Preliminary Application Form

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Principal Investigator __________________
Preliminary Application Form
Application Title
RFPA Number and Title
Principal Investigator
(name, title, institution)
Co-Investigator(s)
(name, title, institution)
Study Duration (yrs)
Total Estimated Budget ($)
(including indirect costs)
BRIEF DESCRIPTION OF THE PROJECT PLAN
(Maximum 3 pages, using 11-point font size and 1-inch margins, including this cover page but excluding references and brief
CVs. Please type in the space below each item.)
1. Scientific Background and Rationale (include a discussion of how the study addresses HEI’s mission and the novelty
of the proposed approach)
2. Hypotheses and Specific Aims
3. Qualifications of the Investigators (when critical, the availability of any special equipment and facilities should be
mentioned)
4. Preliminary Data and/or Relevant Data from Previous Studies
5. Study Design and Methods
6. Statistical Analyses
7. Anticipated Results
8. References (maximum 1 page)
9. Attach brief CVs of the principal investigator and key co-investigators (maximum 2 pages per person)
1
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