Jeffress Trust Awards Program in Interdisciplinary Research
A program of the Thomas F. and Kate Miller Jeffress Memorial Trust
2018Application Face Sheet
Note: Submitting institutions must conduct an internal selection process
Project Period & Award Amount: June 30, 2018 – June 29, 2019/ One-Year Award of $100,000 - Indirect Costs are not allowedTITLE OF PROJECT / KEY WORDS
APPLICANT Male Female / DEPARTMENT or DIVISION CHAIR
Name and Degree: / Name and Degree:
Full Academic Title: / Full Academic Title:
Department: / Department:
Institution: / Institution:
Address: / Address:
Telephone/Fax: / Telephone/Fax:
Email: / Email:
AUTHORIZED INSTITUTIONAL REPRESENTATIVE / INSTITUTIONAL OFFICER TO RECEIVE FUNDS
Name: / Name:
Title: / Title:
Institution: / Institution:
Address: / Address:
Telephone: / Telephone:
Email: / Email:
CERTIFICATION: By signing this Face Sheet, we certify that the statements contained in this application are true and complete to the best of our knowledge, and accept the terms of the Jeffress Trust Awards Program in Interdisciplinary Researchas documented in the “Terms of the Award.” The institution confirms that this proposal was nominated for submission as a result of an internal selection process. The Applicant’s signature also confirms responsibility for obtaining any animal use, human subjects, and/or other required institutional approvals.
Signature of Authorized Institutional Representative / Signature of Applicant
Date: / Date:
Contact: Jeanne Brown, 617-279-2240, x709
Make sure ALL pages in the uploaded PDF are numbered!
Table of Contents
Application Face Sheet...... 1
Table of Contents ...... 2
Research Project Summary and Performance Sites ...... 3
Non-Technical Project Summary ......
Applicant Biosketch......
Co-Investigators’Biosketch (es) (if applicable)……………………………………………………
Department or Division Chair’s Letter of Recommendation and Commitment.....
Letter(s) of Collaboration/Biosketches (if applicable)......
Budget FormA......
Budget Justification Form B……………………………………………………………………
Student Researcher Plan Form C …………………………………………………………………
Current and Pending Grant Support...... ….
Research Proposal......
Research Project Summary and Performance Site(s)
State the project’s broad, long-term objectives and specific aims. Describe concisely the research design and methods for achieving these goals. This abstract is meant to serve as a succinct and accurate description of the proposed work when separated from the application andwill be posted on our website if the project is funded. All Greek letters and scientific symbols need to be spelled out. For example, “”would appear as “alpha.”
(300 wordmaximum)
Key Words:Project Summary:
Performance Site(s)(institution, city, state):
Non-Technical Project Summary
Present a lay-language description of the proposed research that can be understood by the general public. (200 word maximum)
Budget - Form A
(no indirect costs allowed)
PERSONNEL(NAME, TITLE) / ROLE / % EFFORT / SALARY / FRINGE / TOTALS
PERSONNEL SUBTOTALS / $ / $ / $
EQUIPMENT
EQUIPMENT SUBTOTAL / $
SUPPLIES
SUPPLIES SUBTOTAL / $
OTHER EXPENSES (List by category)
OTHER EXPENSES SUBTOTAL / $
TOTAL COSTS / $ 100,000.00
Form B
JUSTIFICATION OF PROJECT EXPENSES
(Requested from Jeffress Trust)
Personnel:
Equipment:
Supplies:
Other:
Student Research Plan – Form C
1. / Please describe the applicant’s experience mentoring and supervising student researchers. If there is no previous experience, please describe the resources available to undertake this role.2. / Who will be directly responsible for the student mentoring? If not the applicant, please describe the oversight of the student’s research activities.
3. / How will students be selected? How many will be selected?
4. / What is the training plan to prepare the students for their role in the research?
5. / Where will the students work?
6. / How many hours a week will the students work?
7. / Please describe the benefits to the students for participating on this project. What skill or knowledge will they gain? (e.g. technical, presentation skills…)
Current and Pending Support
Copy and Paste for Each Funding Source
1. / Title of Project:2. / Funding Source, Type of Grant and PI:
3. / Role of Jeffress Award Applicant:
4. / Funding Dates: / Start: / End:
5. / Total Direct Costs: / $
6. / Status: / Active: / Pending (date of notification):
7. / Describe any scientific or budgetary overlap with the proposed Jeffress Award research project and outline a plan to avoid duplication of funding (use extra space as needed):