SPD/PeDRA Pilot Team Research Grant Application
Deadlines – First Cycle: May 1, 2016 / Second Cycle: December 7, 2016
Instructions: Please supply all requested information within the Word version of this application. When appropriate, please include attachments. A single PDF consisting of this completed application and all attachments should be submitted to the contact person listed on page 2.
Please follow the guidelines below for structure and word limits.
A. TITLE
B. SUBMITTING INVESTIGATOR(S)
Principal Investigator (PI)
Name:
Institution:
Contact info:
Co-Investigator (Co-I)
Name:
Institution:
Contact info:
Co-Investigator (Co-I)
Name:
Institution:
Contact info:
Co-Investigator (Co-I)
Name:
Institution:
Contact info:
C. DISEASE SPECIFIC GROUP (select one if applicable)
☐Birthmarks and Procedural
☐Inflammatory
☐Genetic Skin Disorders
☐Neonatal Skin Care
☐STARC (Skin Tumors And Reactions to Cancer therapies)
☐Additional Research Areas
D. RESEARCH QUESTION(S) (200 words)
E. PROPOSAL DETAILS(please reply to all that apply) Limit to 5 pages
1)Background and Rationale (include preliminary data if applicable):
2)Aim(s)
3)Project Description
3.1 Methods for clinical research
a. Method of sample selection, inclusion and exclusion criteria
b. Details of intervention or risk factor to be studied (independent variable)
c. Primary outcome variable and rationale
d. Secondary outcome variables
e. What methods will be used to reduce bias (e.g. randomization, blinding, etc.):
f. Statistical Analysis
g. Sample size
3.2 Experimental design and methods for basic science
4)Feasibility (team, infrastructure, timing)
5)Significance
6)References (limit to 10)
F. BUDGET & BUDGET JUSTIFICATION
Please include current/pending funding applications (amount(s) requested and deadlines for approvals) for the same project: if funding already exists, explain how this grant will augment the work; if other grants are pending, explain how this award wil be used if funding from other applications are denied.
G. BIOSKETCH NIH FORMAT (both old and new formats are accepted) for PI and Co-Is
(please attach)
H. LETTERS OF SUPPORT from Co-Is and collaborators if applicable (please attach)
I: GRANT ADMINISTRATION INFORMATION
Please indicate the Institutional Grant Administrator name, phone & email address as well as the exact payee should the grant be approved.
J: APPENDICES if applicable (please attach)
SUBMISSION INSTRUCTIONS
Submit application package (including attachments) as a single PDF via email to:
Sheila Rittenberg, PEDRA Executive Director
If you have any questions regarding the application process, please contact:
Dr. Elena Pope, Chair, PeDRA Grants Committee
Dr. Joyce Teng, Chair, SPD Awards & Grants Committee