英文项目申请表.doc

申请表 Application Form 2020 年度中国科学院-昆士兰合作科学基金 Queensland- Chinese Academy of Sciences Collaborative Science Fund 2020 (注：除了项目中文全称需用中文填写以外，其余内容请用英文填写) SECTION A – APPLICANT DETAILS 申请人情况 1. Project Name 项目名称 (i) Project title (Maximum 5 words) (ii) Full project title 中文全称 2. CAS Applicant Organisation Details (the lead CAS-based participant) 申请单位情况 Organisation (Full name) Research Group /Laboratory (if applicable) Street address Postal address 3. Postcode CAS Project Leader 项目负责人 Title Given name(s) Gender Male Surname Female Project addres s Phone Mobile Postco de 4. Email CAS Project Contact / Division of S&T Contact 项目联系人 Title Given name(s) Addres Q-CAS Collaborative Science Fund Surname Phone Page 1 of 6 s Mobile Postco de 5. Email Queensland applicant details (lead participant)昆士兰主申请单位 University/ Institute/ Company (Full name) Address 6. Queensland lead researcher 昆士兰方面负责人 Title Given name(s) Gender Project addres s 7. Male Female Email CAS-based project partners 参与该合作的其他中科院研究所 Organisation (Full name) Organisation (Full name) 8. Surname Location Location Queensland project partners 参与该合作的其他昆士兰州机构 Organisation (Full name) Organisation (Full name) Location Location SECTION B – PROJECT SUMMARY 项目摘要 1. Executive Summary (PLAIN ENGLISH) (a) Queensland-Chinese Academy of Sciences targeted research areas 目标领域 Agricultural biotechnology and food research, including food safety Human health and medical research Environmental sciences (b) Short description of the overall project (Plain English, maximum 100 words) Q-CAS Collaborative Science Fund Page 2 of 6 vi) c) Start date of project (d) End date of project (maximum TWO years) (e) Aims and objectives of the project (use non-technical terms, maximum 300 words) (f) Outline the main economic, social and/or environmental outcomes of the project that will have been achieved (i) at the end of the project (ii) in five years (iii) in the long-term (i.e. the impact of the project) (g) Have you sought or obtained funding for this project from any other source? If so provide the name of the funding source, the name of the relevant program, the status of your application and the amount of funding sought. 2. Project Cost and Funding Summary Exchange rate used for application and all attachments (a) Total cost of project Project funding (b) Queensland lead applicant and Queensland partner/s (if any) (minimum A$75,000) DSITI funding sought (c) Total Queensland contribution (d) CAS lead participant and China partner/s (if any) (minimum A$75,000) CAS funding sought A$ 1 : CNY A$ Cash A$ A$125,000 A$ A$ A$125,000 (e) Total China contribution A$ (f) Total funding for project A$ SECTION C – ASSESSMENT CRITERIA 评审标准 Q-CAS Collaborative Science Fund Page 3 of 6 1. Level of novelty and scientific merit of the project (30% weighting) Demonstrate that: the science and research in your proposed project will address a current and significant challenge for both Queensland and China • preliminary research has been undertaken (by the applicant organisation, the project partners or others) that supports the advancement of the proposed project. • (No more than TWO pages.) 2. Quality of the collaboration and capability of the project team (30% weighting) Demonstrate that: science and research partners with complementary areas of expertise will work together on a specific project • the project will build upon the competitive comparative advantages of Queensland and China • the participants have the research, scientific and management skills and experience, with the access to infrastructure and funding required, to successfully deliver the project. • (No more than TWO pages.) 3. Outcomes and impact of the project (40% weighting) Demonstrate that: • the project will develop innovative products, technologies or processes that have a practical application within an area of identified priority • the project will deliver real and tangible economic, social, and/or environmental benefits for Queensland and China. (No more than THREE pages.) Q-CAS Collaborative Science Fund Page 4 of 6 SECTION D – APPLICANT DECLARATION 申请人声明 Project name: With reference to the application to the Q-CAS Collaborative Science Fund, for the named project, I, , (NAME) Director General / Deputy-Director General/Assistant Director General of the Applicant Organisation: (1) authorise the Bureau of Frontier Sciences and Education and the Bureau of International Cooperation, CAS to undertake any necessary checks subject to any written notification as to confidentiality provided to the Bureau(s). (2) declare that: • the information supplied in this application is true, accurate and not misleading to the best of my knowledge • the applicant organisation and/or its partner(s) have received no guarantees or assurances that the application will be approved by the Chinese Academy of Sciences (3)have reviewed and accept the Q-CAS Collaborative Science Fund Guidelines; SIGNATURE OF THE DIRECTOR GENERAL / DEPUTY-DIRECTOR GENERAL/ASSISTANT DIRECTOR GENERAL OF THE APPLICANT ORGANISATION ………………………………………………………….. DATE: …………………………………………. Q-CAS Collaborative Science Fund Page 5 of 6 CHECKLIST 核对清单 (complete before finalising and submitting application) Yes The applicant organisation is a CAS institute. The project is a collaborative partnership with a Queensland-based university/ research institution/firm/CRC/ARC Centre of Excellence/government agency which has an ABN and is registered for GST. The application demonstrates that the CAS lead applicant organisation (and its partners, if any) will contribute at least $75,000 in cash to the project. The application demonstrates that Queensland lead participant (and its partners, if any) will contribute at least $75,000 in cash to the project. The application has been signed by the Applicant Organisation’s appropriate officer (Director General, Deputy Director-General or Assistant Director-General) All attachments are complete and included. Brief resumes of key researchers are included. Q-CAS Collaborative Science Fund Page 6 of 6