Prize application template

PRIZE APPLICATION TEMPLATE
Administrative Forms (Part A)
Application (Part B)
Version 1.1
12 March 2015
Disclaimer:
This document is aimed at informing potential contestants for the Horizon Prize for better use of antibiotics. It
serves only as an example. The actual web forms and templates, provided in the online submission system
under the Participant Portal, might differ from this example. Applications must be prepared and submitted via
the online submission system.
PRIZE APPLICATION TEMPLATE
Administrative forms (Part A)
European Commission - Research - Participants
Proposal Submission Forms
Horizon 2020
e
Call:
m
Proposal number:
pl
Type of action:
et
Topic:
co
Proposal acronym:
tt
o
Wherever in this text the term 'proposal' is used, it shall be understood to refer to an 'application'.
no
Table of contents
Title
1
General information
Contestants & Contacts
Ex
am
2
Action
pl
e,
Section
How to fill in the forms
The administrative forms must be filled in for each proposal using the templates available in the submission system. Some
data fields in the administrative forms are pre-filled based on the previous steps in the submission wizard.
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European Commission - Research - Participants
Proposal Submission Forms
Proposal ID
Go to
Acronym
Type of action
Call identifier
Acronym
Proposal title
et
Topic
e
1 - General information
The title should be no longer than 200 characters (with spaces) and should be understandable to
the non-specialist in your field.
pl
Note that for technical reasons, the following characters are not accepted in the Proposal Title and will
be removed: < > " &
m
Abstract
no
tt
o
co
The abstract (summary) should, at a glance, provide the reader with a clear understanding of the content of the application
and its relation to the objectives of the contest. It must be short and precise and should not contain confidential information.
Please use plain typed text, avoiding formulae and other special characters. The abstract must be written in English. There
is a limit of 2000 characters (spaces and line breaks included).
2000
Ex
am
pl
e,
Remaining characters
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European Commission - Research - Participants
Proposal Submission Forms
Proposal ID
Go to
Acronym
Declarations
e
1) In case of several contestants, the lead contestant declares to have the explicit consent of all contestants
on their participation and on the content of this application.
et
2) The information contained in this proposal is correct and complete.
- I have fully read and understood and agree to the official Rules of Contest.
pl
3) I hereby declare that:
m
- I am fully eligible and not excluded from participation in accordance with the Rules of Contest.
co
- All other contestants have confirmed that they are fully eligible and not excluded from participation in
accordance with the Rules of Contest.
o
4) This application complies with ethical principles (including the highest standards of research integrity —
as set out, for instance, in the European Code of Conduct for Research Integrity[1] — and including, in
particular, avoiding fabrication, falsification, plagiarism or other research misconduct).
Personal data protection
no
tt
According to Article 131 of the Financial Regulation of 25 October 2012 on the financial rules applicable to the general budget
of the Union (Official Journal L 298 of 26.10.2012, p. 1) and Article 145 of its Rules of Application (Official Journal L 362,
31.12.2012, p.1) contestants found guilty of misrepresentation may be subject to administrative and financial penalties under
certain conditions.
pl
e,
Your reply to the prize application will involve the recording and processing of personal data (such as your name, address and
CV), which will be processed pursuant to Regulation (EC) No 45/2001 on the protection of individuals with regard to the
processing of personal data by the Community institutions and bodies and on the free movement of such data. Unless
indicated otherwise, your replies to the questions in this form and any personal data requested are required to assess your
prize application in accordance with the specifications of the prize contest and will be processed solely for that purpose.
Details concerning the processing of your personal data are available on the privacy statement at the page:
am
http://ec.europa.eu/dataprotectionofficer/privacystatement_publicprocurement_en.pdf
Ex
Contestants may lodge a complaint about the processing of their personal data with the European Data Protection Supervisor
at any time.
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European Commission - Research - Participants
Proposal Submission Forms
Acronym
et
e
Proposal ID
Go to
Contestants Name
Country
m
#
pl
List of Contestants
Ex
am
pl
e,
no
tt
o
co
1
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European Commission - Research - Participants
Proposal Submission Forms
Proposal ID
Go to
Acronym
Short name
2 - Administrative data
Lead Contestant
PIC
et
e
Legal name
pl
Short name:
Address of the organisation
m
Street
co
Town
Postcode
Country
tt
no
Legal Status of your organisation
o
Webpage
Research and Innovation legal statuses
Public body .................................................... no
Legal person .............................. no
pl
e,
Non-profit ...................................................... no
International organisation .................................. no
International organisation of European interest ...... no
Secondary or Higher education establishment ....... no
am
Research organisation ..................................... no
Small and Medium-sized Enterprises (SMEs) ........ no
Ex
Nace code
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European Commission - Research - Participants
Proposal Submission Forms
Proposal ID
Go to
Acronym
Short name
Person in charge of the proposal
Sex
Last name
First name
m
Please indicate the position of the Contact Point above in the organisation.
Please indicate the department of the Contact Point above in the organisation
co
Department
pl
E-Mail
Position in org.
Same as organisation address
Street
Town
tt
o
Post code
Website
Phone 2
+xxx xxxxxxxxx
Fax
+xxx xxxxxxxxx
Ex
am
pl
e,
+xxx xxxxxxxxx
no
Country
Phone
Female
Male
et
Title
e
The name and e-mail of contact persons are read-only in the administrative form, only additional details can be edited here. To give access
rights and basic contact details of contact persons, please go back to Step 4 of the submission wizard and save the changes.
