APPLICATION FORM - POSTGRADUATE ST&I GRANT- (2014-2015)

NACOSTI/RCD/ST&I/pg/FORM-1A

                 

NATIONAL COMMISSION FOR SCIENCE, TECHNOLOGY AND INNOVATION

RESEARCH ENDOWMENT FUND

6^th CALL POSTGRADUATE (PhD & M.Sc/MA)

APPLICATION FORM

2014/2015

Read carefully the Guidelines and general instructions before filling this application form.

1.0	APPLICANT            DETAILS (Registered Ph.D and M.Sc/MA Students only)
	Surname:…………………………………
	Given name (s) ………………………………            Gender:…………
	Nationality……………………   Date of birth ( DD-MM-YYYY)­­…………………
	ID Number:…………………………(Attach a copy)                 University ……………………………………… Faculty/School: ………………………………. Department: …………………………………. University registration No. ………………… Year of registration …………………… Highest qualification (e.g. M.Sc, MA, B.Sc, BA, etc) (copy of the certificate to be attached). Which programme are you applying for PhD or MSc/MA? (……………………………….)
	Current contacts: Email:.....................................................        Cell Phone No ………………………………..
	P.O. Box ……………………………………………………………………………………

2.0

SIGNATURES

The student, supervisors, graduate school/faculty and the Head of University must sign this application. It should bear official stamp of the institution. Student’s Signature:………………………  Date:………………………………. SUPERVISORS: (This is to certify that this proposal is under my supervision and will facilitate its timely implementation) i).      Name: …………………………………………………. Signature ………………….. ii).    Name: …………………………………………………. Signature …………………. iii).   Name: …………………………………………………. Signature …………………. DEAN GRADUATE SCHOOL/FACULTY: (This is to certify that this proposal has been defended and approved by this University for the commencement of research work). Name ………………………………………………………. Signature & Stamp ……….. HEAD OF THIS UNIVERSITY: Declares: ·         That this University supports this application and will ensure the project is implemented as scheduled in the postgraduate programme if he/she receive the ST&I Grant; ·         This page to be endorsed by (VC or DVCs or Principal in case of University Constituent Colleges) Signature:………………………………………            Date:………………………. Title, Name, Official position:  ………………………………………………………………………………………… ……………………………………………………………………………………………

         Official stamp:

3.0    GRANT ADMINISTRATION

The Institution that will administer the Grant: This is a research grant and should not be used to pay tuition fees. (Postgraduate research grants will be administered by the University where the student is registered. Kenyans registered in foreign institutions are eligible for the grant but must get affiliation in a local institution that will administer the grant if successful). Full Name and Address of the Institution: Telephone Numbers of the Institution:………………………….      Mobile …………………… Email: …………………………………………….. Fax …………………………….. Official stamp:

4.0    PROPOSED RESEARCH

(Expand the spaces provided in the form to fit. The proposal should not exceed 20 pages, Times New Roman font size 12, single spacing) excluding relevant appendices e.g. CV, letter of approval from Board of Postgraduate etc)

Title of your Research:
Area of specialization:
Abstract: (Maximum of 300 words)
	Select 3 – 5 key words describing the project:
4.1. Give background to the proposed research. Define the problem that the proposal seeks to address, stating the justification of the project
4.2. Up-to-date scholarly knowledge (Provide relevant and updated literature review information related to your proposed research to show the existing gaps)
4.3. State the objectives of your research
4.4. State your hypothesis/research questions is any
4.5. State clearly the expected outputs of the research and that are linked with the objectives
4.6. Identify clearly the potential beneficiaries of the research results and the expected impacts
4.7.  Provide list and current contacts of the approved supervisors

5.0.  RESEARCH  DESIGN AND DATA ANALYSIS

5.1 Describe the research Methodology (Provide clearly descriptions of the scientific methodologies you will use in this research, indicating statistical methods, experimental designs and analysis to be used etc)

5.2 Identify specialized equipments, facilities and infrastructure which are required for the project

5.3 For studies using human participants indicate eligibility (inclusion/exclusion) criteria, access and recruitment, incentives, etc

6.0 PROJECT ACTION PLAN

Detailed Plan of Activities:

Provide a clear indication of the tasks that will be performed to complete the work in the following format. (Attach the workplan separately).

Task	Year 1
	Q1	Q2	Q3	Q4
Activity 1
Activity 2
Etc,

7.0 FACILITIES AND FUNDING

7.1	List facilities relevant to the research project available at your University
7.2  List any other funds that you or your institution have obtained or applied for this particular research project
	Donor	Time frame	Amount (Kshs)

7.3 If you have Co-funding for your project, please give details of the funding you have received and why this Grant is needed?

8.0       BUDGET

           (Note that institutional overheads/charges, administration fee are not accepted under this grant. Emphasis on budget allocation should be placed on expendable supplies.  (This Grant does not support the acquisition of :- Laptops; Desktop Computers; Printers; Microscopes; Refrigerators; Deep freezers; Microwaves; Cameras; Mobile phones and tuition fees, professional associations fees, salaries, consultancies, contingency). Any equipment procured will remain property of the institution.

You can add rows to this template to fit list of your budget items:

Provide yearly itemized budget (Ksh)
8.1	Expendable supplies
		Year 1	Year 2	year 3
	Sub-total
8.2	(Specify and describe each item) Equipment normally found in most Labs may not be supported by this grant.
	Sub-total
8.3	Documentation and publication costs
	Sub-total
8.4	Local travel (should be not more than 10% of the total budget)- This  grant does not support international travelling costs
	Sub-total
8.5	Other costs (specify)- this Grant does not support supervision fees
	Sub-total
	Total Yearly budget
	TOTAL BUDGET
Total budget Applied for must not exceed the Advertised limit. Any applications exceeding the limit  will not be considered):- Ø  PhD maximum of Ksh 1,200,00 Ø  MSc/MA Maximum of Ksh. 200,000

NB: MSc/MA applicants’ to provide budget for only one year while PhD applicants to provide a budget for a max three (3) years with a maximum limit of Ksh 400,000 per/year.

8.7  List the items you requested funding for in the budget, describing their function, explain their cost, and justifying their use in this research (Attach clear explanatory notes of the budget).

References (List all publications/literature materials cited in this application)

Supervisors (Provide updated contacts of all supervisors:- Telephone and Email)

Appendices
Attach:

·         Brief CV (Max 2pg)

·         Letter from Board of Graduate School to prove the proposal has been defended and approved

·         Copy of ID

·         Letter for Affiliation (Those registered outside the Country)

·         Copy of the highest degree certificate attained.