This document is a project proposal form for the STIC-AmSud regional program. It includes sections for general project information like the title, goals, coordinators from participating institutions in South America and France, expected participants, and budget. The proposal describes the research domain, objectives, methodology, expected results and timeline. It requests funding for travel costs and per diem expenses for researchers participating in missions and workshops. An annex provides a template for 2-page CVs of coordinators to include education, professional experience, publications, projects and theses supervised.
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Form stic amsud_2016
1. Regional Program STIC-AmSud
2016 Project Proposal (Research ¨C Innovation)
Basic Form
? This form, and the associated CVs, must be filled in English. Before filling the form, please read
carefully the bases published in the STIC-AmSud site (www.sticamsud.org).
? This form must be sent in .pdf by email to the STIC-AmSud Secretariat (stic@sticamsud.org)
by the project¡¯s International Coordinator.
A. General Information
A1 Project title
?????
A2 Acronym
?????
A3 Research domain
?????
A4 Project goals
?????
A5 Abstract
?????
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2. A6 Scientific coordinators at each institution
South America A South America B
Institution ????? Institution ?????
Project
coordinator
?????
Project
coordinator
?????
Address ????? Address ?????
Phone/Fax ????? Phone/Fax ?????
Email ????? Email ?????
South America C South America D
Institution ????? Institution ?????
Project
coordinator
?????
Project
coordinator
?????
Address ????? Address ?????
Tel/Fax ????? Tel/Fax ?????
Email ????? Email ?????
France A France B
Institution ????? Institution ?????
Project
coordinator
?????
Project
coordinator
?????
Address ????? Address ?????
Tel/Fax ????? Tel/Fax ?????
Email ????? Email ?????
A7 Other participating institutions
2
3. In South America In France
A8 List of expected participants (name and affiliation)
?????
A9 International Project Coordinator (to be chosen among the Scientific Coordinators
mentioned in A6)
?????
3
4. B. Project Details
B1. Project guidelines
?????
B2. Project description
Goals, motivation, methodology and contribution of each participating institution
?????
Project scope
?????
Expected results
?????
B3. Schedule, with main execution stages
?????
B4. Contributions
Present contributions so as to highlight the role of each partner and the integration among
partners.
?????
B5. Regional Aspects
Indicate how the activities will stimulate effective scientific interactions between all the
participants.
?????
B6. Institutions and CVs of coordinators
Description of each participating institution, and curriculum vitae of each participant (maximum
2 pages per participant).
?????
B7. Additional information
List all the complementary fundings expected or already obtained.
?????
Experience of the coordinators in similar projects.
?????
Present main activities and their relationship with the project¡¯s main goal.
?????
Perspectives of continuing collaboration after project financing is over.
?????
4
5. B8. International referees
Suggest names of at least 3 international referees to evaluate the project. These researchers
should not be connected to people in the project.
1- ?????
2- ?????
3- ?????
Names of referees who should not review this project in your opinion (optional)
1- ?????
2- ?????
5
6. C. Project Budget
Project title: ?????
Participating institutions: ?????
The STIC-AmSud program funds travel expenses (air tickets and per diem) to researchers in research missions and workshops.
C1. First year (2017)
Planned missions ¨C Year 1
Researcher Status
(student,
junior,
senior)
Institution Origin Destination Planned
date
Duration
(max. 30
days)
Estimated
cost of the
trip (€)
Estimate
of total
per diem
( €)
Trip and
Mission
funding
institution1
Mission objectives
Ex: Michel
Dupont
CNRS Paris Santiago - 30 1.500 1.500 CNRS ¡
????? ????? ????? ????? ????? ????? ????? ????? ?????
1
Each institution will pay for the trip and per diem of its own researchers.
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7. CONSOLIDATED BUDGET: Year 1
Funding requested to the STIC-AmSud Program
Estimated costs (€)
A. Travel costs (air tickets) B- Maintenance costs (per diem) TOTAL
MAEDI France
CNRS France
INRIA France
Institut Mines-T¨¦lecom
France
MINCYT Argentina
CAPES Brazil
CONICYT Chile
CONACYT Paraguay
CONCYTEC Peru
ANII Uruguay
MPPEUCT Venezuela
SENESCYT Ecuador
COLCIENCIAS Colombia
Total requested funding to
STIC-AmSud
Other funding2
TOTAL
Do you have additional funding sources for this project3
? (if so please specify the amount
and source (s)).
2
Specify in additional page.
3
Reserved for CNRS researchers
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8. C2. Second year (2018)
Second year funding depends on approval of intermediate progress report.
Planned missions ¨C Year 2
Researcher Status
(student,
junior,
senior)
Institution Origin Destination Planned
date
Duration
(max. 30
days)
Estimated
cost of the
trip (€)
Estimate
of total
per diem
( €)
Trip and
Mission
funding
institution4
Mission objectives
Ex: Pablo
Fernandez
Conicyt Santiago Paris - 30 1.500 1.500 Conicyt ¡
????? ????? ????? ????? ????? ????? ????? ????? ?????
4
Each institution will pay for the trip and per diem of its own researchers.
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9. CONSOLIDATED BUDGET: Year 2
Funding requested to the STIC-AmSud Program
Estimated costs (€)
A. Travel costs (air tickets) B- Maintenance costs (per diem) TOTAL
MAEDI France
CNRS France
INRIA France
Institut Mines-T¨¦lecom
France
MINCYT Argentina
CAPES Brazil
CONICYT Chile
CONACYT Paraguay
CONCYTEC Peru
ANII Uruguay
MPPEUCT Venezuela
SENESCYT Ecuador
COLCIENCIAS Colombia
Total requested funding to
STIC-AmSud
Other funding5
TOTAL
Do you have additional funding sources for this project6
? (if so please specify the amount
and source (s)).
5
Specify in additional page.
6
Reserved for CNRS researchers
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10. C3. BUDGET TOTALS
Year 1 Year 2 Total
Funding requested to
MAEDI (France)
Funding requested to
INRIA (France)
Funding requested to
CNRS (France)
Funding requested to
Institut Mines-Telecom
(France)
Funding requested to
MINCYT (Argentina)
Funding requested to
CAPES (Brazil)
Funding requested to
CONICYT (Chile)
Funding requested to
CONACYT (Paraguay)
Funding requested to
CONCYTEC (Peru)
Funding requested to
ANII (Uruguay)
Funding requested to
SENESCYT (Ecuador)
Funding requested to
MPPEUCT (Venezuela)
Funding requested to
COLCIENCIAS
(Colombia)
Matching funds from the
partners
Other sources
TOTAL
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11. ANNEX
Model CV (maximum 2 pages)
1/ Personal data
Name:
Birth date:
Professional address (with telephone and e-mail):
Current job title and size of the research group:
2/ Highest obtained degree (with indication of place and date)
3/ Professional activity in the last 5 years
4/ Other duties/ positions
5/ Awards, fellowships and external recognition
6/ Ongoing funded research projects with dates, titles, sources of funding
7/ Projects approved in the least 5 years
8/ Publications
8.1 ¨C Highlight the most important publications related to the project theme
8.2 ¨C Publications in cooperation with the project partners
9/ Theses oriented and post-doctoral fellows supervised
9.1 ¨C Finished/defended in the last 5 years
9.2 ¨C Ongoing
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