Hse research Awards on Ageing 2017 Expression of Interest Form, May 2017



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HSE Research Awards on Ageing 2017
Expression of Interest Form, May 2017




This Expression of Interest (EoI) is NOT an application form. This

is the first step of a two-step application process. The purpose of this form is to determine if your project meets the general eligibility criteria and to select peer reviewers for the evaluation process.


EoI submission: Complete and return an electronic copy of the EoI by email to hapai@hse.ie no later than Wednesday 28 June (by 12 noon). Your EoI will then be assessed for eligibility under the call criteria. You will receive an email within 10 days (7 July) of submission of the EoI indicating eligibility / non-eligibility to proceed to the application stage.
Important: If you do not complete this form in full, your EoI cannot be assessed.
Before you complete this form, we strongly recommend that you read the Guidance Notes / FAQs available from: http://www.hse.ie/researchawardscall

For any queries about completing this EoI please email: hapai@hse.ie



ALL INFORMATION WILL BE TREATED WITH THE STRICTEST OF CONFIDENCE





For administration only



EoI Number:

Comments:







  1. Project Team







Name (including title)

Organisation

Position

Faculty /

Department

Email

PRINCIPAL

INVESTIGATOR


















CO-INVESTIGATOR ONE
















CO-INVESTIGATOR TWO
















CO-INVESTIGATOR THREE
















CO-INVESTIGATOR FOUR


















  1. Please provide the working title of the research project (in 30 words or less)







  1. Please provide a brief overview of the aim and objectives of the research project (in 200 words or less)







  1. Proposed project dates

Start date (can start no earlier than January 2018)




Duration in months (max. 24 months)






  1. Please complete the following budgetary details (in Euro)




What is the total cost of delivering this project?




Amount of the budget being sought from the 2017 HSE Research Awards on Ageing?




Do you have matched funding for this project?


Yes No


If ‘Yes’, what amount and from which institution / funding body?




Thank you for completing this Expression of Interest. Please email to: hapai@hse.ie



no later than Wednesday 28 June (by 12 noon).

This awards programme is co-funded by the Atlantic Philanthropies and the HSE Health and Wellbeing Division

HSE Research Awards on Ageing - Expression of Interest Page


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