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A Better Start National Science Challenge & Cure Kids 2017 Competitive Funding Round

Research Proposal

Principal Investigator (please name only one principal investigator)

Host Institution and Department

Project Title

Duration of Project (in months)Total Cost of Project Please state if there are any IP considerations for this proposed project Email and telephone of PIApplication Number (Administrative use only)Primary Funding Theme (childhood obesity, mental health, early literacy, ASD)

Please note if your proposed project is also concerned with any of the other themes:

☐Childhood obesity☐Early literacy☐Mental health☐Autism spectrum disorder

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CK/BeST Use Only

Application DeadlineElectronic copies of applications must be received by Cure Kids no later than 5pm, Monday, April 3, 2017:

1. Email your completed application form in Word (no signatures required) and PDF format (scanned original) to abetterstart@curekids.org.nz

2. Post or Courier the original signed & completed proposal (this must be received no later than 5pm, Thursday 6th April 2017)

Please note: Cure Kids reserves the right to reject applications which do not meet these requirements or those which are not 100% complete.

Please also note that as per the RfP, the Applicant Registration form needs to be completed and returned to abetterstart@curekids.org.nz by 6 March, 2017.

For all queries relating to this RfP, please contact Ryan Chandler at: abetterstart@curekids.org.nz

Attachment check list:- Completed application form

Emailed proposal & budget spreadsheet Hardcopy of original sent to Level 1, 96 New North Road, Eden Terrace, Auckland

1021

Instructions in Red Italics can be deleted when completing the form.

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Section 1 – SummaryPlease use Arial 11 point, single spacing

Title of Research Proposal (Plain English and no more than 30 words in length)

Contact Details Principal Investigator Ethnicity (tick more than one option if relevant)

☐European☐Māori☐Pacific Peoples☐Asian☐Middle Eastern/Latin American/African☐Other Ethnicity

PositionDepartmentUniversity/OrganisationP O Box/Street numberCityTelephoneEmail

Named Investigator 1Ethnicity (tick more than one option if relevant)

☐European☐Māori☐Pacific Peoples☐Asian☐Middle Eastern/Latin American/African☐Other Ethnicity

University/Organisation & Department CityBrief sentence on your expertise relevant to this project

Named Investigator 2Ethnicity (tick more than one option if relevant)

☐European☐Māori☐Pacific Peoples☐Asian☐Middle Eastern/Latin American/African☐Other Ethnicity

University/Organisation & DepartmentCityBrief sentence on your expertise relevant to this project

Named Investigator 3

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Ethnicity (tick more than one option if relevant)

☐European☐Māori☐Pacific Peoples☐Asian☐Middle Eastern/Latin American/African☐Other Ethnicity

University/Organisation & DepartmentCityBrief sentence on your expertise relevant to this project

Add tables for additional Named Investigators as necessary

Summary of Budget - Must not exceed $350,000 in total (including overheads and excluding GST). Overheads will be applied for; investigators, post-doctoral fellows, technicians, and administrative staff at 50% of their relevant institutional overhead rate. This reflects the fact that funding from A Better Start attracts the full institutional overhead rate whereas Cure Kids funding attracts no overheads.

Attach completed budget spreadsheet to this application as an appendix.

Year 1 Year 2 TotalSalaries (total for all staff) $ $ $Proportional overheads $ $ $Equipment $ $ $Working Expenses $ $ $

Total (excluding GST) $ $ $

Proposed Commencement DateProposed End Date (no later than 30 June 2019) Proposed Duration (Maximum of 24 Months)

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Section 2 – Lay Summary (300-word maximum)Provide a summary of the project which is suitable for a lay reader. Please briefly describe the importance, and/or the magnitude, of the problem you are addressing including known relevant facts. Outline how the research will help those living with the condition and/or advance knowledge and increase understanding of the health condition. Applicants must clearly describe which theme(s) their project aims to address, and also how it proposes to do so. Describe what your study seeks to achieve, and, briefly, how you plan to carry out the research.

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Section 3 – Overall Aim of the Research (1-page maximum)State the general goals and specific objectives of the research proposal. Explain how the research aligns with the mission of the National Science Challenge, A Better Start programme, ‘finding better ways to predict, prevent and treat obesity, learning, mental health problems and ASD in New Zealand children and young people. Clearly illustrate the primary theme your research will address, as well as any of the subsequent themes under the A Better Start umbrella. If your research objectives are successful, describe your understanding of how the findings would translate to a larger-scale intervention and/or community-level impact.

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Section 4 – Proposed Research (3-Page maximum)This section should address the following areas; A) hypotheses and aims, B). rationale, C) subjects (including power calculation) and D) methods (design, procedures, analyses). Please ensure that your description covers the entire research programme including contributions by collaborators. References are not included in this page limit.

