AFFIX PASSPORT SIZE PHOTO HERE UNIVERSITY OF MINES AND TECHNOLOGY, TARKWA

Click or tap here to enter text. DEPARTMENT

APPLICATION FOR GHANA CHAMBER OF MINES (GCM) - TERTIARY EDUCATION FUND (TEF)

RESEARCH FUND FOR UMaT FACULTY MEMBERS (2023/2024 ACADEMIC YEAR)

Please Complete all the Sections in the Form. Use “N/A” for fields that do not apply to you. Note that incomplete applications will not be processed

SECTION A – APPLICANT’S BACKGROUND INFORMATION

1. Full Name, as is registered in the University. Surname: Arnold Kwofie Other Name(s): Click or tap here to enter text.
2. Staff Number: Click or tap here to enter text.	3. Gender: ☐ Male ☐ Female
4. Department and Faculty/School: Click or tap here to enter text.	5. Rank: Click or tap here to enter text.
6. Phone Number: Click or tap here to enter text.	7. E-mail Address: Click or tap here to enter text.
8. Curriculum Vitae of PI, Co-I’s and Other Partner (s) (Please attach)

SECTION B – DETAILS OF PROPOSAL

B-1. Summary
1. Clearly State Full Title of Research (maximum 30 words) Keep the title of the research short and simple, but informative.
2. Is your intended research project interdisciplinary? ☐ Yes ☐ No If Yes, indicate the various disciplines: Click or tap here to enter text.
3. Proposed Thematic Links (Keywords) Provide 3-5 keywords relevant to your research project. Click or tap here to enter text.
4. Research Concept (maximum 250 words) Give a short summary of the proposed research, sufficiently informative for other professionals who are not necessarily in your field of expertise to appreciate.
5. Research Gap and Contribution to Knowledge (maximum 100 words) Clearly outline the problems in the nation and/or mining industry that your research would address?
6. Geographical Location of Research: Click or tap here to enter text.
7. Project Period (Start and End Dates): Click or tap here to enter text.
8. Proposed Budget State the estimated total amount being requested in USD. Click or tap here to enter text.
B-2. Relevance / Motivation
9. Background of the Research Area (maximum 300 words) Detail the current state of knowledge in your research area, and the need for your research.
10. Objectives (maximum 150 words) Clearly state the objectives of your research (in bullets).
11. Activities and Methodology (maximum 200 words) How will you conduct your research? Describe the activities you propose to undertake with the research funds.
12. Current Resources / Facilities (maximum 100 words) List the items and equipment that you would need for your research and indicate those that are already available.
13. Ethical and Environmental Implications (maximum 100 words) Outline the ethical and environmental impact of your research. For further clarification, contact ORIC (Room No 112 at the Administration; oric@umat.edu.gh or 0200439013/0312292534).
14. Impact of Research on Academia-Industry Relation (maximum 200 words) Describe the impact of your research on the individual, the department and the University, the Ghana Chamber of Mines, as well as the community at local, national and international levels.
15. Dissemination of Research Findings Indicate how you will disseminate your research findings to the scientific world. ☐ Conference presentation ☐ Paper publication ☐ Other (specify): Click or tap here to enter text.
16. Estimated Budget in USD (Complete the attached Form). Provide the financial effectiveness of your research - the link between the budget and activities, with justification.
17. Sustainability of the Project (maximum 250 words) Outline how your project would continue beyond the funding period.
18. Strength of the Research Team List your publications relevant to the research area. Click or tap here to enter text.
19. Inclusiveness (maximum 250 words) Demonstrate that you have made efforts to be as inclusive as possible in the research project design and implementation. For example, consider to include diverse members (males and females) of the community in the research team and ensure that your research is accessible to the targeted groups who could benefit from its outcomes the most.
20. Risks and Mitigation (maximum 250 words) Identify any potential risks in the implementation of this project and describe what measures you would put in place to limit their occurrence and impact.
21. Timelines/Work schedule/workplan/milestone (Complete the attached Form) Provide timelines based on a 12-month work schedule which shows the duration and timing of the activities described in the proposal.
22. Declaration: I do hereby declare that all the information given above is true.
Signature of Principal Investigator: Date:

NOTE: All Completed Forms should be sent to: gcmtef-fm@umat.edu.gh