APPLICATION FOR 2014
YCCI PILOT PROJECT GRANTS
The order of your application should be as follows:
Candidate’s NIH-formatted biosketch
Project Abstract
Specific Aims
Community Abstract (only for Pilot projects in Outcomes, Research into practice,
and Community-engaged Research)
Dissemination plan and Future considerations (only for Pilot projects in Outcomes,
Research into practice, and Community-engaged Research)
Background/Preliminary Data
Research Plans
Selected references
Resources and environment
Other Support
Detailed Budget
Budget Justification
Support statement from Core Director for pilot projects utilizing core technologies
only
Candidates MUST use the application and budget templates.
Deadlines for all pilots
Due date for letters of intent: December 12, 2014
Due date for full applications: February 9, 2015
Earliest anticipated start date: March 15, 2015
Page Limit
Up to 4 pages
Up to ½ page
Up to ½ page
Up to 500 words
Up to 500 words
Up to 2 pages
Up to 4 pages
As needed
Up to 1 page
As needed
As needed
As needed
Up to 1 page
Insert Candidate’s NIH-formatted Biosketch:
Templates and samples can be found at:
http://grants.nih.gov/grants/funding/phs398/biosketch.doc
http://grants.nih.gov/grants/funding/phs398/biosketchsample.doc
Research Plan
Project Abstract (Limited to ½ page of text):
Specific Aims (Limited to ½ page of text):
Community Abstract (limited to 500 words, only for Pilot projects in Outcomes, Research into
practice, and Community-engaged Research)
The community abstract provides you with an opportunity to express to a community-audience how
you anticipate that this project can, in the long-term, impact the health of Connecticut residents. It
should not be a reiteration of the Scientific Abstract but instead should tell a story that addresses the
importance of this research, whose lives will ultimately be improved, and why. Your community
abstract must include:
 Magnitude of the health issue. How many individuals are affected, what is the scope of this
issue in the state, how are costs of health care impacted, etc.?
 Knowledge gap. What gap will your proposed research address; what will your project results
tell us that is not already known?
 Community collaborators. Who are the stakeholders of this research project and how will they
be involved in your research, what roles will they play? For investigations at the very early
stages, engagement can be more limited to an initial conversation with a stakeholder about the
applicability of the question to daily practice.
 Longer-term policy implications of your research. How might your research inform/impact
organizational or public policies?
 Potential impact of this stream of research. How will this project, in the context of your larger
research career, improve health?
Dissemination plan and Future considerations (limited to 500 words, only for Pilot projects in
Outcomes, Research into practice, and Community-engaged Research)
Please include a plan that addresses how and when your project results will be disseminated to/with
your stakeholder/community partner and/or other specific clinical practice, community or policy
audiences. This plan should be developed early in the process with your stakeholders. Note: the
sophistication of this plan should match the scope of your project and care should be taken for careful
interpretation of results.
This plan should also address next steps: What is the next step in your research project trajectory and
what are your plans for acquiring funding? If applicable, please address how your research might
inform/impact organizational or public policies.
Background/Preliminary Data (Limited to 2 page including text and graphics):
Research Plans (Limited to 4 pages including text and graphics):
Selected references. As needed
Resources and environment. Maximum length is 1 page.
Other Support
This section should include a full description of other support, including all current and pending
sources of funds with amounts and dates for each for all sources. (external and internal, including any
start-up funds). The team leader and other faculty participants should list their other research support,
highlighting any support that is available for the proposed project.
Detailed budget
Detailed budget and justification in template word file. A budget section should be included with a
justification of why the funds are necessary and how they will be used to promote innovative new
science and secure applications for extramural funding.
See RFA for funding limits.
Program Director/Principal Investigator (Last, First, Middle):
FROM
DETAILED BUDGET FOR INITIAL BUDGET PERIOD
DIRECT COSTS ONLY
THROUGH
List PERSONNEL (Applicant organization only)
Use Cal, Acad, or Summer to Enter Months Devoted to Project
Enter Dollar Amounts Requested (omit cents) for Salary Requested and Fringe Benefits
NAME
ROLE ON
PROJECT
Cal.
Mnths
Acad.
Mnths
Summer
Mnths
INST.BASE
SALARY
SALARY
REQUESTED
FRINGE
BENEFITS
TOTAL
PD/PI
SUBTOTALS
CONSULTANT COSTS
EQUIPMENT (Itemize)
SUPPLIES (Itemize by category)
TRAVEL
INPATIENT CARE COSTS
OUTPATIENT CARE COSTS
ALTERATIONS AND RENOVATIONS (Itemize by category)
OTHER EXPENSES (Itemize by category)
CONSORTIUM/CONTRACTUAL COSTS
DIRECT COSTS
TOTAL DIRECT COSTS FOR INITIAL BUDGET PERIOD
PHS 398 (Rev. 6/09)
$
Page
Form Page 4
Program Director/Principal Investigator (Last, First, Middle):
FROM
DETAILED BUDGET FOR INITIAL BUDGET PERIOD
DIRECT COSTS ONLY
THROUGH
List PERSONNEL (Applicant organization only)
Use Cal, Acad, or Summer to Enter Months Devoted to Project
Enter Dollar Amounts Requested (omit cents) for Salary Requested and Fringe Benefits
NAME
ROLE ON
PROJECT
Cal.
Mnths
Acad.
Mnths
Summer
Mnths
INST.BASE
SALARY
SALARY
REQUESTED
FRINGE
BENEFITS
TOTAL
PD/PI
SUBTOTALS
CONSULTANT COSTS
EQUIPMENT (Itemize)
SUPPLIES (Itemize by category)
TRAVEL
INPATIENT CARE COSTS
OUTPATIENT CARE COSTS
ALTERATIONS AND RENOVATIONS (Itemize by category)
OTHER EXPENSES (Itemize by category)
CONSORTIUM/CONTRACTUAL COSTS
DIRECT COSTS
TOTAL DIRECT COSTS FOR INITIAL BUDGET PERIOD
PHS 398 (Rev. 6/09)
$
Page
Form Page 4
Budget Justification
A detailed budget justification is required for all cost. Please use an additional page if needed.
Support statement from Core Director for pilot projects utilizing core technologies
only.