COMCEC Grant Form
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form
I. Education Grant Proposal | II. Budget | III. Budget justification{B} | IV. Specific aims | V. Background/significance |
VI. Experimental design/methods
I. Education Grant Proposal
| Project Title: | |
| Project Begin Date: | Project End Date: |
| Principal Investigator (Name, Degree, Title): | Amount Requested: |
| Department: | Office Address: |
| Telephone: | Email Address: |
Abstract: (150 word maximum)
Does this proposal utilize human subjects for other than the following purposes? The activity consists of improving the curriculum of the course in which the participants are enrolled, serves as didactic device involving only individuals enrolled in the class, or provides training in the conduct of such professional activities as interview procedures.
no ( ) yes ( )
If yes, this proposal will be forwarded to the Human Subjects Review Committee A for review.
In submitting this proposal and signing below, the principal investigator and the sponsoring department agree to carry out the activities described in this proposal within the time specified. The applicants assure that the allocated funds will be spent in the manner prescribed.
| Principal Investigator's Signature: | Date: |
| Department Chair Signature: | Date: |
II. Budget
| A. Personnel salaries: |
| Position | Name | % Time/Effort |
Amount Requested |
Totals by Category | ||||
| Principal Investigator | % | |||||||
| Other Personnel: | % | $ | $ | |||||
| Total Salaries: | $ | |||||||
| B. Personnel Benefits: | $ | $ | ||||||
| C. Consultation Services: | $ | $ | ||||||
| D. Equipment: | $ | $ | ||||||
| E. Supplies | $ | $ | ||||||
| F. Travel: | $ | $ | ||||||
| G. Other: | $ | $ | ||||||
III. Budget justification
Please attach a budget justification explaining the need for funds in each category requested.IV. Specific aims
V. Background/significance
VI. Experimental design/methods
Please make sure to include measurable outcomes and methods of data analysis.
University of Florida - College of Medicine - College of Medicine Education Center - COMEC Research and Development