Microsoft Word - MILDT_appel.docx - e-cancer.fr · Web viewCall for applications 2019. Application form. International mobility of junior researchers in paediatric oncology. Proposal

Call for applications 2019Application form

International mobility of junior researchers in paediatric oncology

Proposal submission deadline: 10th of May 2019https://www.e-cancer.fr/Institut-national-du-cancer/Appels-a-projets/Appels-a-projets-en-cours/Mobilite-pediatrique

CandidateLast name First name GenderDate and place of birthNationalityPersonal postal addressEmailORCID numberRegistration and information at: https://orcid.org/register

Field of researchPhD. graduation dateCandidate status □ Student in Master 2 Research

□ PhD.student□ Post-doctoral fellow

Duration of candidate’s research project within a collaborative project (months)Duration of mobility in the framework of this training (months)Title of collaborative research projectTitle of candidate’s research projectKeywords

Name of grant recipient institutionName of grant recipient institution

Legal representative (or duly authorised person)1 Last name & first name:(Title and position):

Application for (Please tick): Post -doctoral fellowship

1 Person authorised to sign agreementsINCa AAC-Paediatric mobility 2019 1 / 20

https://www.e-cancer.fr/Institut-national-du-cancer/Appels-a-projets/Appels-a-projets-en-cours/Mobilite-pediatrique


Mobility funding

INCa AAC-Paediatric mobility 2019 2 / 20

- Application file for candidates applying for a post-doctoral fellowship

Complete part I of the application file (page 4)

- Application file for candidates applying for mobility funding

Complete part II of the application file (page 9)

- For all applications

Please complete part III of the application file (page 14)


Contents

PART I - Application file for candidates applying for a post-doctoral fellowship..............................4

PARTNER LABORATORY IN FRANCE......................................................................................................................................4RESEARCH THEME...........................................................................................................................................................4MAIN PUBLICATIONS OF THE LABORATORY IN THE LAST FIVE YEARS DEMONSTRATING ITS EXPERTISE IN PAEDIATRIC ONCOLOGY.............4OTHER KEY PUBLICATIONS IN THE LAST FIVE YEARS.................................................................................................................4PARTNER LABORATORY ABROAD.........................................................................................................................................5RESEARCH THEME...........................................................................................................................................................5MAIN PUBLICATIONS OF THE LABORATORY IN THE LAST FIVE YEARS DEMONSTRATING ITS EXPERTISE IN PAEDIATRIC ONCOLOGY.............5OTHER KEY PUBLICATIONS IN THE LAST FIVE YEARS.................................................................................................................5COLLABORATIVE RESEARCH PROJECT ESTABLISHED BETWEEN THE TWO LABORATORIES..................................................................6CANDIDATE’S RESEARCH PROJECT.......................................................................................................................................7CANDIDATE’S CURRICULUM VITAE......................................................................................................................................7LIST OF CANDIDATE’S PUBLICATIONS...................................................................................................................................7CANDIDATE’S MOTIVATION...............................................................................................................................................7INFORMATION ON THE HOST LABORATORY SUPERVISOR..........................................................................................................8LIST OF DOCUMENTS TO BE INCLUDED IN EVERY APPLICATION..................................................................................................8

PART II - Application file for candidates applying for mobility funding............................................9

LABORATORY LOCATED IN FRANCE......................................................................................................................................9RESEARCH THEME...........................................................................................................................................................9MAIN PUBLICATIONS BY LABORATORY IN THE LAST FIVE YEARS DEMONSTRATING ITS EXPERTISE IN PAEDIATRIC ONCOLOGY...................9OTHER KEY PUBLICATIONS IN THE LAST FIVE YEARS.................................................................................................................9HOST LABORATORY ABROAD............................................................................................................................................10RESEARCH THEME.........................................................................................................................................................10MAIN PUBLICATIONS BY LABORATORY IN THE LAST FIVE YEARS DEMONSTRATING ITS EXPERTISE IN PAEDIATRIC ONCOLOGY.................10OTHER KEY PUBLICATIONS IN THE LAST FIVE YEARS...............................................................................................................10COLLABORATIVE RESEARCH PROJECT ESTABLISHED BETWEEN THE TWO LABORATORIES................................................................11CANDIDATE’S RESEARCH PROJECT AND MOBILITY PROJECT.....................................................................................................12CANDIDATE’S CURRICULUM VITAE....................................................................................................................................12LIST OF CANDIDATE'S PUBLICATIONS..................................................................................................................................12CANDIDATE’S MOTIVATION.............................................................................................................................................12INFORMATION ON THE SUPERVISOR IN THE LABORATORY IN FRANCE.......................................................................................13INFORMATION ON THE SUPERVISOR IN THE HOST LABORATORY ABROAD...................................................................................13AFFILIATED HIGHER EDUCATION INSTITUTION FOR PHD. OR MASTERS STUDENTS.......................................................................13LIST OF DOCUMENTS TO BE INCLUDED IN EVERY APPLICATION................................................................................................13

