ALLEGATO 1

APPLICATION FORM – 
ERC / FIS / [another individual grant as per Marie Curie +1 call] PROPOSAL

UNIVERSITA’ CA’ FOSCARI VENEZIA
 PROGRAMMA MARIE CURIE PLUS ONE
 
CALL 2023

PROPOSAL FULL TITLE

PROPOSAL ACRONYM

Cover Page:
-	Name of the Principal Investigator (PI) 
-	Proposal duration in months:
-	Call: specify which ERC / FIS / [another individual grant as per Marie Curie +1] call you intend to apply for

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. Objectives and state-of-the-art (To what extent does the proposed research address important challenges? To what extent are the expected results are ambitious and beyond the state of the art?)

What is the problem that needs to be solved? 
Why is it significant and/or urgent? 
What is your great idea to address this important challenge? 
What is the novel concept/approach with respect to the state-of-the-art? 

2. Scientific approach and methodology (What novel approaches/concepts will be developed to address the challenge? To what extent is the outlined scientific approach feasible?)

Methodology: 
Describe the methodology and unconventional aspect or approach.
Workplan:
Briefly describe the project phases

3. Impact and expected results (To what extent is the proposed research high risk/high gain?)

Show how the research will provide impact if/when successful. Clarify what kind of scientific impact(s) will have the project. Demonstrate the ground breaking and innovative nature of the research as compared to the state of the art. Specify any particularly challenging or unconventional aspects of the proposal, including multi - or interdisciplinary aspects. 

What makes your expected results ground-breaking? 
Why will your project make a decisive difference? 

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)

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).