LSU Health Sciences Center

Application

FALL 2017 Malcolm Feist

Partners Across Campuses (PAC) Seed Program

Application Deadline: October 2, 2017

5:00 p.m.

LSU Health Sciences Center

Center for Cardiovascular Diseases and Sciences

Malcolm Feist Partners Across Campuses (PAC) Seed Program

Background: The mission of the Center for Cardiovascular Diseases and Sciences (CCDS) is to reduce the impact of cardiovascular disease through research and clinical practice. The CCDS recognizes the role of interdisciplinary partnerships in fostering innovative research. To stimulate the growth of groundbreaking cardiovascular research in Northwest Louisiana and to foster collaboration across institutions, the CCDS has created the “Partners Across Campuses” Seed Program (PAC).

The PAC Program will provide up to 4 awards, with a value of up to $25,000 each, for seed funding for new interdisciplinary collaborative research projects. Faculty from all departments in designated institutions of higher education in Northwest Louisiana are invited to submit proposals with a focus on new collaborative research in cardiovascular or cerebrovascular disease.

Qualifications: Each proposal must be submitted with a Principal Investigator and Co-Principal investigator from different disciplines or departments who have not previously co-authored any publications or had joint funding. One member of the research team must be a full-time tenured or tenure-track faculty member at LSUHSC-S. The other team member must be a full-time tenured or tenure-track faculty member currently employed at LSU-Shreveport, Louisiana Tech University, Centenary College, Grambling State University, Northwestern State University, Southern University Shreveport or University of Louisiana at Monroe. All applications must have a designated PI and a primary performance site.

Budget: The total budget may not exceed $25,000 per year. Funding is intended to support faculty salary (faculty salaries for LSUHSC-S faculty are excluded), postdoctoral fellows, graduate and undergraduate students, and research technicians, as well as direct research expenses. All budget elements must be adequately described and itemized. Refer to the RFP for prohibited budget items.

Submission: Full proposals are due no later than 5 PM on Monday, October 2, 2017. All proposals must be sent as a single PDF file to the CCDS: and to the LSUHSC-S Office of Sponsored Programs and Technology Transfer: .

Evaluation: Proposals will be reviewed by the Cardiovascular Center or a designated review panel of outside experts. Priority for funding will be based on the qualifications of the applicants, scientific merit, relevance to cardiovascular or cerebrovascular disease, novelty, and competitiveness for future funding.

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LSU Health Sciences Center

Center for Cardiovascular Diseases and Sciences

PAC Seed Program

Deadline: 5:00 p.m. Monday, October 2, 2017

Project Title: ______

______

Applicant Information

Legal Name: ______

______Tax ID: ______

Department: ______Division: ______

Street: ______

City: ______State: ______Zip: ______

Principal Investigator:______

Last Name First Name Middle

Position: ______Phone # ______

Institution: ______

Department: ______Division: ______

Street: ______

City: ______State: ______Zip: ______

Email: ______

Phone: ______Fax: ______

Period of Application (1 Year): January 1, 2018 – December 31, 2018

Amount Requested: $ ______($25,000 max)

Authorized Representative:______

Last Name First Name Middle

Position: ______Phone # ______

Institution: ______

Department: ______Division: ______

Street: ______

City: ______State: ______Zip: ______

Email: ______

Phone: ______Fax: ______

______

PI Signature** PI Department Chair Signature

______

Authorized Representative Signature

**By signing this this application, I certify that: 1) the information submitted within that application is true, complete and accurate to the best of the PI’s knowledge; 2) that any false, fictitious or fraudulent statements or claims may subject the PI to criminal, civil, or administrative penalties; and 3) that the PI agrees to accept responsibility for the scientific conduct of the project and to provide the required progress reports if a grant is awarded as a result of this application. I further certify that the personnel involved in this project are not presently debarred, suspended, proposed for debarment, declared ineligible, ore voluntarily excluded from any federal department or agency and I agree to be bound by the terms and conditions of the external funding agency/source.

Primary Performance/Project Location

Organization Name: ______

______Tax ID: ______

Department: ______Division: ______

Street: ______

City: ______State: ______Zip: ______

Co-Principal Investigator:______

Last Name First Name Middle

Position: ______Phone # ______

Institution: ______

Department: ______Division: ______

Street: ______

City: ______State: ______Zip: ______

Email: ______

Phone: ______Fax: ______

Authorized Representative: ______

Last Name First Name Middle

Position: ______Phone # ______

Institution: ______

Department: ______Division: ______

Street: ______

City: ______State: ______Zip: ______

Email: ______

Phone: ______Fax: ______

______

Co-PI Signature** Co-PI Department Chair Signature

______

Authorized Representative Signature (for Co-PI Institution)

Secondary Performance/Project Location

Organization Name: ______

______Tax ID: ______

Department: ______Division: ______

Street: ______

City: ______State: ______Zip: ______

PI Name ______

PROJECT SUMMARY

Description: Use this section to summarize the research plan in lay terms, i.e., for non-scientists. Include the overall objectives, research strategy, and relatedness to cardiovascular and/or cerebrovascular disease. This section should not exceed 250 words.

