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H2020 Programme PRIZE APPLICATION TEMPLATE Administrative Forms (Part A) Application (Part B) Version 1.0 13 September 2016 Disclaimer: This document is aimed at informing potential contestants for the EU Prize for Women Innovators. It serves only as an example. The actual web forms and templates are provided in the online submission system under the Participant Portal. Applications must be prepared and submitted via the online submission system.

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Page 1: H2020 Programme - European Commissionec.europa.eu/research/participants/data/ref/h2020/other/prizes/... · H2020 Programme PRIZE APPLICATION ... Phone 2 +xxx xxxxxxxxx Fax +xxx xxxxxxxxx

H2020 Programme

PRIZE APPLICATION TEMPLATE

Administrative Forms (Part A)

Application (Part B)

Version 1.0 13 September 2016

Disclaimer: This document is aimed at informing potential contestants for the EU Prize for Women Innovators. It serves only as an example. The actual web forms and templates are provided in the online submission system under the Participant Portal. Applications must be prepared and submitted via the online submission system.

Page 2: H2020 Programme - European Commissionec.europa.eu/research/participants/data/ref/h2020/other/prizes/... · H2020 Programme PRIZE APPLICATION ... Phone 2 +xxx xxxxxxxxx Fax +xxx xxxxxxxxx

EU Prize for Women Innovators 2017

Administrative forms (Part A)

Page 3: H2020 Programme - European Commissionec.europa.eu/research/participants/data/ref/h2020/other/prizes/... · H2020 Programme PRIZE APPLICATION ... Phone 2 +xxx xxxxxxxxx Fax +xxx xxxxxxxxx

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European Commission - Research - Participants Proposal Submission Forms

Page 1 of 7H2020-Prize-2015.pdf - Ver 1.11 20150310 Last saved 10/03/2015 14:39

Horizon 2020Call:

Topic: Type of action:

Proposal number:

Proposal acronym:

Table of contents

Section Title Action

1 General information

2 Contestants & Contacts

How to fill in the formsThe 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.

Wherever in this text the term 'proposal' is used, it shall be understood to refer to an 'application'.

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European Commission - Research - Participants Proposal Submission Forms

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Proposal ID Acronym

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1 - General information

Topic Type of action

Call identifier Acronym

Proposal title The title should be no longer than 200 characters (with spaces) and should be understandable to the non-specialist in your field.

Note that for technical reasons, the following characters are not accepted in the Proposal Title and will be removed: < > " &

Abstract

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).

Remaining characters 2000

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European Commission - Research - Participants Proposal Submission Forms

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Declarations

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.

2) The information contained in this proposal is correct and complete.

3) I hereby declare that:

- I have fully read and understood and agree to the official Rules of Contest.

- I am fully eligible and not excluded from participation in accordance with the Rules of Contest.

- All other contestants have confirmed that they are fully eligible and not excluded from participation in accordance with the Rules of Contest.

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).

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.

Personal data protection

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:

http://ec.europa.eu/dataprotectionofficer/privacystatement_publicprocurement_en.pdf

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

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Proposal ID Acronym

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List of Contestants

# Contestants Name Country

1

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European Commission - Research - Participants Proposal Submission Forms

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Short name

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2 - Administrative data

Lead ContestantPIC Legal name

Short name: Address of the organisation

Town

Postcode

Street

Country

Webpage

Legal Status of your organisation

Research and Innovation legal statuses

Public body .................................................... no Legal person .............................. no

Non-profit ...................................................... no

International organisation .................................. no

International organisation of European interest ...... no

Secondary or Higher education establishment ....... no

Research organisation ..................................... no

Small and Medium-sized Enterprises (SMEs) ........ no

Nace code

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European Commission - Research - Participants Proposal Submission Forms

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Short name

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Person in charge of the proposal

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.

Town Post code

Street

Website

First name Last name

E-Mail

Position in org. Please indicate the position of the Contact Point above in the organisation.

Department Please indicate the department of the Contact Point above in the organisation

Phone 2 +xxx xxxxxxxxx Fax +xxx xxxxxxxxx

Sex Male FemaleTitle

Same as organisation address

Phone +xxx xxxxxxxxx

Country

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European Commission - Research - Participants Proposal Submission Forms

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Validation result

Section Description

Show Error

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.

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.

The form has not yet been validated, click "Validate Form" to do so!

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EU Prize for Women Innovators 2017

Part B Application form

Please follow the structure of this template when preparing your application. It has been designed

to ensure that the important aspects of your application are presented in a way that will enable the

experts to make an effective assessment against the evaluation criteria.

Your response to the award criteria should be brief with maximum 4000 characters

allowed per criterion with spaces and line breaks included. You can add tables, lists and

links to publications or videos describing your achievements. The entire part B should not

be longer than 15 pages (if your application is positively evaluated, you might be asked

to provide additional documentation in a hearing).

Please respect the characters and page limits 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.

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.

We encourage you to support your application with an exciting video message (under 10 minutes). If

available, please include a link to the video in the abstract section

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EU Prize for Women Innovators 2017 Part B

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Structure of your application:

COVER PAGE with

Title of application and acronym:

ABSTRACT The abstract should, at a glance, provide a clear understanding why you believe that you excelled with regard to the objectives of the prize. It must be short and precise and should not contain confidential information. The abstract must be written in English. There is a limit of 2000 characters (spaces and line breaks included). We encourage you to support your application with an exciting video message (under 10 minutes). If available, please include a link to the video in the abstract section

Contestant Name

Contestant organisation name

Country

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EU Prize for Women Innovators 2017 Part B

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Please describe how you meet the award criteria mentioned below. Do not be too

modest; however please stick to the facts (maximum characters allowed per

window: 4000 – with spaces and line breaks included).

1. AWARD CRITERION: ORIGINALITY AND MARKETABILITY

Please describe in the following paragraph the originality and marketability of the developed

product or service that the company you founded (or co-founded) provides. Applications will be compared according to the number of patents/co-patents and trademarks.

2. AWARD CRITERION: ECONOMIC IMPACT

Please describe in the following paragraph the economic impact of the product or service of your company for Europe. In order to accomplish this, please list the countries (inside and outside the EU) where the product or service is sold, and indicate the size of the turnover achieved with this service or product in last two years.

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EU Prize for Women Innovators 2017 Part B

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3. AWARD CRITERION: SOCIETAL IMPACT

Please describe the societal impact of a product or service of the company for Europe defined. It will be measured by the number of jobs created and the potential of the service or product to help Europe address a grand societal challenges e.g. the ageing of the European population, global warming, clean water, renewable energy and resource efficiency.

4. AWARD CRITERION: YOUR IMPACT AND LEADERSHIP ROLE

Please describe in the following paragraph the impact and leadership role of the contestant. Please explain how your role in the company influenced the success of the company and outline your potential to empower other women to be leaders and entrepreneurs.

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EU Prize for Women Innovators 2017 Part B

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ANNEXES You can add tables, lists and links to publications or videos describing your achievements. The entire part B should not be longer than 15 pages.

WHERE DID YOU HEAR ABOUT THE CONTEST? Please be as specific as possible: Internet Search Advertisement (specify below if you can remember) Newsletter (specify below if you can remember) Friend Competition Poster/postcard (please specify where from if you can remember) website (please specify below if youkan remember) Facebook Twitter Other If possible please give more details from the above options: