<p>SAHMRI Equipment Grant Request Form</p><p>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</p><p>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.</p><p>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]).</p><p>If you have any questions regarding the completion of the application form please contact Leanne Sutherland ([email protected]). 1. Equipment item and amount requested</p><p>Equipment item Amount</p><p>TOTAL</p><p>2. Applicants (maximum of 4 Principal Investigators)</p><p>PI Name Position SHAMRI Theme/Group PI-A</p><p>PI-B</p><p>PI-C</p><p>PI-D</p><p>3. PI-A contact details </p><p>PI Contact Details Telephone Number(s) Email Address PI-A</p><p>4. Please provide details of other applications for funding for this item of equipment (all PIs) </p><p>Funding Body Amount requested Date of notification of application outcome 1</p><p>2</p><p>5. Please provide amount and details of matched or leveraged funding for this item of equipment (all PIs) </p><p>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</p><p>B) Purpose of equipment item C) Justification for the new equipment item </p><p>D) Current or proposed project(s) equipment item will support</p><p>E) Where will the equipment be located?</p><p>No Yes</p><p>If yes, please provide signatures of support from other Themes/Groups that will use the equipment</p><p>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. </p><p>------PI-A (Name) Signature Date</p><p>------Head of Theme/Group (Name) Signature Date</p><p>NOTE: please ensure the current quotation is included in the single PDF version of the application emailed to: [email protected]</p>