PART III - Commitments of the parties...........................................................................................14

ENGAGEMENT DU REPRÉSENTANT LÉGAL DE L’ORGANISME BÉNÉFICIAIRE DE LA SUBVENTION INCA...............................................15ENGAGEMENT OF THE CANDIDATE AND ORIGIN LABORATORY DIRECTOR AND HOST LABORATORY DIRECTOR.....................................16Deadline and indication:...........................................................................................................................................18


PART I - Application file for candidates applying for a post-doctoral fellowship

Partner laboratory in FranceIs this the candidate’s host mobility laboratory?

YESNO

Name of partner laboratory in France:

Name of laboratory director:

Address:

Telephone:

Email:

Research theme (summarised description of research activity) (3000 characters maximum including spaces):

Main publications of the laboratory in the last five years demonstrating its expertise in paediatric oncology (10 max):

Other key publications in the last five years (10 max ):


Partner laboratory abroadIs this the candidate’s host mobility laboratory?

YES NO

Name of partner laboratory abroad:


Address:

Telephone:

Email:


Main publications of the laboratory in the last five years demonstrating its expertise in paediatric oncology (10 max):

Other key publications in the last five years (10 max ):


Collaborative research project established between the two laboratoriesTitle of collaborative research project:

Summary of project (2000 characters maximum including spaces): Scientific context Project description: aims and methods Project progress status Expected results

Start date of collaborative project:Funding obtained for this project (for each form of funding specify the source, the total amount and duration):

Project description (12,000 characters including spaces): Scientific context of project Involvement of each laboratory in the collaborative project Aims & hypotheses Project progress status , results already obtained Expected results Schedule Bibliographical elements

Description of other aspects of this collaboration (5000 characters maximum including spaces): Researcher, post-doc or student exchange programmes Joint training for PhD. Students Pooled organisation of research events Shared publications Collaborative fundraising Other collaborative research works


Candidate’s research projectTitle of candidate’s research project

Summary (2000 characters maximum including spaces): Scientific context Project description: aims and methods Expected results

Description of project limited to the duration of requested funding (12,000 characters maximum including spaces):

Candidate’s role in the collaborative project Description of the research approach Work to be developed - please specify the role of the candidate Method(s) used Expected results Schedule of tasks during funding period

Candidate’s Curriculum Vitae (3000 characters maximum including spaces)

List of candidate’s publications Limited to accepted publications, please indicate all authors

Candidate’s motivation (3000 characters maximum including spaces)

The candidate must:-Explain his/her motivations-Describe his/her medium-term career plan after return-Demonstrate the relevance of the mobility project to his/her career plan-Demonstrate the importance of the research training in his/her career plan


Information on the host laboratory supervisorName of the supervisor:

Position:

Research laboratory: Address:

Telephone:Email:

Supervisor’s short-form Curriculum Vitae, specifying key articles published in the last five years and authorisation to lead research (3000 characters maximum including spaces)

NOTE:Applications which have not been fully completed will be deemed ineligible.

List of documents to be included in every application

For the electronic version, please scan and insert documents

A hard copy of the PhD degree in science or a certificate from the relevant University

To be attached in the electronic word version

A letter signed by both directors of the laboratories describing the collaborative project, funding obtained for the research project, the role of the junior researcher in the project and their respective contribution as supervisors



PART II - Application file for candidates applying for mobility funding

Laboratory located in FranceName of partner laboratory in France:


Address:

Telephone:

Email


Main publications by laboratory in the last five years demonstrating its expertise in paediatric oncology (10 max):

Other key publications in the last five years (10 max):


Host laboratory abroadName of partner laboratory abroad:


Address:

Telephone:

Email:


Main publications by laboratory in the last five years demonstrating its expertise in paediatric oncology (10 max):

Other key publications in the last five years (10 max):


Collaborative research project established between the two laboratoriesTitle of collaborative research project:

Summary (2000 characters maximum including spaces): Scientific context Project description: aims and methods Project progress status Expected results

Start date of collaborative project:

Funding obtained for this project (for each form of funding specify the source, the total amount and duration):

Project description (12,000 characters including spaces): Scientific context of project Theme Aims Methods Project progress status , results already obtained Expected results Schedule Publications

Description of other actions in the framework of this collaboration (5000 characters maximum including spaces):

Researcher, post-doc or student exchange programs Joint training for PhD. students Pooled organisation of research events Shared publications Collaborative fundraising Other collaborative-research works


