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Research and Innovation
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Faculty Research Support Team
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Proposal Assistance Request Form
Proposal Assistance Request Form
Proposal Assistance Request Form
Project Title
*
PI Name
*
First
Last
PI Email
*
Department/Institute
*
If your project will route through an institute (e.g. Center for Human Identification, Texas Center for Health Disparities), please choose it as your selection instead of your assigned department.
Choose a Department
BIOSTATICS & EPIDEMIOLOGY - 303300
CENTER FOR HUMAN ID - 304600
CTR F/DIVERSITY & INTN'L PROGS - 300220
FAMILY MEDICINE - 300690
HEALTH BEHAVIOR & HEALTH SYS - 303500
INCEDO - 300580
INST TRANSLATIONAL RESEARCH - 304700
INTERNAL MEDICINE-GEN - 300700
LIBRARY - 300540
LIFESTYLE HEATH SCIENCES - 300860
MEDICAL EDUCATION - 300760
MICROBIOLOGY,IMMUNOLOGY & GENE - 302800
PEDIATRICS - 300740
PHARMACEUTICAL SCIENCES - 301400
PHARMACOLOGY & NEUROSCIENCE - 302700
PHARMACOTHERAPY - 301300
PHYSICAL THERAPY - 300820
PHYSICIAN ASSISTANT STUDIES - 300840
PHYSIOLOGY AND ANATOMY - 302600
Other
TEXAS CENTER FOR HEATLH DISPARITIES
Other Department
Date Due
*
MM/DD/YYYY
Date Format: MM slash DD slash YYYY
Preferred Submission Date, if earlier than due date
Date Format: MM slash DD slash YYYY
Solicitation #
*
Link to solicitation
What type of grant submission is this?
New submission
Resubmission
Competitive Renewal
Would you like a Preliminary meeting? (Required for first time submission at UNTHSC)
Yes
No
In which stage of the grant writing process are you?
Preliminary stages
Proposal has been initiated in Cayuse or respective submission system
Some elements of the proposal are complete (science and/or administration)
All elements of the proposal are complete
UNTHSC Internal Forms Assistance
Please check the forms with which you will need assistance and/or will be required for this project.
External Proposal Transmittal (EPT) Form
Cost Share Form
F&A Waiver (Due 2 weeks prior to sponsor deadline)
PI Eligibility (Due 2 weeks prior to sponsor deadline)
Subaward/Subreceipient Coordination | HSC is the Prime Institution
Please provide the name and email address of the subrecipients who will be involved on your project. (5 entry max)
Subrecipient Organization
Subrecipient PI Name
Subrecipient PI Email
Subaward/Subreceipient Coordination | HSC is the subrecipient
Please provide the name and email address from the prime institution.
Prime Institution
Prime PI Name
Prime PI Email
Do you have an approved Institutional Animal Care and Use Committee (IACUC) protocol for this project?
*
Yes
No
Do you have an approved Institutional Review Board (IRB) protocol for this project?
*
Yes
No
HSC Personnel (or Project Position) | Effort | Project Role
Please provide the names and effort of the either the HSC personnel (or the vacant position) who will be involved in your project. (15 entry max)
First and Last Name
Effort %
Project Role (e.g. PI, MPI, Co-I, OSC, Postdocs, GRA, Contact PI)
Consultant(s)
Please provide the name and email address of the consultant(s) who will be involved on your project. Note: A consultant is a non-HSC personnel who will provide advice or services and may participate significantly in the research. (5 entry max)
Consultant Name
Email
This page was last modified on March 19, 2021
Faculty Research Support Team
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