Submit my project – Vichy – Integrative Scalp & Hair Research Grant

Self assessment form

Before proceeding with the completion of your application, we kindly ask you to complete the below self-assessment form to make sure that your application falls within the scope of the Vichy Integrative skin health Research Grant. Please note that a NO to one of the following items will exclude the application from jury evaluation. I hereby confirm that my application complies with the following (please choose the adequate answer) :

The research project falls within the field of integrative scalp and hair health. *

Yes
No

The research project has not been completed yet *

Yes
No

The research project doesn’t involve animal research *

Yes
No

The research project doesn’t involve pediatric population under 6 *

Yes
No

The research project does comply with local regulatory and ethics policy *

Yes
No

The research project is not financially supported, even partially, by any private company involved in the pharmaceutical, medical, or cosmetic field *

Yes
No

Project leader / person in charge

Last name *

First name *

Position *

Institution (Hospital, University…) *

Address *

Country *

e-mail *

Phone number *

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Project presentation

Project title *

Project summary *

900 characters maximum

Backgrounds *

3000 characters maximum

Specific aims of the project *

1200 characters maximum

Approach and methodology *

3000 characters maximum

References (please select the most representative ones, 15 references maximum) *

2 MB max

File name:

File size:

Regulatory status & requirements, if any

(Information on project compliance with local ethics and regulatory requirements)

600 characters maximum

Presentation of the team involved in the project

(please state names, positions, institutions, address, phone, email, website…)

600 characters maximum

Research location(s) *

(Information on research location and equipment involved in the project)

600 characters maximum

Project Funding *

2 MB max

File name:

File size:

Project Schedule *

2 MB max

File name:

File size:

Curriculum vitae *

Should contain: name, business address with telephone number and email address, education and training, current and past professional positions, list of most important publications in the past five years. No more than 3 pages.

2 MB max

File name:

File size:

Other source of information you wish to communicate (linkedin, research…)

I have read and accept the terms and conditions *

Please note that if you select "no", your application will not be submitted to the jury for this call for projects after the review of your application.

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No

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