LSU Health Sciences Center
Institute for Cardiovascular Diseases & Imaging
Application
2015 Malcolm Feist
Partners Across Campuses (PAC) Seed Program
Letter of Intent Deadline: February 6
Application Deadline: April 3
4:00 p.m.
LSU Health Sciences Center
Center for Cardiovascular Diseases and Sciences
Malcolm Feist Partners Across Campuses (PAC) Seed Program
Background: The mission of the Center for Cardiovascular Diseases and Sciences (CCDS) is
to reduce the impact of cardiovascular disease through research and clinical practice. The
CCDS recognizes the role of interdisciplinary partnerships in fostering innovative research. To
stimulate the growth of groundbreaking cardiovascular research in Northwest Louisiana and to
foster collaboration across institutions, the CCDS has created the “Partners Across Campuses”
Seed Program (PAC).
The PAC Program will provide up to 4 awards, with a value of up to $25,000 each, for seed
funding for new interdisciplinary collaborative research projects. Faculty from all departments in
designated institutions of higher education in Northwest Louisiana are invited to submit
proposals with a focus on new collaborative research in cardiovascular or cerebrovascular
disease.
Qualifications: Each proposal must be submitted with a Principal Investigator and Co-Principal
investigator from different disciplines or departments who have not previously co-authored any
publications or had joint funding. One member of the research team must be a full-time tenured
or tenure-track faculty member at LSUHSC-S. The other team member must be a full-time
tenured or tenure-track faculty member currently employed at LSU-Shreveport, Louisiana Tech
University, Centenary College, Grambling State University, Northwestern State University,
Southern University Shreveport or University of Louisiana at Monroe. All applications must have
a designated PI and a primary performance site.
Budget: The total budget may not exceed $25,000 per year. Funding is intended to support
faculty salary (faculty salaries for LSUHSC-S faculty are excluded), postdoctoral fellows,
graduate and undergraduate students, and research technicians, as well as direct research
expenses. All budget elements must be adequately described and itemized. Refer to the RFP
for prohibited budget items.
Submission: A letter of intent is required prior to submission of the full application. The letter of
intent is due February 6, 2015. Full proposals are due no later than 4 PM on Friday, April 3,
2015. All proposals must be sent as a single PDF file to the CCDS: ccds@lsuhsc.edu and to
the LSUHSC-S Office of Sponsored Programs and Technology Transfer: grants@lsuhsc.edu.
Evaluation: Proposals will be reviewed by the Board of Directors of the Cardiovascular Center
or a designated review panel of outside experts. Priority for funding will be based on the
qualifications of the applicants, scientific merit, relevance to cardiovascular or cerebrovascular
disease, novelty, and competitiveness for future funding.
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LSU Health Sciences Center
Center for Cardiovascular Diseases and Sciences
PAC Seed Program
Deadline:
4:00 p.m. Friday, April 3, 2015
Project Title: ____________________________________________________________
_______________________________________________________________________
Applicant Information
Legal Name: ________________________________________________________________
__________________________________________
Tax ID: _______________________
Department: ________________________________
Division: ______________________
Street: ______________________________________________________________________
Street: ______________________________________________________________________
City: ________________________________
State: ________
Zip: ______________
Principal
Investigator:____________________________________________________________
Last Name
First Name
Middle
Position:
____________________________ Phone # _______________________
Institution:
___________________________________________________________
Department:
______________________________Division: ______________________
Street: ______________________________________________________________________
Street: ______________________________________________________________________
City: ________________________________
State: ________
Zip: ______________
Email: ___________________________________________________________
Phone: _________________________________
Fax: __________________________
Period of Application (1 Year): July 1, 2015 – June 30, 2016
Amount Requested: $ _________________________
($25,000 max)
Authorized
Representative:____________________________________________________________
Last Name
First Name
Middle
Position:
____________________________ Phone # _______________________
Institution:
___________________________________________________________
Department:
______________________________Division: ______________________
Street: ______________________________________________________________________
Street: ______________________________________________________________________
City: ________________________________
State: ________
Zip: ______________
Email: ___________________________________________________________
Phone: _________________________________
Fax: __________________________
____________________________
PI Signature**
____________________________
PI Department Chair Signature
____________________________
Authorized Representative Signature
**By signing this this application, I certify that: 1) the information submitted within that
application is true, complete and accurate to the best of the PI’s knowledge; 2) that any false,
fictitious or fraudulent statements or claims may subject the PI to criminal, civil, or
administrative penalties; and 3) that the PI agrees to accept responsibility for the scientific
conduct of the project and to provide the required progress reports if a grant is awarded as a
result of this application. I further certify that the personnel involved in this project are not
presently debarred, suspended, proposed for debarment, declared ineligible, ore voluntarily