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European Commission - Research - Participants
Proposal Submission Forms
Proposal ID
Go to
Acronym
Validation result
The yellow 'Show Warning' button indicates a warning due to a missing or incorrect value in the form. The submission of the proposal
will not be blocked, the proposal will be submitted with the missing or incorrect value, which may cause problems at a later stage when
processing the proposal. Please check and correct the identified field.
e
Show Warning
The red 'Show Error' button indicates an error due to a missing or incorrect value in the form. The submission of the proposal will be
blocked unless that specific field is corrected! Please complete the identified field.
Description
pl
Section
et
Show Error
Ex
am
pl
e,
no
tt
o
co
m
The form has not yet been validated, click "Validate Form" to do so!
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PRIZE APPLICATION TEMPLATE
Application (Part B)
Please follow the structure of this template when preparing your application. It has been designed to ensure that the
important aspects of your work are presented in a way that will enable the experts to make an effective assessment
against the evaluation criteria.
Page limits: The entire part B should not be longer than 70 pages (if your application is positively evaluated,
you might be asked to provide additional documentation in a hearing).
All tables in these sections must be included within this limit. The minimum font size allowed is 11 points. The page
size is A4, and all margins (top, bottom, left, right) should be at least 15 mm (not including any footers or headers).
If you attempt to upload an application longer than the specified limit, you will receive an automatic warning, and will
be advised to shorten and re-upload the application. After submission, any excess pages will be overprinted with a
'watermark', indicating to evaluators that these pages must be disregarded.
Please respect the page limit and do not take it as a target either! It is in your interest to keep your text as concise as
possible, since experts rarely view unnecessarily long applications in a positive light.
COVER PAGE
Title of the application
Acronym of the application
List of contestant(s)
Contestant No *
1 (Coordinator)
2
3
Contestant organisation name
Country
…
* Please use the same contestant numbering as that used in the administrative application forms.
Table of Contents
[Application Acronym]
1. ABSTRACT
2. INTRODUCTION
Concept and approach
Describe and explain the overall concept underpinning the proposed solution. Describe main ideas, models or
assumptions involved. Identify any trans-disciplinary considerations.
3. DETAILED DESCRIPTION OF THE PROPOSED SOLUTION
Describe the proposed solution in detail specifically addressing each of the Award Criteria set out
in the Rules of Contest (see also below).
The rapid point of care test may be part of an approach that includes clinical parameters/algorithms but it
cannot be limited to such clinical parameters/algorithms.
While the impact of a solution (see criteria below) naturally increases with the target population, solutions
that apply only to limited target populations (e.g. children vs. adults) are also eligible.
The prize will be awarded, after closure of the contest, to the application that in the opinion of the jury
demonstrates a solution that fulfils at least the minimum requirements and best addresses the following
cumulative criteria.
Note that the solution should be both developed by the contestant and be novel.
1. Potential to reduce the use of antibiotics and magnitude of antibiotic use reduction:
contestants should include a robust estimation of the antibiotic courses that would be avoided in cases of
upper respiratory tract infections as a consequence of the application of this test;
2. Accuracy and safety: contestants should provide a risk/benefit analysis of giving or not giving
antibiotics in the case of upper respiratory tract infections based on the result of this test. The test should
identify with high accuracy patients with upper respiratory tract infection, who can safely be managed
without antibiotics. The accuracy and safety of the solution must be confirmed by an appropriate
validation. The validation must have been performed in a clinical research or routine laboratory using a
number of patient samples that is justified statistically as providing reasonable validation. The validation
report must include details on number of patient samples, number of targets/pathogens/markers
[Application Acronym]
analysed per sample, randomisation strategy, sensitivity and specificity, gold standard used (addressing
also the distinction between colonising agents and causative pathogens), time to result under 'real world'
conditions and whether (and how many) samples have been analysed in parallel. Gender-specific
differences should be taken into account. The validation must demonstrate a sensitivity and specificity
that supports the use of the test to reduce the use of antibiotics in a safe way in patients with upper
respiratory tract infections. The test should be ready for use at the time of submitting the application: as
a minimum, a working device or demonstrator method should exist that is suitable for deployment to test
sites (i.e. acceptable to a manufacturer for scale-up for beta-testing and then to market). Applicants may
use the "STARD Checklist for the reporting of studies of diagnostic accuracy" 1 indicating on which page of
the application the STARD checklist items are addressed.
3. Minimal/non-invasive: it is preferred that the sampling requirements are minimal/non-invasive;
4. Low cost and affordable: cost of device, infrastructure requirements for device (water, electricity,
waste disposal), cost of consumables, supply chain and storage requirements for consumables. Lower
cost for device and consumables, room-temperature supply chain and storage as well as substantial
tolerance for temperature excursions will be preferred.
5. Rapid: ideally the total turn-around time of the test should be less than 30 minutes.
6. Easy to use: the test must be useable by healthcare workers at primary care level. Simplicity and limited
training requirements are preferred.
1
http://www.stard-statement.org/pdf%20and%20word%20documents/Checklist.PDF
[Application Acronym]