SAHMRI Equipment Grant Request Form

Applications for equipment funding have been allocated into the following categories . Small item < $30,000 . Large item $30,000 - $100,000 . Large item > $100,000

Please note the following guidelines when applying for equipment item funding: . The lead PI on the application must be a SAHMRI Faculty member; . There is a rolling call for applications. Applications should be submitted two weeks before the Biosciences Pillar Committee meeting at which you want the application considered, please contact Leanne Sutherland ([email protected]) for meeting dates; . Applications are not to exceed the allocated length (1 page) for the description of the equipment item; . Applications for the replacement of an existing equipment item must include justification for not repairing the equipment and the continued need for the equipment; . All applications must be accompanied by a current quotation for the requested equipment item; . Items of equipment that will be used by multiple research Themes/Groups within SAHMRI will be considered favourably; . Equipment items must be located within SAHMRI sites; . Applications for equipment items that have co-funding will be considered favourably; . Applications will be reviewed and ranked by the Biosciences Pillar Committee; . Requests for consumables/salary support will not be considered.

Applications must be in minimum 11 font and must be submitted as a single PDF (including current quotation) via email to the Research Office ([email protected]).

If you have any questions regarding the completion of the application form please contact Leanne Sutherland ([email protected]). 1. Equipment item and amount requested

Equipment item Amount

TOTAL

2. Applicants (maximum of 4 Principal Investigators)

PI Name Position SHAMRI Theme/Group PI-A

PI-B

PI-C

PI-D

3. PI-A contact details

PI Contact Details Telephone Number(s) Email Address PI-A

4. Please provide details of other applications for funding for this item of equipment (all PIs)

Funding Body Amount requested Date of notification of application outcome 1

2

5. Please provide amount and details of matched or leveraged funding for this item of equipment (all PIs)

6. Description of equipment requested and how it will be used for research (maximum 1 page) A) Category of equipment funding requested New small item < $30,000 New large item $30,000 - $100,000 New large item > $100,000

B) Purpose of equipment item C) Justification for the new equipment item

D) Current or proposed project(s) equipment item will support

E) Where will the equipment be located?

No Yes

If yes, please provide signatures of support from other Themes/Groups that will use the equipment

F) Will multiple Themes/Groups within SAHMRI use the equipment? G) How will the service and maintenance/repair of the equipment be funded and what are the expected costs? Certification – Principal Investigator (PI-A) and Head of Theme/Group I hereby certify that, if awarded, the funding will be used to purchase the item of equipment as stated in this application.

------PI-A (Name) Signature Date

------Head of Theme/Group (Name) Signature Date

NOTE: please ensure the current quotation is included in the single PDF version of the application emailed to: [email protected]