Research

New Investigator Award Application

 

1. Name of Principal Investigator (Applicant):
University Address
          Telephone Number
          Email Address
          CPH-CCOM Department

2. Collaborating Investigators:
 
1
2
Name
Univ. Address
Phone Number
E-mail Address
Primary Dept.
3
4
Name
Univ. Address
Phone Number
E-mail Address
Primary Dept.
3. Project Title:   
4. Budget Time Period: 1/1/2012 - 12/31/2012
5. Has this project been submitted for IRB approval? Yes   No

The proposal must be reviewed by the appropriate University IRB committee(s). It is not necessary to submit the proposal for review to the committee until the project has been approved for funding.

6. Budget:
a) Total Amount Requested  
            Itemize requested amounts:
           
b) Justification
     

7. CPH-DEO or CCOM-DEO Endorsement   
Written proof of DEO endorsement must be submitted to Dana Lange for consideration. Please scan the endorsement and attache it here.
8. Please attach applicant CV in CPH or CCOM format

9. Please attach your proposal using the linked guidelines.

Please only click on the submit button once. Depending on the size of the attached files, processing may take a minute or more.