LCRF 2016 Grant Program

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LCRF 2016 Grant Program

Lung Cancer Research Foundation

General Information

Application Instructions:

Please complete the form below to submit your grant application. For full details of the application requirements and grant terms, please see the Funding Opportunities page on the LCRF website. The deadline for submissions is July 1, 11:59pm US Eastern time.

Project Name

*

Provide a project name using the format "2016-Last name". The project name will be used to track your application within our grants management system.

Character Limit: 100

Scientific Title

*

Career Level

*

Please indicate the principal investigator's career level.

Choices

Student/Fellow/Trainee: Graduate students, postdoctoral or clinical fellows Young Investigator: Less than 4 years since faculty appointment

Mid-career Investigator: 4-10 years since faculty appointment

Experienced Investigator: More than 10 years since faculty appointment

Extension

*

Is this an application for an extension of a previously funded project?

Choices

Yes No

Prior Year Progress Update (if applicable)

If this is an application for an extension, please include an update describing the progress made during the current / prior award period.

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Program Director / Advisor

Please use the fields below to provide the contact information of your Program Director / Advisor, if applicable.

First Name

Last Name

Salutation

(e.g. Mr., Ms., Dr.) Character Limit: 100

Title

Telephone

Email

Administrative Grant Coordinator

Please use the fields below to provide contact information of your Administrative Grant Coordinator or other contact person to whom administrative issues regarding the grant can be addressed.

Note: if your institution requires that approval from the Grant Coordinator be obtained prior to submitting a grant application, this step must be completed prior to applying for an LCRF grant. LCRF assumes that applicants have obtained all necessary approvals prior to submitting their application.

First Name

*

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Last Name

*

Salutation

*

(e.g. Mr., Ms., Dr.) Character Limit: 10

Title

Address 1

*

Address 2

City

*

State / Region

*

Zip / Postal Code

*

Country

*

Telephone

*

Email

*

Proposal

Proposal Summary

*

Use the space below to briefly state the proposal. Character Limit: 3500

Project Narrative

*

Please fully describe your project. Use the upload function below to upload the project narrative in PDF format with the naming convention "Last name-Narrative.pdf".

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Note that while there is no restriction on the specific format of the document, the project narrative should not exceed ten pages in length. Additionally, ten pages is a length limit - not a guideline. If you are able to describe your project in less space, you are strongly encouraged to do so.

File Size Limit: 5 MB

Deliverables

Please describe any deliverables expected to be generated as a result of the proposed work (if applicable).

Success Factors

*

Please use the space below to indicate what constitutes success of your project and what you will do to measure this.

Alignment with LCRF's Mission

*

Briefly describe how the goals of the proposed project are consistent with the mission of the Lung Cancer Research Foundation.

Project Timeline

*

Provide the proposed project start date and anticipated dates of significant endpoints and / or milestones.

Please upload the timeline in PDF format with the naming convention "Last name-Timeline.pdf".

Future Plans

*

Briefly describe any plans for the proposed project at the conclusion of the funding period (e.g. expecting to apply for further funding from sources such as organizations X, Y, and Z).

Project Budget

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Using the budget template below, please provide a detailed breakdown of key items for which funds are requested. Please closely review any budget restrictions listed under the Grant Terms on LCRF's Funding Opportunities page.

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Budget template: https://www.lungcancerresearchfoundation.org/assets/uploads/default/LCRF-Budget-Template.xlsx

Please save the file in PDF format and upload with the naming convention “Last name-Budget.pdf”.

Additional Funding

List any additional funding available for this project (if applicable). Include the source and amount of funding, and state whether this grant will be matched by any other funding source. Character Limit: 2000

Letter(s) of Support

*

Include at least one letter of support. The letter should be from the applicant’s Program Director or Advisor and must include statements affirming the following:

 The applicant will be on academic staff during the grant period

 There is adequate space and equipment to accomplish the stated project

Please upload a file in PDF format and use the naming convention "Last name-Letters.pdf". You may include multiple letters in a single PDF file. Confidential letters of support may be

submitted directly via email to [email protected].

Key Personnel

*

Provide a curriculum vitae or NIH biosketch of key personnel. Please upload a file in PDF format with the naming convention “Last name-Bios.pdf”.

Electronic Signature

I certify that the statements herein are true, complete and accurate to the best of my knowledge. I am aware that any false, fictitious, or fraudulent statements or claims may subject me to criminal, civil or administrative penalties. I agree to accept responsibility for the scientific conduct of the project.

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Principal Investigator's Signature

*

Please type your full name into the box below to electronically sign your application. Character Limit: 250

Today's Date

*