Application form - BBSRC

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BBSRC

Polaris House, North Star Avenue, Swindon, Wiltshire,

United Kingdom SN2 1UH

Telephone +44 (0) 1793 413200

Web http://www.bbsrc.ac.uk/


COMPLIANCE WITH THE DATA PROTECTION ACT 1998

In accordance with the Data Protection Act 1998, the personal data provided on this form will be processed by BBSRC,
and may be held on computerised database and/or manual files. Further details may be found in the
guidance notes

Flexible

Interchange
Pro
gramme

PROPOSAL


Document Status: With Owner

BBSRC Reference:






Important: Applicants must ensure that the resources
requested in their application have been checked and
approved by their Research Finance Office or equivalent. An
attachment is
required to confirm this.


Applicants
may

have

to a
ttend a

discretionary interview if
deemed necessary by Committee E.






Organisation where the Grant would be held

(mandatory)

Organisation


Research Organisation
Reference:


Division or Department








Project Title

(mandatory) [up to 150 chars]


Start Date and Duration

(mandatory)

a. Proposed start
date


b. Duration of the grant
(months)

0

Applicants

(mandatory)

Role

(PI, Co
-
I, Res
Co
-
I)

Name

Organisation

Division or Department

How many
hours a
week
will the
investigator
work on the
project?






















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Objectives

(mandatory)

List the main objectives of the proposed interchange in order of priority [up to 4000 chars]


Impact Summary

(mandatory)

Impact Summary (please refer to the Help for guidance on what to
consider when completing this section) [up to 4000
chars]


Summary

(mandatory)

Describe the proposed interchange in simple terms in a way that could be publicised to a general audience [up to 4000
chars]


Partnership Details (mandatory)

Please enter
a su
mmary of existing or new partnerships on which the interchange is dependent
[up to 4000 chars]
. A
statement indicating the willingness of each partner to cooperate should be submitted with this application
.


Summary of Resources Required for Project

Financial resources

Summary
fund
heading

Fund
heading

Full
economic
Cost

BBSRC
contribution

% BBSRC
contribution

Directly
Incurred

Staff

0.00

0.00

80


Travel &
Subsistence

0.00

0.00

80


Other Costs

0.00

0.00

80



Sub
-
total

0.00

0.00








Directly
Allocated

Investigators

0.00

0.00

80


Estates
Costs

0.00

0.00

80


Other
Directly
Allocated

0.00

0.00

80



Sub
-
total

0.00

0.00








Indirect
Costs

Indirect
Costs

0.00

0.00

80








Total

0.00

0.00





Summary of staff effort requested


Months

Investigator

0

Researcher

0

Technician

0

Other

0

Visiting Researcher

0

Student

0

Total

0



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Other
Support

Details of support sought or received from any other source for this or other research in the same field.

Awarding
Organisation

Awarding
Organisation’s
Reference

Title of project

Decision
Made
(Y/N)

Award
Made
(Y/N)

Start Date

End Date

Amount
Sought /
Awarded
(£)









Related Grants

Provide the BBSRC reference numbers of any current grants held by any of the applicants that are related to this proposal.

Awarding
Organisation

Awarding
Organisation’s
Reference



Staff

Directly Incurred
Posts




EFFORT ON
PROJECT







Role

Name /Post Identifier

Start Date

Period
on
Project
(month
s)

% of
Full
Time

Scale

Increment
Date

Basic
Starting
Salary

Londo
n
Allow
ance
(£)

Super
-
annuatio
n and NI
(£)

Total cost on
grant (£)














































Total

0


Directly Allocated Staff Costs


Position & Employer

Name

Contracted working week
as a % of full time work

Total number of hours to be charged to
the grant over the duration of the grant

Rate of Salary
pool/banding

Cost
estimate




















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Equipment

(the cumulative value of equipment over £50,000 will be
treated as an exception)

Description

Country of
Manufacture

Delivery
Date

Basic
price £

Import
duty £

VAT £

Total £









Total £


Travel and Subsistence

Destination and purpose

Total £




Total £


Other Directly Incurred Costs

Description

Total £



Total £


Other Directly Allocated Costs

Description

Total £



Total £


Animal Costs

Animal
Species

Type and
Microbiological
Quality

Genetically
Altered?

No.
Purchased

Average
Cost per
Animal (£)

No.
Bred

Average
Cost per
Animal (£)

Maintenance
duration
(weeks)

Weekly
Maintenance
costs per
Species (£)

Total Cost
£





















Total £



Research Facilities/Existing Equipment

Description

Total £



Total £


Research Council Facilities

D
etails of any proposed usage of national
facilities

Name of Facility

Proposed Usage

Total £





Total £


Please tick the box below if facilities are not relevant to this application




Project Partners:

details of partners in the project and their contributions to the research.

These contributions are in
addition to resources identified above.


Name of partner organisation

Division or
Department

Name of contact




Direct contribution to project

Indirect contribution to project


Description

Value £


Description

Value £

cash



use of
facilities/
equipment



equipment/


staff time




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materials

secondme
nt of staff



other



other



Sub
-
Total



Sub
-
Total




Total Contribution



Total Contribution from all Project
partners

£0


Ethical Information

(mandatory)


Please answer the following questions as appropriate


i
)

Human Participation


Would the project involve the use of human subjects?

