Selezione pubblica per il conferimento dell’idoneità alla partecipazione di personale non strutturato come responsabile scientifico di progetti collaborativi a valere su programmi di finanziamento esterni di cui al rep. ___prot. n. ___del___

APPLICATION FORM

Please fill out the form; all fields are compulsory

1. Applicant’s personal data

Name:
Surname:
E-mail: 
Phone:
Type of contract at Ca’ Foscari University (if any):

Curriculum vitae (max. 2 pages): this section should include the standard academic and research record. The achievements listed in the CV should clearly mention any involvements in previous research projects funded under competitive calls and reflect the researcher’s track record (e.g. publications in peer-reviewed scientific journals, conference proceedings, research monographs, chapters in collective volumes; invited presentations to peer-reviewed, internationally established conferences and/or international advanced schools; organisation of international conferences (membership in the steering and/or programme committee); research expeditions led by that the researcher; granted patents; examples of participation in industrial innovation; prizes and awards; supervising and mentoring activities; funding ID).

2. Call details

Call (Specify the Call/Topic identifier & the link to the call		
Call deadline		

3. Information about the project proposal

Project title and Acronym
		
Foreseen Project Duration		
ERC Panel (or SSD)		
Project estimated start date		
Consortium	Coordinator	Name, type of organisation (i.e. research centre, university, SME, large company, NGO, etc.), country	
	Partners	1.	Name, type of organisation (i.e. research centre, university, SME, large company, NGO, etc.), country
2.	…..
3.	…..
4.	…..	
Role of UNIVE in the project (max 4,000 characters)	•	Main Tasks: provide a description of the main tasks that Ca’ Foscari University will perform within the project, with an explanation of how its profile matches the tasks in the proposal.

•	Key Personnel: provide a list of the persons who will be involved in the proposed research; specify also the name of permanent staff member who may act as a substitute
	
Pre-contractual agreements	•	Does your project proposal foresee the signature of non-disclosure agreements with the coordinator and/or other partners involved?

•	Please indicate any other bounding condition imposed by the coordinator or the call topic	
Estimated total budget	Estimated total cost of the project: EUR
Estimated requested EC Contribution: EUR
Estimated UNIVE total cost: EUR
Estimated UNIVE requested EC contribution: EUR	

4. Budget details

Personnel costs	Position 1	 €                         -   	
	Position 2	 €                         -   	
	Position 3	 €                         -   	
	i. Tot. Direct Personnel costs	 €                         -   	
Other direct costs	Travel	 €                         -   	
	Equipment	 €                         -   	
	Publications costs (Open access fees)	 €                         -   	
	Organizational costs (i.e. costs for the organisation of meetings and events @ Unive)	 €                         -   	
	Other direct costs 	 €                         -   	
	ii. Tot. Other direct costs	 €                         -   	
A. Total Direct costs (i.+ ii)	 €                                                                  -   	
B. Indirect costs (Overheads)	 €                                                                  -   	
C. Subcontracting costs	 €                                                                  -   	
Total estimated eligible costs (A+B+C)	 €                                                                  -   	
Total requested EC contribution	 €                                                                  -   	

If you allocated any cost under budget lines equipment and other direct costs, please briefly describe items to be purchased and/or activities foreseen. 

PERSON MONTHS (within Project duration)	
Position	0,00	
Position	0,00	
Position	0,00	
Position	0,00	
Position	0,00	
Position	0,00	
Position	0,00	
Position	0,00	
 	 	
TOTAL PM 	0,00	

PMs included in the above table must reflect personnel costs allocated to each staff member

Objectives (max 3,000 characters)	
•	Describe the specific objectives of the project. 
•	Explain how your proposal addresses the specific challenge and scope of the identified call.	
Concept and methodology  (max 3,000 characters)	
•	Describe and explain the overall concept underpinning the project, the main ideas, models or assumptions involved.
•	Describe and explain the overall methodology.	
Expected Impacts (max 5,000 characters)	
•	Describe how your project will contribute to the expected impacts mentioned in the call
•	Describe the measures you propose to maximise impact, including dissemination and communication activities, as well as the exploitation of the project’s results	
Work Plan (max 10,000 characters)	
•	Provide a brief presentation of the overall structure of the work plan
•	Provide a list of the work packages and a brief description for each of them
•	Include a Gantt chart, reporting the timing of the different work packages and their components