Cover Page

  Name of Principal   Investigator:

  

  Title:

 Degree  

  Department of Primary   Appointment:
CUFS Area:

  Budget Contact:

 Budget Contact Phone Number:

  Address1:

  Address2:

  City:

 State Zip

 

    

  Investigator Phone Number:

 Fax:

  Investigator E-mail Address:

  

 

    

  Title of Project:

  Total Amount Requested:

(up to $150k for translational projects and $50k for non-translational projects)

 

    

  Is this project new or is it a renewal application?:

 

  What type of Proposal are you submitting?            Career Development          Pilot Project


  Where will project be performed?

 Dept: Building Room:

 

    

  Does project involve human   subjects?

 iIf yes: Protocol # Approval Date: or Pending

  Does project involve animal   research?

iIf yes: Protocol # Approval Date: or Pending
Proposed Budget
Budget Justification
SPECIFIC AIMS
(THE TOTAL LENGTH OF THE SPECIFIC AIMS, BACKGROUND, AND EXPERIMENTAL DESIGN SECTIONS BELOW SHOULD NOT EXCEED
TEN PAGES FOR TRANSLATIONAL PROJECTS AND 5 PAGES FOR NON-TRANSLATIONAL PROJECTS.
APPLICATIONS MUST BE WRITTEN IN A FONT SIZE 12 OR GREATER AND MARGINS MUST BE AT LEAST 1 INCH ON ALL SIDES.
(**Hint** Copy and Paste from MS Word Document)
BACKGROUND, INCLUDING PRELIMINARY STUDIES OF APPLICANT/MENTOR
EXPERIMENTAL DESIGN
(Please refer to previous publications of P.I. whenever possible)
Additional Materials:
Progress Report:
To be completed for renewal applications only (1 page Maximum)
Current and pending funding:
Carefully indicate reasons for
non-overlap if potential overlap exists
.
Biosketch of Candidate and Mentor (if applicable):
Trainees (students, postdoctoral fellows, residents) must include a mentor in their application.
The mentor must write a one - page letter of support and commitment to the trainee.

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