Yes


No



If yes, would equal numbers of males and females be used?

Yes


No


Would the project involve the use of human
tissue?

Yes


No


Would the project involve the use of biological samples?

Yes


No


Would the project involve the administration of drugs, chemical agents or vaccines to
humans?

Yes


No


Will personal information be used?

Yes


No



If yes, will the information be anonymised and unlinked?

Yes


No



Or will it be anonymised and linked?

Yes


No



Will the research participants be identifiable?

Yes


No



If the answer to any of the above questions is ‘Yes’, justify the involvement of
human participants, the numbers involved
and/or the nature and quantity of human material to be used (up to 4000 characters)





ii
)

Animal Research


Would the project involve the use of vertebrate animals or other organisms covered by
the Animals
(Scientific Procedures) Act?

Yes


No



If yes, what would be the severity of the procedures?

Mild





Moderate





Substantial




Please provide details of any areas of substantial or moderate severity:






iii
)
Animal Species


Does the proposed research involve the use of non
-
human primates?


Does the proposed research involve the use of dogs?


Does the proposed research involve the use of cats?


Does the proposed research involve the use of equidae?



Please select any
species of animals that are to be used in the proposed research:



Amphibian


Fish




Mouse


Poultry


Sheep



Bird



Guinea Pig



Rabbit


Reptile



Cow



Other Rodent


Rat



Pig




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iv
)

Genetic and Biological Risk


Would the project involve the production and/or use of genetically modified animals?

Yes


No



If yes, will genetic modification be
used as an experimental tool, e.g., to study
the function of a gene in a genetically modified organism?

Yes


No



And will the research involve the release of genetically modified organisms?

Yes


No



And will the research be aimed at the ultimate
development of commercial or
industrial genetically modified products or processes?

Yes


No


Would the project involve the production and/or use of genetically modified plants?

Yes


No



If yes, will genetic modification be used as an experimental tool,
e.g., to study
the function of a gene in a genetically modified organism?

Yes


No



And will the research involve the release of genetically modified organisms?

Yes


No



And will the research be aimed at the ultimate development of commercial or
industr
ial genetically modified products or processes?

Yes


No


Would the project involve the production and/or use of genetically modified microbes?

Yes


No



If yes, will genetic modification be used as an experimental tool, e.g., to study
the function of a
gene in a genetically modified organism?

Yes


No



And will the research involve the release of genetically modified organisms?

Yes


No



And will the research be aimed at the ultimate development of commercial or
industrial genetically modified products

or processes?

Yes


No




v
)

Implications
(mandatory):


Are there ethical implications arising from the proposed research?


Provide details of what they are and how they would be addressed (up to 1000 characters)




vi
)

Approvals


Have the following necessary approvals been given by:





The Regional Multicentre Research
Ethics Committee (MREC) or
Local Research Ethics Committee (LREC)?

Yes


No


Not
required



The Human Fertilisation and Embryology Authority?

Yes


No


Not
required



The Home Office (in relation to personal and project licences, and
certificates of
designation)?

Yes


No


Not
required



The Gene Therapy Advisory Committee?

Yes


No


Not
required



The UK Xenotransplantation Interim Regulatory Authority?

Yes


No


Not
required



Administration of Radioactive Substances Advisory Committee
(ARSAC)?

Yes


No


Not
required



Other bodies as appropriate? Please specify.


vii
)

Other Issues


Are there any other details of which the Council should be aware?

Yes


No



If yes, please give details.






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Classification of Proposal

(a)

Strategic Priorities

Ageing
research: lifelong health and wellbeing


Animal health


Bioenergy; generating new replacement fuels for a greener, sustainable future


Crop science


Increased international collaboration


Living with environmental change


Replacement, reduction and
refinement (3Rs) in research using animals


Synthetic biology


Technology development for the biosciences


Welfare of managed animals (including livestock and companion animals)


Collaborative research with users


Data driven biology


Global
uncertainties


Healthy and safe food


Livestock production


New strategic approaches to industrial biotechnology


Research to inform public policy


Soil science and agri
-
systems approaches


Systems approaches to the biosciences


Not in a Strategic
Priority


(b)

Keywords

Keyword

Research Topic

Science Area








Proposal Classifications


Research Area:

Research Areas are the subject areas in which you may have expertise and you should select at least one of
these. Once you have selected
and recorded
the relevant Research Area(s), please ensure that you set one as
primary to facilitate the reviewer selection process.

Subject

Topic

Keyword








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(a) Where did you hear about this Scheme

(mandatory)

Where did you hear about this
Scheme?

BBSRC Email Bulletin


BBSRC Business Magazine


BBSRC Website


BBSRC Direct Mail


Other



Please enter the Other way you heard about the Scheme here



A
ttachments

(mandatory)

Type

Number included

Case for Support (exactly 1)


C.V. (1 or
more)


Justification for Resources (exactly 1)


Pathways to Impact (exactly 1)


Facility Form (any number)


Project Partner Letter of Support (exactly 1 for each project partner entered)


Equipment Quote (any number)


Head of Department Statement (1
or more)


Final/Interim Report (any number)


BBSRC Contribution to FLIP (exactly 1)


Letter headed, signed confirmation from Research Finance Office that requested resources
have been checked and approved

(exactly 1)


Other