excluded from any federal department or agency and I agree to be bound by the terms and
conditions of the external funding agency/source.
Primary Performance/Project Location
Organization Name: ____________________________________________________________
__________________________________________
Tax ID: _______________________
Department: ________________________________
Division: ______________________
Street: ______________________________________________________________________
Street: ______________________________________________________________________
City: ________________________________
State: ________
Zip: ______________
Co-Principal
Investigator:____________________________________________________________
Last Name
First Name
Middle
Position:
____________________________ Phone # _______________________
Institution:
___________________________________________________________
Department:
______________________________Division: ______________________
Street: ______________________________________________________________________
Street: ______________________________________________________________________
City: ________________________________
State: ________
Zip: ______________
Email: ___________________________________________________________
Phone: _________________________________
Fax: __________________________
Authorized
Representative:____________________________________________________________
Last Name
First Name
Middle
Position:
____________________________ Phone # _______________________
Institution:
___________________________________________________________
Department:
______________________________Division: ______________________
Street: ______________________________________________________________________
Street: ______________________________________________________________________
City: ________________________________
State: ________
Zip: ______________
Email: ___________________________________________________________
Phone: _________________________________
Fax: __________________________
____________________________
Co-PI Signature**
____________________________
Co-PI Department Chair Signature
____________________________
Authorized Representative Signature (for Co-PI Institution)
Secondary Performance/Project Location
Organization Name: ____________________________________________________________
__________________________________________
Tax ID: _______________________
Department: ________________________________
Division: ______________________
Street: ______________________________________________________________________
Street: ______________________________________________________________________
City: ________________________________
State: ________
Zip: ______________
PI Name _________________________________
PROJECT SUMMARY
Description: Use this section to summarize the research plan in lay terms, i.e., for nonscientists. Include the overall objectives, research strategy, and relatedness to cardiovascular
and/or cerebrovascular disease. This section should not exceed 250 words.
____________________________________________________________________________
____________________________________________________________________________
PI Name _________________________________
PERSONNEL ENGAGED ON PROJECT
Name _____________________________ E-mail ___________________________________
Position/Title ________________________
Phone____________________________________
Department _________________________ Institution_________________________________
Name _____________________________ E-mail ___________________________________
Position/Title ________________________
Phone____________________________________
Department _________________________ Institution_________________________________
Name _____________________________ E-mail ___________________________________
Position/Title ________________________
Phone____________________________________
Department _________________________ Institution_________________________________
Name _____________________________ E-mail ___________________________________
Position/Title ________________________
Phone____________________________________
Department _________________________ Institution_________________________________
Name _____________________________ E-mail ___________________________________
Position/Title ________________________
Phone____________________________________
Department _________________________ Institution_________________________________
Name _____________________________ E-mail ___________________________________
Position/Title ________________________
Phone____________________________________
Department _________________________ Institution_________________________________
Name _____________________________ E-mail ___________________________________
Position/Title ________________________
Phone____________________________________
Department _________________________ Institution_________________________________
PI Name _________________________________
SUGGESTED REVIEWERS
Name _____________________________ E-mail ___________________________________
Position/Title ________________________
Phone____________________________________
Department _________________________ Institution_________________________________
Name _____________________________ E-mail ___________________________________
Position/Title ________________________
Phone____________________________________
Department _________________________ Institution_________________________________
Name _____________________________ E-mail ___________________________________
Position/Title ________________________
Phone____________________________________
Department _________________________ Institution_________________________________
Name _____________________________ E-mail ___________________________________
Position/Title ________________________
Phone____________________________________
Department _________________________ Institution_________________________________
PI Name __________________________________
PROJECT DESCRIPTION
The suggested format for the Project Description (5 page limit) is:
(A)
Specific Aims. State concisely and realistically what the research described in
