The code block below illustrates how one might use # and // as comments in your logic and calculations.

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Required format:

QBxd2HhfG4mSF9jYn74XsdrTyqKIDQ56xcy98u5W46GSC9iyVVszkRZBQUuBSMZgAx6f4v4j

2023 Community-Based Participatory Research (CBPR) Pipeline-to-Pilot Awards

Returning?

A A A

Please complete the application process by providing the information requested below. You will then be asked to upload the following:

1) Single PDF with the application components

2) Completed CTSI signoff form with all the required signatures

3) Single PDF of the subaward components, if applicable

Note: After clicking on the "Submit" button at the end of the application, you will be provided with a code that can be used to access your submitted application if you need to revise it. The version that is in the system at the submission deadline will be the final version that will be reviewed.

Submission deadline: Monday, April 24, 2023 at 5:00 PM

Proposal Title

* must provide value

Co-PI's Name

* must provide value

Co-PI Title

* must provide value

Co-PI UR Department or Community Organization

* must provide value

Co-PI Address

* must provide value

Co-PI Email Address

* must provide value

Co-PI Telephone Number

* must provide value

Co-PI's Name

* must provide value

Co-PI Title

* must provide value

Co-PI UR Department or Community Organization

* must provide value

Co-PI Address

* must provide value

Co-PI Email Address

* must provide value

Co-PI Telephone Number

* must provide value

Is there an additional Co-PI?

* must provide value

Yes

reset

Co-PI's Name

* must provide value

Co-PI Title

Co-PI UR Department or Community Organization

Co-PI Address

Co-PI Email Address

Co-PI Telephone Number

Are there other co-investigators, collaborators, and/or consultants?

Yes

reset

Contact #1 Role

Co-investigator Collaborator Consultant

reset

Name

Title

UR Department or Community Organization

Address

Email Address

Telephone Number

Are there other co-investigators, collaborators, and/or consultants?

Yes

reset

Contact #2 Role

Co-investigator Collaborator Consultant

reset

Name

Title

UR Department or Community Organization

Address

Email Address

Telephone Number

Are there other co-investigators, collaborators, and/or consultants?

Yes

reset

Contact #3 Role

Co-investigator Collaborator Consultant

reset

Name

Title

UR Department or Community Organization

Address

Email Address

Telephone Number

Amount Requested $

* must provide value

Will this grant have research activities involving human subjects?

* must provide value

Yes

reset

Will this grant have research activities involving vertebrate animals?

* must provide value

Yes

reset

Name of UR PI's Department Administrator or Grants Manager:

* must provide value

Administrator Email Address

* must provide value

Upload the project components as a single PDF (in font no smaller than 11 point, 0.5 inch margins), which includes the following:

(1) NIH PHS 398 Form Page 1: Face Page
(2) Proposal Title and Synopsis (500 word maximum, 11 point font minimum)
(3) The Project Description (maximum of two pages) which needs to include: Specific Aims (Goals), Rationale and Significance, Methods, Subsequent Planned Research Activity, and Study Timeline.
(4) References: No more than fifteen (15)
(5) Budget: Include NIH PHS 398 Form Page 4: Budget for Initial Study Period. Be sure to clearly indicate which personnel are investigators and which are other significant contributors, as defined in the CTSI cost-sharing information sheet.
(6) Budget and Budget Justification for each line item in the budget.
(7) Biosketch for Each Researcher and/or CV for CBO Partner(s)
(8) Letter(s) of Commitment/Support
(9) Funding Attestation

* must provide value

Upload file

Complete and upload CTSI sign-off form

* must provide value

Upload file

Upload subaward components as a single PDF, if applicable.

Upload file

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