Angels Den - Full Application

St. Michael’s Foundation Angels Den

Innovation Competition Application

Instructions

·  Full Application is due April 2nd, 2018 by 5:00pm via email to Erica Conte (). Late applications will not be accepted.

·  5-page maximum (not including tables/figures). The cover page, the lay summary, the budget and references do not count towards the 5-page maximum.

·  Maximum of two figures or tables can be added.

·  Application must be in Calibri, 12 point font. Margins should be 1” on all sides.

·  Attach CV(s) (any format) of the PI(s).

·  Please include a 150 word lay summary of your research proposal in the indicated section below. This summary should describe your proposal in plain-language that can be understood by individuals who do not have scientific training. Include an explanation of the main benefits of this research to patients, society or the scientific enterprise. This lay summary does not count towards your 5-page maximum.

·  The complete application (application form + figure/tables + CVs) should be sent in ONE PDF FILE

Project Title:

PI Information:

PI #1: / PI #2 (optional):
Name
Email Address
Phone Number

Trainees are not eligible to be a PI in the Angels Den competition

Co-Investigator (if relevant):

(Scientists who are involved in the project but will NOT be presenting in the Angels Den)

Competition Stream: (choose one that is best aligned with the research)

□ Biomedical Innovation □ Social Innovation

Lay Summary: (plain-language) 150 word limit

Cover section – does not count towards 5 page maximum

Angels Den - Full Application

--- 5 page maximum begins ---

Background and Objectives (suggest 1 page)

How is your Project Innovative? (suggest ½ page)

Methods and Deliverables (suggest 2 pages)

Expected Results and Impact (suggest 1 page)

Experience and Expertise of the Applicant(s) (suggest ½ page max)

You may attach a maximum of TWO Tables/Figures

--- 5 page maximum ends ---
Budget (for $100,000)
Year / Salaries / Operations / Total/Year
1
2

Budget Justification – max 1/2 page to justify how you would use $100,000 for this project

References – max 1 page

3

Budget and References – do not count towards 5 page maximum