Candidate’s research project and mobility projectTitle of collaborative research project:

Summary (2000 characters maximum including spaces): Scientific context Project description: aims and methods Project progress status Expected results

Funding obtained for this project (for each form of funding specify the source, the total amount and duration):

Project description (12,000 characters including spaces) Candidate’s role in the collaborative project Description of the research approach Relevance of the mobility project to the candidate’s research project Work to be developed for the mobility project - specifying the role of the candidate Method used for the mobility project Expected results of the mobility project Expected results for the research project Research project schedule Schedule of tasks for the duration of funding

Candidate’s Curriculum Vitae (3000 characters maximum including spaces)

List of candidate's publications Limited to accepted publications, please indicate all authors

Candidate’s motivation The candidate must:-Explain his/her motivations-Demonstrate the relevance of the mobility project to his/her scientific and career project-Describe his/her medium-term career plan after returnDemonstrate the importance of the research training in his/her career plan (3000 characters maximum including spaces)


Information on the supervisor in the laboratory in FranceName of the supervisor:

Position:Research laboratory:

Address:

Telephone/Email:

Information on the supervisor in the host laboratory abroadName of the supervisor:

Position:Research laboratory:

Address:

Telephone/Email:

Affiliated higher education institution for PhD. or Masters studentsAffiliated higher education institution

For PhD. students: Doctoral school number and name of school’s director

For students in Master 2 Research: Name of Master and name of Master’s director

Note:Applications which have not been fully completed will be deemed ineligible.

List of documents to be included in every application

For the electronic version, please scan and insert documentsA hard copy of the employee’s ongoing employment contract To be attached

in the electronic word version

Where applicable, a certificate of pre-enrolment in a Master 2 Research To be attached in the electronic word version

Where applicable, a letter from the director of the Master 2 Research specifying that the training programme allows for a 6-month internship abroad



A letter signed by both directors of the laboratories describing the collaborative project, funding obtained for the research project, the role of the junior researcher in the project and their respective contribution as supervisors



PART III - Commitments of the parties (To be completed for all applications)

Information relative to the use of your personal dataprovided in the application form

___________

In the framework of its public service tasks, the National Cancer Institute leads calls for projects in the field of oncology. With a view to reviewing the proposals received and compiling a database for the inventory and follow-up of calls for proposals funded by the Institute, the latter is required to collect data relating to the identity and career of the coordinator, the legal representative or the duly authorised person of the recipient institution, the person responsible for the administrative follow-up of the application, the team head and, if applicable, team personnel and the persons designated by the coordinator as not to have knowledge of the proposal, the latter potentially benefiting directly or indirectly due to their links.Persons whose personal data feature in the application file must be notified by the party responsible for designating them that the Institute shall use such data subject to the terms described herein. The Institute is the data controller in these cases. It shall store the data necessary for the evaluation of proposals for a period of five years if your proposal is not selected, or ten years if it is, from the date of notification of the result of the Institute's selection. The data required for the inventory and follow-up of the calls for proposals funded thereby shall be stored for a period of fifteen years from the same date. In accordance with the General Data Protection Regulation 2016/679 and the amended Data Protection Act No. 78-17, you have the right, during the processing period, to object to processing, the right to access, rectification, erasure and portability of your data and a right to restriction of processing of your data. To exercise these rights, please email your request to the following address: [email protected]. You will find the contact details of the Institute, its representative and its data protection officer on e-cancer.fr. Moreover, you have the right to make a complaint to the French Data Protection Commission (CNIL).


Engagement du représentant légal de l’organisme bénéficiaire de la subvention INCaEngagement of the legal representative of the recipient institution of the INCa grantNom de l’organisme bénéficiaire de la subvention INCa :

___________________________________à compléter

Après avoir pris connaissance :de l’appel à candidatures Mobilité internationale de jeunes chercheurs en cancérologie pédiatrique;

du règlement N° 2018-01 relatif aux subventions allouées par l’INCa (consultable à l’adresse sui-vante : http://www.e-cancer.fr/Institut-national-du-cancer/Appels-a-projets/Reglement-des-sub-ventions ;

du projet : « titre à compléter ».

