PHHP Research Innovation Fund Form » Research Activities » College of Public Health and Health Professions

Name of Investigator(Required)

First Last

Email Address(Required)

Department

Faculty Rank(Required)

Assistant Professor

Associate Professor

Professor

Before moving forward, please read through the PHHP Research Innovation Fund Principles and Procedures.

I have read through the PHHP Innovation Fund Principles and Procedures.(Required)

Yes

Please choose the theme that your proposal falls under.(Required)

PHHP Research: General

PHHP Research: Artificial Intelligence

PHHP Research: Direct Clinical Impact

Project Title:(Required)

Please list any Co-Investigators and Affiliations(Required)

Co-Investigator Name

Co-Investigator Affiliation(s)

Please include a 1-paragraph description of study/study goals.(Required)

Please include specific aims that will be supported by this funding.(Required)

What other funds are supporting your project? (e.g., PI IDCs, CTSI pilot, startup, etc.) Please be specific and include any cost-share agreements. (Note: any cost-share agreements listed are subject to verification.)(Required)

Please include a BRIEF description of what you are requesting and how it will impact your goals.(Required)

Total amount requested. (No more than $25,000)(Required)

Please list each grant that you plan to submit based on this research. (Include planned date of submission for each grant.)(Required)

Please upload the PI's NIH-style biosketch.(Required)

Accepted file types: pdf, Max. file size: 125 MB.

Please upload an NIH-style biosketch for any co-investigators involved with this request.(Required)

Drop files here or

Accepted file types: pdf, Max. file size: 125 MB.

Download a Basic Budget Template here.

Please upload proposed budget for requested funds on the provided template.(Required)

Accepted file types: xlsx, Max. file size: 125 MB.

Please upload a brief budget justification.(Required)

Accepted file types: pdf, Max. file size: 125 MB.