ALLEGATO 1a 

APPLICATION FORM – ERC PROPOSAL
UNIVERSITA’ CA’ FOSCARI VENEZIA
 PROGRAMMA MARIE CURIE PLUS ONE
 
CALL 2021

                PROPOSAL FULL TITLE

                 PROPOSAL ACRONYM

Cover Page:
-	Name of the Principal Investigator (PI) 
-	Proposal duration in months:
-	Call: 

Proposal summary

Please respect the following formatting constraints: Times New Roman, Arial or similar, at least font size 11, margins (2.0 cm side and 1.5cm top and bottom), single line spacing. Max 5 pages

1.	What is the main idea of the research project? 
2.	Ground-breaking nature and potential impact of the research project
. To what extent does the proposed research address important challenges? 
. To what extent are the objectives ambitious and beyond the state of the art (eg. Novel concepts and approaches or development across disciplines) 
. To what extent is the proposed research high risk/high gain?
3.	Can you des scientific approach? 
. To what extent is the outlined approach feasible (methodology, timing, geographic scope, possible team…)
4.	What  is the  proposed  schedule for developing the proposal  in terms of:
a.	Literature research
b.	Networking and assembling of research team
c.	Assessing the feasibility of the project (e.g. data sources etc.)
d.	Proposal writing, editing and proofreading. 

Curriculum vitae (max. 2 pages)

[The template below is provided only for guidance.  It may be modified as necessary and appropriate.]

PERSONAL INFORMATION
Family name, First name:
Researcher unique identifier(s) (such as ORCID, Research ID, etc. ...):
Nationality: 
Date of birth: 
URL for web site: 		

•	EDUCATION

199? 	PhD
	Name of Faculty/ Department, Name of University/ Institution, Country
199? 	Master
	Name of Faculty/ Department, Name of University/ Institution, Country

•	CURRENT POSITION(S)

201? – 201? 	Current Position
	Name of Faculty/ Department, Name of University/ Institution/ Country
200? – 	Current Position
	Name of Faculty/ Department, Name of University/ Institution/ Country

•	PREVIOUS POSITIONS

200? – 200? 	Position held 
	Name of Faculty/ Department, Name of University/ Institution/ Country
200? – 200? 	Position held
	Name of Faculty/ Department, Name of University/ Institution/ Country

•	FELLOWSHIPS AND AWARDS

200? – 200? 	 Name of Faculty/ Department/Centre, Name of University/ Institution/ Country 
200? 	Award received from Name of Institution/ Country 
198? – 199? 	Scholarship, Name of Faculty/ Department/Centre, Name of University/ Institution/ Country

•	SUPERVISION OF GRADUATE STUDENTS AND POSTDOCTORAL FELLOWS

200? – 200? 	Number of Postdocs/ PhD/ Master Students
Name of Faculty/ Department/ Centre, Name of University/ Institution/ Country

•	TEACHING ACTIVITIES (if applicable) 

200? – 	Teaching position – Topic, Name of University/ Institution/ Country
200? – 200? 	Teaching position – Topic, Name of University/ Institution/ Country

•	ORGANISATION OF SCIENTIFIC MEETINGS (if applicable)

201?	Please specify your role and the name of event / Country 
200? 	Please specify type of event / number of participants / Country

•	INSTITUTIONAL RESPONSIBILITIES (if applicable)

201? – 	Faculty member, Name of University/ Institution/ Country
201? – 201? 	Graduate Student Advisor, Name of University/ Institution/ Country
200? – 200? 	Member of the Faculty Committee, Name of University/ Institution/ Country 
200? – 200? 	Organizer of the Internal Seminar, Name of University/ Institution/ Country
200? – 200? 	Member of a Committee; role, Name of University/ Institution/ Country

•	COMMISSIONS OF TRUST (if applicable)

201? – 	Scientific Advisory Board, Name of University/ Institution/ Country
201? – 	Review Board, Name of University/ Institution/ Country
201? –	Review panel member, Name of University/ Institution/ Country
201? – 	Editorial Board, Name of University/ Institution/ Country
200? – 	Scientific Advisory Board, Name of University/ Institution/ Country
200? –	Reviewer, Name of University/ Institution/ Country 
200? –	Scientific Evaluation, Name of University/ Institution/ Country
200? –	Evaluator, Name of University/ Institution/ Country

•	MEMBERSHIPS OF SCIENTIFIC SOCIETIES (if applicable)

201? –	Member, Research Network “Name of Research Network”
200? –	Associated Member, Name of Faculty/ Department/Centre, Name of University/ Institution/ Country
200? –	Funding Member, Name of Faculty/ Department/Centre, Name of University/ Institution/ Country 

•	MAJOR COLLABORATIONS (if applicable)

Name of collaborators, Topic, Name of Faculty/ Department/Centre, Name of University/ Institution/ Country

•	CAREER BREAKS (if applicable)

Exact dates	Please indicate the reason and the duration in months.

Appendix: All ongoing and submitted grants and funding of the PI (Funding ID)
Mandatory information (does not count towards page limits)

On-going Grants
Project Title	Funding source	Amount
(Euros)	Period	Role of the PI	Relation to current 
ERC proposal	

						

Applications
Project Title	Funding source	Amount
(Euros)	Period	Role of the PI	Relation to current 
ERC proposal	

						

Track-record (max. 2 pages)

(see ‘Information for Applicants to the Advanced Grant 2014 Calls’– instructions for completing 'Part B' of the proposal)

In the proposal the applicant Principal Investigator should list: 
1.	Up to 5 Publications (starting grant)/10 publications (consolidator grant)/ representative publications form the last 10 years as main author (advanced grant) in major international peer-reviewed multi-disciplinary scientific journals and/or in the leading international peer-reviewed journals, peer-reviewed conferences proceedings and/or monographs of their respective research fields, highlighting five representative publications, those without the presence as co-author of their PhD supervisor, and the number of citations (excluding self-citations) they have attracted (if applicable). 
2.	Research monographs and any translation thereof (if applicable)
3.	Granted patent(s) (if applicable) 
4.	Invited presentations to peer-reviewed, internationally established conferences and/or international advanced schools (if applicable)
5.	Prizes/Awards/Academy membership (if applicable)
6.	Other achievements

For advanced grant applicants only:
7.	Research expeditions that the applicant has led (if applicable)
8.	Organisation of international conferences (membership in the steering committee and/or organising committee) 
9.	Major contributions to the early careers of excellent researchers (if applicable)
10.	Examples of leadership in industrial innovation or design (if applicable).