendix 1. Indicate amount in RAND per line item.
Line Item Description / URC / NRF / DTI/THRIP / Industry / Other / Other
Source Name / Faculty
Contribution / Comments
Budget for 2015 / Comments
Budget for 2016
RUNNING COSTS SUB-TOTAL
TRAVEL COSTS FOR RESEARCH PURPOSES / These include costs associated with research trips, e.g., field trips, data gathering, research collaboration, etc. Please attach a breakdown of costs and motivation as Appendix 2. Indicate amount in RAND per line item.
Destination / purpose of Trip / URC / NRF / DTI/THRIP / Industry / Other / Other Source Name / Faculty
Contribution / Comments
Budget for 2015 / Comments
Budget for 2016
TRAVEL COSTS SUB-TOTAL
SMALL RESEARCH EQUIPMENT / Specify each item and indicate the need/use in an appropriate paragraph in SECTION G: Project Proposal. Attach a detailed budget breakdown and motivation as Appendix 3. Indicate amount in RAND per line item.
Type of equipment / URC / NRF / DTI/THRIP / Industry / Other / Other Source Name / Faculty
Contribution / Comments
Budget for 2015 / Comments
Budget for 2016
SMALL EQUIPMENT SUB-TOTAL
TOTAL AMOUNTSALREADY COMMITTED TO THIS PROPOSAL BY: / URC / NRF / DTI/THRIP / Industry / Other / Other Source Names / Faculty Contribution / Comments
Budget for 2015 / Comments
Budget for 2016
TOTALS
TOTAL AMOUNTS APPLIED FOR: / URC / NRF / DTI/THRIP / Industry / Other / Other Source Names / Faculty
Contribution / Comments
Budget for 2015 / Comments
Budget for 2016

URC.206/2013(cc3)

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SECTION F: CERTIFICATION

STATEMENT BY APPLICANT

I certify that the information in this form and the appended project proposal is correct.
SIGNATURE OF APPLICANT: ______DATE: ______
RECOMMENDATION BY HEAD OF DEPARTMENT
NAME:______(Head of Department)
SIGNATURE: ______DATE: ______

RECOMMENDATION BY FACULTY RESEARCH COMMITTEE

Does the proposed project have any ethics implications? (YES or NO): ______
If “YES”, has the proposal been submitted to the Faculty Academic Ethics Committee? (YES or NO): ______
If “YES”, has the Ethics Committee approved the proposed research? (YES or NO): ______
If “NO”, when will the Ethics Committee consider the proposed research? ______
COMMENTS (IF ANY)
It is hereby certified that this committee RECOMMENDS / DOES NOT RECOMMEND the contents of this proposal for further consideration by the University Research Committee. (Delete whichever is not applicable)
IF RECOMMENDED:
FACULTY CONTRIBUTION OF 50% = R
NAME: ______(Faculty Dean or Chair of Faculty Research Committee)
SIGNATURE: ______DATE: ______
SECTION G: PROJECT PROPOSAL
Irrespective of whether this is a new proposal or whether you have previously successfully submitted this project for funding within UJ, you need to submit a full proposal again as Appendix4.
You must attach as Appendix 5an updated CV which includes the last 5 years of research outputs (Post-graduate students and accredited publications)
Please note that, in general, the degree of support extended by the university toward a specific research project is strongly related to how well the project has been motivated; this should guide applicants’ assessments on the comprehensiveness of their proposal.
CHECKLIST – MARK WITH AN “X”
Sections A-E completed in full
Section F signed and dated by allparties
Section G appendices attached
Appendix 1: Running Costs motivation
Appendix 2: Travel Costs motivation
Appendix 3: Research Equipment motivation
Appendix 4: Detailed Project Proposal
Appendix 5: Updated CV with last 5 years research outputs

Addendum 1: Classification of Educational Subject Matter (CESM) Codes

CODE / DESCRIPTION
01 / Agriculture, Agricultural Operations and Related Sciences
02 / Architecture and the Built Environment
03 / Visual and Performing Arts
04 / Business, Economics and Management Studies
05 / Communication, Journalism and Related Studies
06 / Computer and Information Sciences
07 / Education
08 / Engineering
09 / Health Professions and Related Clinical Sciences
10 / Family Ecology and Consumer Sciences
11 / Languages, Linguistics and Literature
12 / Law
13 / Life Sciences
14 / Physical Sciences
15 / Mathematics and Statistics
16 / Military Sciences
17 / Philosophy, Religion and Theology
18 / Psychology
19 / Public Management and Services
20 / Social Sciences

URC.206/2013(cc3)

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