· Web viewApplication form for the Innovation Fund „Research, Scienc e and Society“ Name of electronic document: Application_Name-Applicant.docx (Call 2017) Applicant Surname

Application form for the Innovation Fund „Research, Science and Society“1

(Call 2017)

1. Applicant

Surname Click to writeFirst name(s) Click to writeAcademic degree Click to writeSex ☐ Male ☐ FemaleDate of Birth Click to write

Organisational unit Click to writePosition Click to writeAddress Click to writePhone Click to writeEmail Click to write

2. Title of proposal

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3. Classification of field of activity (please see six-digit units of the „Österreichische Systematik der Wissenschaftszweige 2012, Teil A“, as of July 2015; http://www.statistik.at/kdb/downloads/pdf/OEFOS_2012_Alphabetikum_A_EN.pdf)

Click to write

4. Term of funding requested

From Click to write To Click to write = Months Click to write

All hereinafter mentioned documents shall be attached to this application form. Documents shall be completed in English. Applications in German will only be accepted in justified cases.

5. Submission of an abstract (maximum length one page, MS Word 11 pt, 1.5 line spacing; name of electronic document: Abstract_Name-Applicant.docx)

Please use a separate document

1 Name of electronic document: Application_Name-Applicant.docx

6. Project description with a view to innovative strength, the project’s specific objectives and estimation of the probability of success (maximum length  5 pages including headings, footnotes, keys to illustrations, MS Word 11 pt, 1.5 line spacing; name of electronic document: Proposal_Name-Applicant.docx)

Please use a separate document

7. List of project-related publications (maximum length 2 pages MS Word 11 pt 1.5 line spacing; name of electronic document: Literature_Name-Aplicant.docx)

Please use a separate document

8. List of the costs applied for as defined in the Annex (name of electronic document: Budget_Name-Applicant.xlsx)

9. CV of the principal investigator (maximum length 3 pages; name of electronic document: CV_Name-Applicant.docx)

Please use a separate document

10. Five most important scientific publications of the entire scientific work

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11. Signature of the principal investigator

By signing the application form the applicant confirms that the application is correct and complete. In addition, it is confirmed that

- all relevant changes will be reported to the Support Science and Research of the Austrian Academy of Science without delay,

- all advertising for the project will mention the Austrian Academy of Sciences,- all persons who are part of the project will comply with the legal rules and

other requirements related to the safety of the persons involved, ethical questions and other regulations,

- all persons involved in the project will inform the Support Science and Research of the Austrian Academy of Sciences without delay if and when they apply or have applied for funds for the project with another institution.

Applicant Organisational unit Dare and signatureClick to write Click to write Click to write

12. Approval

The representation of the organisational unit agrees to use of their premises, infrastructure and other resources of the organisational unit.

Organisational unit Name Date and signatureClick to write Click to write Click to write