[SHORT TITLE]
[PROJECT LEADER]
PROJECT OUTLINE (PO) TO APPLY TO
THE TERRY FOX TRANSLATIONAL CANCER RESEARCH PROGRAM (2016)
Deadline: Friday September 18, 2015, 5.00 pm Pacific Daylight Time
Email to translation@tfri.ca
Full Name of (Co-)Project Leader1: [Last Name, given name, middle names, title]2
Mailing Address: [Institution, department, street address, city, province, postal code]
Email: [email address]
Telephone #: [office telephone #]
Laboratory Telephone #: [lab telephone #]
Full Name of (Co-)Project Leader: [Last Name, given name, middle names, title]
Mailing Address: [Institution, department, street address, city, province, postal code]
Email: [email address]
Telephone #: [office telephone #]
Laboratory Telephone #: [lab telephone #]
PROPOSED PROJECT TITLE: The Terry Fox Pan-Canadian [Give full title of proposed
project]
SHORT TITLE: [short title for project]
LAY SUMMARY (one paragraph)
1
The (co-) Project Leaders are responsible for submitting this Project Outline. The Project Leader(s) agree to lead and
complete a full research and development plan if invited to do so.
2 Square bracketed elements in grey are designed to be replaced by the Champion with details requested.
Project Outline Translational Project
1
[DATE]
[SHORT TITLE]
[PROJECT LEADER]
PERSONNEL
PROJECT LEADERS
The Project Leader(s) hereby confirm that all Principal Investigators, Co-Investigators and Collaborators
listed below have agreed to participate in development of the research and development plan if invited to
do so, and could, if requested, provide written confirmation of their individual commitment(s).
Name
Signature
Date
PRINCIPAL INVESTIGATORS
Name
Principal Affiliation
Role
Principal Affiliation
Role
CO-INVESTIGATORS
Name
Project Outline Translational Project
2
[DATE]
[SHORT TITLE]
[PROJECT LEADER]
COLLABORATORS
Name
Principal Affiliation
Role
INDIVIDUALS TARGETED BUT NOT YET INVITED TO PARTICIPATE
Name
Project Outline Translational Project
Principal Affiliation
3
Role
[DATE]
[SHORT TITLE]
[PROJECT LEADER]
PROJECT OUTLINE COMPONENTS
Identify below the major components of the proposed project. Components may be (1) a list of subprojects, or (2) a list of specific activities. Identify the researcher (and site) who will be responsible for that
component
#
Title of Component / Activity
Principal Investigator or Team Leader,
and Site(s)
1
2
3
4
Project Outline Translational Project
4
[DATE]
[SHORT TITLE]
1.
[PROJECT LEADER]
BACKGROUND AND RATIONALE (maximum two pages)
Summarize the steps undertaken to reach this Project Outline. Explain WHAT health outcomes this
Project targets, WHY it is important, HOW the team proposes to address the question(s), WHY this team
could do this better than others, and WHEN the planned quantifiable outcomes will be delivered if the
Project is funded. Describe how this Project will address TFRI and other potential partners’ strategic
goals.
Project Outline Translational Project
5
[DATE]
[SHORT TITLE]
2.
[PROJECT LEADER]
SCIENTIFIC ABSTRACT (maximum one page)
Project Outline Translational Project
6
[DATE]
[SHORT TITLE]
3.
[PROJECT LEADER]
PROJECT OUTLINE (maximum six pages)
Describe the components that will make up the Project – identifying people, assets and approaches to be
used and how they will be integrated.
Project Outline Translational Project
7
[DATE]
[SHORT TITLE]
3A.
[PROJECT LEADER]
REFERENCES
List numbered references including PubMed IDs to support your Project Outline with references to any
prior art such as intellectual property held or applied for that this Project will use and develop. Disclosure
of the names of any licensees of said intellectual property is also required.
Project Outline Translational Project
8
[DATE]
[SHORT TITLE]
4.
[PROJECT LEADER]
PROPOSED PROJECT DELIVERABLES & TIMELINES
# Milestone(s) / Deliverable(s)
1
2
3
4
5
Due at:
12 months
18 months
36 months
48 months
60 months
[Insert additional Milestone(s) / Deliverable(s) if appropriate]
Project Outline Translational Project
9
[DATE]
[SHORT TITLE]
5.
[PROJECT LEADER]
PROPOSED TRANSLATIONAL PLAN (maximum two pages)
Outline the key questions / issues that will need to be addressed to translate the Project’s deliverables
into innovations adopted by the health system, and how the Project will attempt to address these.
Project Outline Translational Project
10
[DATE]
[SHORT TITLE]
6.
[PROJECT LEADER]
EXISTING AND PROPOSED PARTNERS (one page)
Describe below any partner that has been identified by the investigators and/or the Terry Fox Research
Institute, and describe the stage of interaction with them (e.g., yet to approach / in discussion / interested
/ proposal submitted / proposal under consideration / commitment made)
Project Outline Translational Project
11
[DATE]
[SHORT TITLE]
7.
#
1
2
3
4
5
6
7
[PROJECT LEADER]
HIGH-LEVEL SUMMARY OF PROJECT OUTLINE BUDGET
Component
Year 1
Year 2
Year 3
Year 4
Year 5
TOTAL
Equipment
Program Manager
Travel
Operating Total
Equipment Total
ANNUAL TOTAL
[Expand table as required]
Budget Commentary:
Project Outline Translational Project
12
[DATE]
[SHORT TITLE]
[PROJECT LEADER]
8. LIST OF SUGGESTED REVIEWERS
Please suggest in the table below non-conflicted scientific peers who could review your Project
Outline
Full Name
Affiliation
Project Outline Translational Project
Email Address
Telephone Number
13
Expertise Keywords
Component of PO to review
[DATE]
[SHORT TITLE]
9.
[PROJECT LEADER]
APPENDICES – BRIEF CVs
[In the table below provide a list of the brief CVs supplied with this Project Outline]
Curriculum Vitae Provided
Role
Project Leader
Co-Project Leader
Principal Investigator
1
2
3
4
[Expand table as required]
Project Outline Translational Project
14
[DATE]