Herbert D. and Nylda Gemple Research Award

This award will encourage development of and recognize excellence in innovative and unique models to study the correlation of diet and nutrition in treating neurological disorders.

The following requirements govern the submission of all proposals:

  • The applicant must be a registered dietitian and an Academy member. (Applications will not be reviewed unless the applicant is an RD.)
  • The research project description or proposal must include the following components in the format identified on the following pages: face sheet, aims, significance, feasibility, experimental plan and budget.
  • The application will be treated as a privileged communication. Copies of the proposal will not be returned to the applicant. Proposal should be no longer than 12 pages total.
  • Research not already completed must begin within 6 months of receiving the grant and be completed no later that two years after receiving award.
  • Within six months after completion of the research, the recipient must submit a report to the Academy Foundation and a scientific paper for presentation consideration at a professional meeting and/or for publication consideration to a refereed journal. A review panel will evaluate the report and comment as necessary.

Application Submission Instructions:

  1. Applications (application forms and attachments) must be submitted electronically to .
  2. Use the attached forms for the application face sheets, budget and award check payment form.
  3. Research proposals should be sent as a separate attachment. Proposals should be single-spaced, 12-point type with 1-inch margins on all sides, and should not exceed 12 pages.
  4. Appendix materials should be sent as separate attachments. These can includeinformation such as diagrams, tables, charts, surveys, questionnaires, and other data collection instruments.

Research Proposal:

Proposals should be sent as a separate attachment. Proposals should be single-spaced, 12-point type with 1-inch margins on all sides, and should not exceed 12 pages. Be sure to address the following in your proposal:

  • Aims: State goal, objectives and what the specific research proposal is intended to accomplish. State hypothesis to be tested. (Not to exceed 1 page)
  • Background and Significance: Briefly review the background leading to the present application, critically evaluate existing knowledge, and specifically identify the gaps that the project is intended to fill. State the importance and food, diet, and health relevance (Not to exceed 3 pages)
  • Expected outcomes:(Not to exceed 2 pages)
  • Feasibility: Discuss the potential difficulties and limitations of the research. Clarify how the project will be concluded, and include a tentative sequence or timetable for the project. (Not to exceed 2 pages)
  • Experimental Plan: Describe the research design, experimental methods, and the procedures to be used to accomplish the specific aims of the project. Include descriptions of how the data will be collected, analyzed, and interpreted. Outline any new methodology and its advantages over existing methodologies. Include proposed statistical tests to be used and indicate rationale for group size, as appropriate. Specify inclusionary and exclusionary criteria. (Not to exceed 4 pages)
  • Budget: Complete attached budget worksheet. Budgeted items for proposed research will not be reimbursed beyond the *$5,000 total of the award.
  • Appendix: The appendix includes information such as diagrams, tables, charts, surveys, questionnaires, and other data collection instruments. Identify each item with the name of the principal investigator. Up to 5 publications, manuscripts (submitted or accepted for publication), abstracts, patents, or other materials directly relevant to this project may be included with the application.

Questions can be directed to Stacy Chassagne at 800-877-1600, ext. 4889 or

*Amount of award is determined by investment return of the fund endowment.

Face Sheet:

Name of Principal Investigator:
Academy Member #:
Name and address of institutional affiliation:
Title of Position:
Phone: / Email:
Degrees (held and anticipated):
List of current professional memberships and any offices held:
Title of Proposal:
Research Focus:
Dates of proposed period of support:
Total project costs:
Names of Co-Investigators:

I, the undersigned, certify that the statements are true and complete to the best of my knowledge and accept, as to any grant awarded, the obligation to comply with terms and conditions in effect at the time of the award. I agree to accept responsibility for the scientific conduct of the project and to provide the required reports if a grant is awarded for this proposal.

Name of Principal Investigator: / Date:

To be completed by responsible official at affiliated institution:

Name of Official:
Title:
Address:
Telephone:
E-mail:

I, the undersigned, certify that the statements are true and complete to the best of my knowledge and accept, as to any grant awarded, the obligation to comply with terms and conditions in effect at the time of the award.

Signature of Responsible Official: / Date:

Budget:

Budget should not exceed $5,000 and must include justification of items requested. Indirect/overhead costs will not be paid by the Academy Foundation.

Category / Amount/Year
Name of principal investigator:
Other personnel and role in project:
Supplies:
Equipment:
Travel:
Other expenses(please specify):
Total:
List other sources of funding:

Budget Justification: (use a maximum of two additional pages if necessary)

Award Check Payment Form

I, , the applicant for the Research Award provided by the American Dietetic Association Foundation and funded by the Herbert D. and Nylda Gemple Research Award, and the principal investigator for the research authorized thereunder, hereby stipulate to the payment of the award in the amount of $5,000 ($2,500 initially and $2,500 after a satisfactory final report) as follows (check one):

To the principal investigator, who will be responsible to use the funds according to the terms and conditions of the award, and is responsible for all applicable taxes.

*Be advised that awards to individuals are considered taxable income.

To the affiliated institution or organization listed below, in whose name the application was made. This organization will be responsible to use the funds to support the research efforts of the principal investigator, in accordance with the terms and conditions of the award. This organization will also be responsible for any applicable taxes. No amount of this award may be used for overhead cost charged by the intuition or organization.

Institution name

FEIN #

Contact person

Title

Address: (where check will be sent)

Phone

E-mail

Website

I, the undersigned, accept, as to any grant awarded, the obligation to comply with these representations and the terms and conditions in effect at the time of the award.

Name of Check RecipientDate

Herbert D. and Nylda Gemple Research Award