Principal Investigator: NAME

Date: DATE

***Please complete this application and remove or replace all the blue, italic instructions.***

Project Title: Must be different from ongoing or pending research.

Principal Investigator(s):

Name (primary contact person)
Organization
Address
Email
Phone Number / Name Co PI (if applicable)
Organization
Address
Email
Phone Number

Project Duration: XX Months

Amount Requested:

Direct:
Indirect (Max 8%):
TOTAL: / (Max $15,000)

Is this an application resubmission? oYes oNo

Lay Abstract:

Limit to 250 words - Statement of Research Problem and Objectives in lay language for public audiences


STUDY PROPOSAL

1.  Scientific Abstract

Scientific summary of research in 250 words or less

2. Statement of Purpose/Hypothesis/Objectives

Specific objectives must be different from ongoing or pending research

3. Background of Proposed Research

Significance to Canine Health: If applicable, significance to specific breeds

Literature Review:

Preliminary Studies:

Description of preliminary data that supports the hypothesis. Please indicate if previous CHF funding was used to generate the data.

4. Experimental Methods and Design

Detailed description about methods to be used for each objective

5. Animals

Since CHF has restrictions on dogs used in research, please clearly indicate where the participating dogs and/or samples will be obtained. Specific treatment protocols for the animals should be included in the Experimental Methods and Design. CHF will not fund the purchase of dogs, support of dog research colonies, projects involving disease induction or injury models in dogs, or euthanasia of healthy dogs.

6. Expected Outcome, Significance, and Application of Findings

Limit 200 words

7. Anticipated Problems or Obstacles

Limit 200 words

LIST OF INVESTIGATORS

List the Primary Investigator and Co-Investigators with their credentials and role descriptions. NIH Biographical Sketch (http://grants.nih.gov/grants/funding/phs398/biosketch.doc) format may be used and attached to the application.

REFERENCES

BUDGET ESTIMATES

Provide Cost Estimates based on the below categories. Please complete the table as applicable to your project.

·  Salary (non-tenured, non-tenure track, non-professional investigators)

·  Supplies and Reagents

·  Clinical Tests

·  Sample Collection Expenses

·  Other (please specify)

·  Institutional Indirect Costs (Max of 8%)

CHF does not financially support the following:

·  Salary of tenure-track faculty (university) or professional, salaried senior-staff (non-profit or for-profit)

·  Salary of tenure-track faculty (university) or professional, salaried senior-staff (non-profit or for-profit) for statistical analysis support

·  Laboratory equipment or non-disposable parts

·  Laboratory equipment repair or non-disposable parts

·  Computer equipment

·  Computer software

·  Development of custom-designed computer software

·  Tuition or registration fees for classes, training, or conferences

·  Travel expenses for any purpose, except those directly related to sample procurement (example: dog shows)

·  Transportation of dogs

Category / Cost per sample
(if applicable) / Cost
Total Direct Costs
Indirect Costs (Max of 8%)
Total Costs

Budget Justification

Tenure status information must be provided for all Principal Investigators and Professorship titles requesting salaryor they will be assumed to be tenure or tenure-tracked and not eligible for funding.

PROJECT TIMELINE

Project timeline that identifies intermediate project milestones with dates for specific objectives to be completed.

ONGOING/PENDING/PREVIOUS RESEARCH SUPPORT

1.  Include any previous or current CHF funding including grant number and title.

2.  Provide a brief description of other related ongoing or pending research support by project title, funding source and amount approved or requested.

3.  If the manufacturer of the drug or technology may benefit financially from the results of the study, indicate their contribution to the study.

LETTERS OF SUPPORT

Please include letters of support from Breed Clubs and/or collaborators, if applicable.

AKC Canine Health Foundation, Inc Page 4 of 4