Je, soussigné(e) , ___________________________________(à compléter)Représentant légal Ou bien personne dûment habilitée Cette personne est soit le représentant légal de l’organisme auquel est rattachée l’équipe, soit toute autre personne dument habilitée et bénéficiant d’une délégation de pouvoir ou de signature établie par le représentant légal du candidat. En cas de délégation de pouvoir ou de signature, joindre la copie de délégation de signature.

déclare avoir pris connaissance du règlement N° 2018-01 relatif aux subventions allouées par l’INCa ;

m’engage à respecter l’ensemble des dispositions qui concerne mon organisme ; m’engage à recruter M XX (indiquer nom et prénom du candidat) et m'engage à lui permettre

la réalisation du projet précité ; m’engage à mobiliser intégralement les crédits obtenus sur le projet précité; certifie l’exactitude des informations présentes dans ce dossier;

Je déclare avoir pris connaissance des modalités de traitement de mes données personnelles et de mes droits tels que décrits précédemment sur la page d’information dédiée et, le cas échéant, de l’obligation que j’ai d’informer les personnes dont j’ai cité le nom dans le dossier de candidature selon lesdites modalités.

Cachet de l’organisme

Signature : Fait à le

Veuillez envoyer les signatures manuscrites et originales et non scannées par courrier


http://www.e-cancer.fr/Institut-national-du-cancer/Appels-a-projets/Reglement-des-subventions


Engagement of the candidate and origin laboratory director and host laboratory directorEngagement du candidat et du directeur du laboratoire de départ et du directeur du laboratoire d’accueil

Candidate's signature /Engagement du candidat

I, the undersigned/je soussigné: ___________________________________(to be completed)

Hereby certify that I have taken due note of:The call for applications for the international mobility of junior researchers in paediatric oncology

Regulation N° 2018-01 relative to grants allocated by INCa, which may be consulted at the follow-ing address: http://www.e-cancer.fr/Institut-national-du-cancer/Appels-a-projets/Reglement-des-subventions ;

Of the project: ‘enter title’.Undertake to carry out the above-mentioned project and to comply with all provisions relative to me.

I hereby declare having taken due note of the methods used to process my personal data and of my rights as described on the dedicated information page above and, if applicable, of my obligation to notify the persons whose name I have cited in the application file, subject to the afore-mentioned terms.Name: First name:

Signature: Location.................... Date:

Signature of origin laboratory director

I, the undersigned/je soussigné: ___________________________________(to be completed)

Hereby certify that I have taken due note of:The call for applications for the international mobility of junior researchers in paediatric oncology;


Of the project: ‘enter title’.- undertake to ensure the management of the thesis of MXX (specify last and first name of doctoral candidate) and to comply with all provisions relative to me.

I hereby declare having taken due note of the methods used to process my personal data and of my rights as described on the dedicated information page above and, if applicable, of my obligation to notify the persons whose name I have cited in the application file, subject to the afore-mentioned terms.Name: First name:Laboratory stamp Signature: Location.................... Date:






Signature of host laboratory director

I, the undersigned/je soussigné:: ___________________________________(to be completed)

Hereby certify that I have taken due note of:The call for applications for the international mobility of junior researchers in paediatric oncology;


Of the project: ‘enter title’.- undertake to ensure the management of the thesis of MXX (specify last and first name of doctoral candidate) and to comply with all provisions relative to me.

I hereby declare having taken due note of the methods used to process my personal data and of my rights as described on the dedicated information page above and, if applicable, of my obligation to notify the persons whose name I have cited in the application file, subject to the afore-mentioned terms.Name: First name:Laboratory stamp Signature: Location.................... Date:

Please send signatures in their original, hand-written and non-scanned version by post




Deadline and indication:

Deadline: 10 May 2019

The application file must include all items required and needed for the scientific and technical evaluation of the proposal and must be written in English. The complete file includes the form entitled application file and the financial annexe.The complete application is submitted in electronic format (online submission) and in hard copy format; both formats are strictly identical with the exception of the signatures and supplementary documents, which are only required for the original hard copy version.

Electronic form:The complete application includes two files:

A Word 97-2003 file less than 4 Mo (usual form). PDF not accepted. An Excel 97-2003 file (financial annexe). PDF not accepted.

These elements are to be uploaded online using the address for the call for projects:https://www.e-cancer.fr/Institut-national-du-cancer/Appels-a-projets/Appels-a-projets-en-cours/Mobilite-pediatrique

This submission procedure, via the INCa website, includes the following:o identification of the coordinator (last name, first name, and email address), o identification of the project (title, duration, key-words and summary),o upload of the candidate's application file.

AND Hard copy format:

Original copies of the complete project file; duly signed by the relevant persons with supplementary documents, to be sent within the specified deadline.

Institut national du cancerAAC mobilité pédiatrie52 avenue André Morizet92513 Boulogne-Billancourt cedex

For all scientific or project content information, contact:Frédérique NOWAK [email protected]

For all other queries, please contact: [email protected]


mailto:[email protected]

mailto:[email protected]



Documents

Microsoft Word - MILDT_appel.docx - e-cancer.fr · Web viewCall for applications 2019. Application form. International mobility of junior researchers in paediatric oncology. Proposal