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Section 5 – Vision Mātauranga (1-page maximum)A Better Start is committed to making a difference for all New Zealanders and in particular Maori and Pacific communities. All Challenge research is guided by Vision Mātauranga - the Government research framework which aims to unlock the potential of Māori knowledge, resources and people. Please include a statement on the responsiveness of the project to the needs and diversity of Māori and Pacific communities. Please note, considerations around Vision Matauranga will be assessed by a specialist panel as part of the triage process.

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Section 6 – ReferencesPlease list all references for Sections 2 to 5. Please include full titles.

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Section 7 – Biographical Sketch (To be completed by the Principal Investigator only. CVs of Co-Investigators are to be made available on request)

Full Name

DepartmentUniversity/OrganisationPO Box/Street numberSuburb CityTelephoneEmailGender

Present Position & Current employer (if relevant)

Period of absence Reason

Degrees/Diplomas University Field Year conferred

Honours, prizes, scholarships, etc. Year awarded

Relevant academic and research experience From year To year

Number of Publications (exclude abstracts, proceedings or letters published or presented)

List of publications from previous five years (List in reverse date order, e.g. current year first. Please place the name of the PI in bold) (Delete these words and start typing here)

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Section 7A – Listing of Previous / Current Contracts

Outline of current and previous support from all agencies relating ONLY to this project:

Funding agency:Start and end datesTitleTotal Nature of support:(limit 1 sentence)

Funding agency:Start and end datesTitleTotal Nature of support:(limit 1 sentence)

(Copy table and paste as necessary)

Section 7B – Other Support

Other research grant applications relating to ONLY this project that are awaiting decision:

Funding agencyStart and end datesTitleTotal applied forDate of outcome notification

Funding agencyStart and end datesTitleTotal applied forDate of outcome notification

(Copy table and paste as necessary)

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Section 8 – FTE and Budget SummaryList the time involvement of all personnel involved in the research in terms of a Full Time Equivalent (FTE %) - state FTE as a percentage and not a fraction, e.g. “10%” instead of “0.1”. Give all names (except when they are as yet unknown for such people as postdoctoral fellows and postgraduate positions). Please ensure these figures are the same as those in the attached budget spreadsheet.

Named Investigator(s)(Asterisk those that are time only on this proposal)

% FTE (Year 1) % FTE (Year 2)

Postdoctoral Fellows (not named – if named they should appear above)

Research/Technical Assistants

Others

Sub-contracted Investigators/Staff

PhD students (do not attract overheads)

Total FTE

(Expand tables as necessary by pressing “enter” at the end of a row outside of the table)

If a Named Investigator intends to be absent for a period of longer than one month during the contract duration, then please explain.

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Will any of the staff be receiving salary support or research contracts/grants other than this project during the term of the proposed research?

Name FTE (%) on Cure Kids contracts

FTE (%) on other research

Supporting Details

Justification of Staff, Equipment and Working Expenses (maximum 500 words)List and describe the role of each research worker (salaried or honorary) and justify each proposed item of equipment and working expenses.

Describe the facilities available for the proposed research. (Maximum 200 words)

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Section 10 – Applicant Referee Nomination Two referees can be nominated by applicants. They can be either New Zealand or international reviewers that Cure Kids may contact to seek an opinion

Referee 1 NameFull Address

TelephoneEmailArea(s) of ExpertiseRelationship to applicant(s)

Referee 2 NameFull Address

TelephoneEmailArea(s) of ExpertiseRelationship to applicant(s)

Two referees that are unacceptable to applicant(s) can be declared here.Name ** Full Address

TelephoneEmailArea(s) of ExpertiseReason referee is unacceptable

** Can be a name of an individual or a research group

Name ** Full Address

TelephoneEmailArea(s) of ExpertiseReason referee is unacceptable

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Section 11 - Ethical Requirements

Please indicate below (Y/N) as to the status of this application

Ethical Committee Approval Being Sought

Ethical Committee approval not required

Ethical Committee Approval Obtained (Enclose a copy)

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Section 12: Declarations

Declaration on behalf of the Principal Investigator

I declare that the information provide in this application is accurate and current to the best of my knowledge.I have followed the appropriate institutional policies and procedures in preparing this application.I agree that if this research project requires any form of regulatory approval, including research involving humans and animals, the appropriate approvals will be sought from the committee or authority before any research is conducted. Consent is also given for this proposal to be shared with other potential co-funding organisations.

Name and title:

Signature:

Declaration by duly authorised person on behalf of the submitting institution

I declare on behalf of………………[organisation name]…………………that the information contained in this application is accurate at the time of submission and that all named individuals and organisations contained in it have approved the use of their names in the context they are used.

I declare that ………………[organisation name]…………………has the research capability and capacity (in combination with any named collaborators) to undertake the research proposed and I confirm that, if awarded funding in relation to this proposal, we will negotiate a contract with Cure Kids based on the A Better Start Challenge subcontract template in good faith.

I confirm that ………………[organisation name]…………………recognises, and will abide by, all aspects of this RFP in relation to this proposal.

Signed by [authorised official of host institution]

Name:Title and affiliation:

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