UC Davis Department of Surgery Outcomes Research Group (ORG)
Application for Research Support
Title of Project:
Principal Investigator (P.I.):
Co-Investigator(s):
Schools/Colleges and Departments:
P.I. Address:
P.I. Phone Number:
P.I. E-mail Address:
Collaborating Investigator(s):
Trainee(s):
Signature:
Date:
Instructions: The Proposed Plan must not exceed 2 pages. Please include an NIH biographical
sketch for the Principal Investigator (not included in the page limits; maximum of 4 pages for biosketch).
References are also not included in the page limits.
NOTE: Please submit the proposal electronically (via electronic mail) to Pauline McAlpin
ptmcalpin@ucdavis.edu . Please submit as one pdf file once completed as a Word document.
This is an intramural program and should not be sent through the Office of Research prior to
submission to the ORG.
3/22/2016; ver. 1.0
UC Davis Department of Surgery Outcomes Research Group (ORG)
Application for Research Support
RESEARCH PLAN (maximum 2 pages excluding references)
1.
Specific Aims and Hypotheses
2.
Background and Significance
3.
Research Plan
Approach
Analytic Plan
Anticipated results
4.
Extramural Submission Plans
5.
Budget and Budget Justification (rationale for requested funding)
6.
Prior ORG Funding (if prior funding has been received from the ORG a brief report must
be included describing how this proposal leverages the findings, is a new concept, or
builds on prior work).
7.
References (not included in the 2 page limit)
MINIMUM FONT SIZE – ARIAL 11

REVIEW CRITERIA WILL TAKE INTO ACCOUNT:
RELEVANCE TO OUTCOMES RESEARCH OR HEALTH SERVICES RESEARCH
 PLANS FOR EXTRAMURAL FUNDING
 SUCCESS WITH PRIOR ORG FUNDING
3/22/2016; ver. 1.0