this application is intended to accomplish and/or what hypothesis will be tested.
(B)
Significance. Briefly present the background for the present proposal, critically
evaluate existing knowledge, and specifically identify the gaps that the project is
intended to fill. State concisely the importance of the research described in this
application by relating the specific aims to longer-term objectives.
(C)
Experimental Design and Methods.
Discuss the experimental design,
methodology and procedures proposed to accomplish the specific aims of the
project.
(D)
Relevance to Cardiovascular Disease. Briefly state the relevance of the
proposed research to cardiovascular and/or cerebrovascular disease.
(E)
Literature Cited. Cite only references pertaining to the application. Do not
exceed two pages for references. This section is not included in the 5 page
limit.
Special Note: All projects must demonstrate sustainability and innovation within a collaborative
framework. Be sure to address these issues in your project description. Please refer to the
RFP for additional information.
PI Name __________________________________
BUDGET
Personnel**
Name
Role on Project
Percent
Effort
Salary
Requested
Fringe
Benefits
Total
1.
2.
3.
4.
Subtotal
Supplies (Itemized
by Category)
Other Expenses
(Itemized by
Category)
Travel ($1,000
max)
Total Amount Requested
**The percent effort for each LSUHSC-S PI or Co-PI must be listed on this page. No salary
support for LSUHSC-S PI or Co-PI is permitted. Per LSUHSC-S policy, percent effort for
LSUHSC-S faculty may not be zero.
PI Name __________________________________
BUDGET JUSTIFICATION
(Do Not Exceed 1 Page)
PI Name _________________________________
BIOGRAPHICAL SKETCH (PI)
Provide the following information for the Principal Investigator.
NAME __________________________ POSITION/TITLE: _____________________________
MEMBERSHIPS AND HONORS:
EDUCATION (Begin with baccalaureate or other initial professional education and include
postdoctoral training).
YEAR
FIELD
INSTITUTION & LOCATION
DEGREE
OF STUDY
CONFERRED
__________________________________________________________________________
__________________________________________________________________________
RESEARCH AND PROFESSIONAL EXPERIENCE: Concluding with present position, list in
chronological order, previous employment, experience, and honors.
Include present
membership on any Federal Government public advisory committee. List, in chronological
order, the titles, all authors, and complete references to all publications (except abstracts)
during the past three years and representative earlier publications pertinent to this application
(10 maximum). DO NOT EXCEED TWO PAGES.
PI Name _________________________________
BIOGRAPHICAL SKETCH (Co-PI)
Give the following information for the Co-Principal Investigator.
NAME _____________________________ POSITION/TITLE: __________________________
MEMBERSHIPS AND HONORS:
EDUCATION (Begin with baccalaureate or other initial professional education and include
postdoctoral training).
YEAR
FIELD
INSTITUTION & LOCATION
DEGREE
OF STUDY
CONFERRED
____________________________________________________________________________
____________________________________________________________________________
RESEARCH AND PROFESSIONAL EXPERIENCE: Concluding with present position, list in
chronological order, previous employment, experience, and honors.
Include present
membership on any Federal Government public advisory committee. List, in chronological
order, the titles, all authors, and complete references to all publications (except abstracts)
during the past three years and representative earlier publications pertinent to this application
(10 maximum). DO NOT EXCEED TWO PAGES.
PI Name __________________________________
RESEARCH SUPPORT (PI)
(Use Continuation Pages if Necessary)
List, in four separate groups:
(1) active support; (2) applications and proposals pending review or funding; (3) applications
and proposals planned or being prepared for submission; and (4) projects funded in the past.
Include all Federal, non-Federal, and institutional grants and contract support. If none, state
"none". For each item give the source of support, identifying number, project title, name of
principal investigator, time or percent of effort on the project, annual direct costs, and entire
period of support. NOTE: Clearly identify the application for which PAC funds are being sought
and provide a complete chronology of its previous submissions.
(1)
ACTIVE SUPPORT:
(2)
PENDING APPLICATIONS:
(3)
APPLICATIONS PLANNED OR BEING PREPARED:
(4)
PROJECTS FUNDED IN THE PAST 5 YEARS:
PI Name __________________________________
RESEARCH SUPPORT (Co-PI)
(Use Continuation Pages if Necessary)
List in four separate groups:
(1) active support; (2) applications and proposals pending review or funding; (3) applications
and proposals planned or being prepared for submission; and (4) projects funded in the past.
Include all Federal, non-Federal, and institutional grants and contract support. If none, state
"none". For each item give the source of support, identifying number, project title, name of
principal investigator, time or percent of effort on the project, annual direct costs, and entire
period of support. NOTE: Clearly identify the application for which PAC funds are being sought
and provide a complete chronology of its previous submissions.
(1)
ACTIVE SUPPORT:
(2)
PENDING APPLICATIONS:
(3)
APPLICATIONS PLANNED OR BEING PREPARED:
(4)
PROJECTS FUNDED IN THE PAST 5 YEARS:
APPLICATION SUBMISSION

Full proposals are due no later than 4 PM on Friday, April 3, 2015.

All proposals must be sent as a single PDF file to the CCDS: ccds@lsuhsc.edu and to
the LSUHSC-S Office of Sponsored Programs and Technology Transfer:
grants@lsuhsc.edu.

Applicants will receive an e-mail reply confirming receipt of the proposal. Please contact
Sara Krzywanski at 318-675-6021 if you do not receive a reply.

Proposals submitted must be in final form, with all required components, including
documentation of institutional review.

PI’s should adhere to the policies and procedures for grant submissions established at
their institutions.