Jordan University of Science and Technology

Non-Funded Research Grant for Documentation or Sabbatical Leave

(Form A2)
Instructions about each section of the proposal are given in Form A3

THIS SECTION IS ONLY FOR DEANSHIP OF RESEARCH USE

Project Number _
Type of Fund
Total Amount Requested (JD) Amount of Grant Approved (JD)
Date Submitted
Starting Date (Upon Approval) Duration (Months)

A ADMINISTRATIVE

A-I: PROPOSAL TITLE (Provide a short descriptive title, give prominence to keywords)

English:

Arabic:

A-II: TYPE OF FUND APPLIED FOR (Select one)

Faculty Member Research Grant (FMRG)

Thesis Oriented Research Grant (TORG)
Collaborative and Competitive Research Grant (CCRG)
Non-Funded Research Grant for Documentation (NFRG)
Sabbatical Leave Research Grant (SLRG)

A-III: COMMERCIAL POTENTIAL

Could this project have commercial potential? (Select one) Yes No

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A-IV: CHECK-LIST

Have you checked to ensure all questions in the application form have been answered?
Have you checked to ensure all questions in section K (ethical issues) have been answered?
Have you included copies of relevant ethical forms (Research on Animals and Research on Humans)? It is the
Principal Investigator's responsibility to obtain approvals from the appropriate university committee.
Have you checked to ensure you have included the correct costs in your budget?
The principal investigator and all co-principal investigators should sign.

A-V: PERSONNEL AND AUTHORIZATION

PRINCIPAL INVESTIGATOR

Academic Rank: Full Name:

College: Department:
Telephone: Ext: Mobile:
Fax: E-Mail:
Signature: Date: / /

CO-PRINCIPAL INVESTIGATOR (S)

Academic Rank: Full Name:

College: Department:
Telephone: Ext: Mobile:
Fax: E-Mail:
Signature: Date: / /

Academic Rank: Full Name:

College: Department:
Telephone: Ext: Mobile:
Fax: E-Mail:
Signature: Date: / /

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Academic Rank: Full Name:
College: Department:
Telephone: Ext: Mobile:
Fax: E-Mail:
Signature: Date: / /

Academic Rank: Full Name:

College: Department:
Telephone: Ext: Mobile:
Fax: E-Mail:
Signature: Date: / /

Academic Rank: Full Name:

College: Department:
Telephone: Ext: Mobile:
Fax: E-Mail:
Signature: Date: / /

Academic Rank: Full Name:

College: Department:
Telephone: Ext: Mobile:
Fax: E-Mail:
Signature: Date: / /

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B DESCRIPTION

B-I: ABSTRACT (Provide a statement of the problem in Arabic language in a separate sheet as in Appendix A)

B-II: PROJECT GOALS AND OBJECTIVES

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C INTRODUCTION

C-I: REVIEW AND ANALYSIS OF RELATED WORK

C-II: SIGNIFICANCE OF WORK

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D APPROACH AND METHODOLOGY

D-I: METHODOLOGY

D-II: LOCATION AND SAFETY CONSIDERATIONS

D-III: AVAILABLE RESOURCES

D-IV: EXPECTED RESULTS/OUTPUTS

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E REFERENCES

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F THE ROLE OF THE INVESTIGATOR(S)
(Attach a brief C.V. for each investigator following the format in Appendix B)

No. Name of Investigator Area of contribution to the project

1
2
3
4
5

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G
PHASES OF PROJECT IMPLEMENTATION
PROJECT SCHEDULE

Duration
Sequences Task
(Months)
1
2
3
4
5
6
7
Total duration for the proposed project

H BUDGET OF THE PROPOSED RESEARCH (Not Required)

I JUSTIFICATION OF BUDGET (Not Required)

J ON-GOING FUNDING FROM JUST (Not Required)

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K ETHICAL ISSUES

Research involving activities marked with an asterisk (*) in the left column in the table below will be
referred automatically to Ethics Review

Research on Human Embryo/Foetus No Yes Page

* Does the proposed research involve human Embryos?
* Does the proposed research involve Foetal Tissue/Cells?
* Does the proposed research involve Embryonic Stem Cells (hESCs)?
* Does the proposed research involve Embryonic Stem Cells?
* Does the proposed research on Human Embryonic Stem Cells involve the
derivation of cells from Embryos?

Research on Humans No Yes Page

* Does the proposed research involve Children?
* Does the proposed research involve patients?
* Does the proposed research involve persons not able to give consent?
* Does the proposed research involve Human genetic materials?
Does the proposed research involve Human biological samples?
Does the proposed research involve Human data collection?

Research on Animals No Yes Page

Does the proposed research involve Animals?
Are those animals transgenic small laboratory animals?
Are those animals transgenic farm animals?
* Are those animals non-human primates?
Are those animals cloned farm animals?

DISCUSS ANY RELATED ETHICAL ISSUES (Named Principal Investigator)

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 Appendix A: Arabic

: ‫عنوان البحث‬
:‫ملخص باللغة العربية‬

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 Appendix B: C.V. Format for Principal Investigator and Co-Investigators
(Two pages maximum, material should be related to submitted project)

Title and Name:

Specialty:

Department and College:

Summary of Experience/Achievements Related to Research Proposal:

List of Relevant Publications:

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 Appendix C: Evaluations and Approvals
DEPARTMENT Evaluation and Recommendation

Item/ Evaluation Excellent Very good Good Weak

Research methodology
Research objectives
Research originality
Research contribution
Research applicability and relevance
Overall evaluation

Recommendations of the Department Research Committee Approved Disapproved

Amount of Budget Approved by Department Research Committee: (JD)

Chair. of Dep. Res. Committee - Title and Full Name:

Signature: Date: / /

Recommendations of the Department Council Approved Disapproved

Signature: Date: / /

FACULTY Recommendation

Recommendation of the Faculty Research Committee Approved Disapproved

Chair. of Fac. Res. Committee - Title and Full Name:

Signature:

Date: / /

Recommendation of the Dean of the Faculty Approved Disapproved

Signature: Date: / /

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INSTITUTIONAL RESEARCH BOARD (IRB) APPROVAL (If applicable; refer to section K please).
Any research on human should be approved by the University Review Committee for Research on Human
before approving this research work.

Recommendation of the University Review Committee for Research on Human.

Approved.
Approved with conditions*
Disapproved.
*

Chairman of University Review Committee for Research on Human - Title and Full Name:

Signature: Date: / /

ANIMAL CARE AND USE COMMITTEE (ACUC) APPROVAL (If applicable; refer to section K please).
Any research on animals should be approved by the University Review Committee for Research on Animals
before approving this research work.

Recommendation of the University Review Committee for Research on Animals.

Approved.
Approved with conditions.*
Disapproved.
*

Chairman of University Review Committee for Research on Animals - Title and Full Name:

Signature: Date: / /

UNIVERSITY RESEARCH COMMITTEE Recommendation

Recommendation of the University Research Committee.

Approved: Amount of grant approved: ( JD)
Disapproved:
Postponed:
Directed to:

Dean of Research - Title and Full Name:

Signature: Date: / /

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