______

PI Name ______

PERSONNEL ENGAGED ON PROJECT

Name ______E-mail ______

Position/Title ______Phone______

Department ______Institution______

Name ______E-mail ______

Position/Title ______Phone______

Department ______Institution______

Name ______E-mail ______

Position/Title ______Phone______

Department ______Institution______

Name ______E-mail ______

Position/Title ______Phone______

Department ______Institution______

Name ______E-mail ______

Position/Title ______Phone______

Department ______Institution______

Name ______E-mail ______

Position/Title ______Phone______

Department ______Institution______

PI Name ______

Project Description

The suggested format for the Project Description (5 page limit) is:

(A) Specific Aims. State concisely and realistically what the research described in this application is intended to accomplish and/or what hypothesis will be tested.

(B) Significance. Briefly present the background for the present proposal, critically evaluate existing knowledge, and specifically identify the gaps that the project is intended to fill. State concisely the importance of the research described in this application by relating the specific aims to longer-term objectives.

(C) Experimental Design and Methods. Discuss the experimental design, methodology and procedures proposed to accomplish the specific aims of the project.

(D) Relevance to Cardiovascular Disease. Briefly state the relevance of the proposed research to cardiovascular and/or cerebrovascular disease.

(E) Literature Cited. Cite only references pertaining to the application. Do not exceed two pages for references. This section is not included in the 5 page limit.

Special Note: All projects must demonstrate sustainability and innovation within a collaborative framework. Be sure to address these issues in your project description. Please refer to the RFP for additional information.

PI Name ______

BUDGET

Personnel**
Name / Role on Project / Percent Effort / Salary Requested / Fringe Benefits / Total
1.
2.
3.
4.
Subtotal
Supplies (Itemized by Category)
Other Expenses (Itemized by Category)
Travel ($1,000 max)
Total Amount Requested

**The percent effort for each LSUHSC-S PI or Co-PI must be listed on this page. No salary support for LSUHSC-S PI or Co-PI is permitted. Per LSUHSC-S policy, percent effort for LSUHSC-S faculty may not be zero.

PI Name ______

BUDGET JUSTIFICATION

(Do Not Exceed 1 Page)

PI Name ______

BIOGRAPHICAL SKETCH (PI)

Provide the following information for the Principal Investigator.

NAME ______POSITION/TITLE: ______

EDUCATION (Begin with baccalaureate or other initial professional education and include postdoctoral training).

YEAR FIELD

INSTITUTION & LOCATION DEGREE OF STUDY

CONFERRED

______

MEMBERSHIPS AND HONORS:

RESEARCH AND PROFESSIONAL EXPERIENCE: Concluding with present position, list in chronological order, previous employment, experience, and honors. Include present membership on any Federal Government public advisory committee. List, in chronological order, the titles, all authors, and complete references to all publications (except abstracts) during the past three years and representative earlier publications pertinent to this application (10 maximum). DO NOT EXCEED TWO PAGES.

PI Name ______

BIOGRAPHICAL SKETCH (Co-PI)

Give the following information for the Co-Principal Investigator.

NAME ______POSITION/TITLE: ______

EDUCATION (Begin with baccalaureate or other initial professional education and include postdoctoral training).

YEAR FIELD

INSTITUTION & LOCATION DEGREE OF STUDY

CONFERRED

______

MEMBERSHIPS AND HONORS:

PI Name ______

Research Support (PI)

(Use Continuation Pages if Necessary)

List, in four separate groups:

(1) active support; (2) applications and proposals pending review or funding; (3) applications and proposals planned or being prepared for submission; and (4) projects funded in the past. Include all Federal, non-Federal, and institutional grants and contract support. If none, state "none". For each item give the source of support, identifying number, project title, name of principal investigator, time or percent of effort on the project, annual direct costs, and entire period of support. NOTE: Clearly identify the application for which PAC funds are being sought and provide a complete chronology of its previous submissions.

(1) ACTIVE SUPPORT:

(2) PENDING APPLICATIONS:

(3) APPLICATIONS PLANNED OR BEING PREPARED:

(4) PROJECTS FUNDED IN THE PAST 5 YEARS:

PI Name ______

Research Support (Co-PI)

(Use Continuation Pages if Necessary)

List in four separate groups:

(1) ACTIVE SUPPORT:

(2) PENDING APPLICATIONS:

(3) APPLICATIONS PLANNED OR BEING PREPARED:

(4) PROJECTS FUNDED IN THE PAST 5 YEARS:

Application Submission

· Full proposals are due no later than 5 PM on Monday, October 2, 2017.

· All proposals must be sent as a single PDF file to the CCDS: and to the LSUHSC-S Office of Sponsored Programs and Technology Transfer: .

· Please send a completed Intramural Routing Sheet (Lite Green Sheet) to the Office of Sponsored Programs and Technology Transfer, Room F1-53 in the BRI Building. Make sure that the Intramural Routing Sheet (Lite Green Sheet) includes all required signatures

http://lsuhscshreveport.edu/Research/officeofresearch/intramuralgrants/index

· Proposals submitted must be in final form, with all required components, including documentation of institutional review.

· PI’s should adhere to the policies and procedures for grant submissions established at their institutions.