JOHNS HOPKINS UNIVERSITY - Limited Submission Programs INTERNAL APPLICATION/PROPOSAL/NOMINATION COVER SHEET This cover sheet is required for submitting internal applications, proposals, and/or nominations in response to program announcements, solicitations, or requests for nominations involving funding opportunities which require an internal peer review and selection. Submit this cover sheet and all required materials as one PDF via email to the JHU Research Administration at resapp@jhu.edu. If you have any questions, please call 410-516-5917. If your application/nomination is selected during the internal review process, please submit all required materials to your department’s designated representative in your divisional office of Research Administration (ORA). Name of Applicant/Principal Investigator/Nominee: ____________________________________________________________ Position Title: _____________________________ Appointment Date: ________________ Highest Degree: _______________ (Associate, Assistant Professor) (Month, Day, Year) (PhD, MD etc.) Office Telephone: ___________________________ Cell/I Phone: _____________________ e-mail:______________________ JHU School/Division: ________________________________ Department: _________________________________ Name of Department Contact: _________________________ Telephone: _____________ e-mail: ______________ Sponsor/Foundation: Kinship Foundation Program Title: Searle Scholars Program for 2015-2016 Required Internal submission date (to resapp@jhu.edu): July17, 2015 Selected application/proposal/nomination due at divisional research administration office: September 18, 2015 Submission deadline date to Sponsor/Foundation: September 25, 2015 Please provide answers to the questions listed below: 1. Have you submitted a project summary for this program (if it was announced) in previous years? _________________________ If yes, did you receive funding for that project from this sponsor? __________________________________________________ 2. Is the attached project summary a request for renewal for an awarded project? ________________________________________ 3. Please provide any additional information you believe would be helpful for the internal review on a separate page. Along with this signed cover sheet, provide the items below: Abstract (one page, double spaced) Proposal (maximum of four pages of text, single spaced – NOTE: 12-pt font and one-inch margins – NOTE: figures, tables, and other reference materials should not be included as text) Curriculum Vitae of investigator, including current external research support and publications Budget (two pages maximum) Letters of Recommendation from the Department Chair/Director and Graduate Advisor/Mentor (Note: Letters of Recommendation can be submitted separately to resapp@jhu.edu stating your name in the subject line) IMPORTANT - Please complete the requested contact information listed below: Designated Representative in your Divisional ORA: _____________________________________ e-mail: ____________________ Department Chair: ________________________________________________________________ e-mail: ____________________ Department Administrator: _________________________________________________________ e-mail: ____________________ Campus Address: ____________________________________________________________________________________________ _______________________________________________________________________________ Date: _____________________ Signature of Applicant/Principal Investigator ________________________________________________________________________________ Date: ____________________ Signature of Department Chair Please note: Any change in the proposed applicant/principal investigator after the submission of this form must be authorized in writing by the department chair and approved by the internal review committee before the final submission to the program sponsor. A formal request with justification should be sent to resapp@jhu.edu as soon as possible. form last updated 8/4/2014