APPLICATION FOR 2017
YCCI PILOT PROJECT GRANTS
The order of your application should be as follows:
Page LimitCandidate’s NIH-formatted biosketch / Up to 5 pages
Project Abstract / Up to ½ page
Specific Aims / Up to ½ page
Background/Preliminary Data / Up to 2 pages
Research Plans / Up to 4pages
Selected references / As needed
Other Support / As needed
Detailed Budget / As needed
Budget Justification / As needed
For Clinical Junior facultyPilot- Mentoring plan and current clinical commitment / Up to 1 page
Candidates MUST use the application and budget templates.
Application Deadlines:
Due date for letters of intent: November 20, 2017
Due date for full applications: December 18, 2017
Earliest anticipated start date: January - February, 2018
Insert Candidate’s NIH-formatted Biosketch:
Up to 5 pages each
- Principal Investigator’s NIH-formatted biosketch
- Biosketches from Co-Principal Investigators
Templates and samples can be found at:
Research Plan
Project Abstract (Limited to ½ page of text):
Specific Aims (Limited to ½ page of text):
Background/Preliminary Data (Limited to 2pageincluding text and graphics):
Research Plans (Limited to 4 pages including text and graphics):
Selected references. As needed
Other Support
This section should include a full description of other support, including all current and pending sources of funds with amounts and dates for each for all sources. (external and internal, including any start-up funds). The team leader and other faculty participants should list their other research support, highlighting any support that is available for the proposed project.
Detailed budget
Detailed budget and justification in template word file. A budget section should be included with a justification of why the funds are necessary and how they will be used to promote innovative new science and secure applications for extramural funding.
See RFA for funding limits.
Program Director/Principal Investigator (Last, First, Middle):DETAILED BUDGET FOR INITIAL BUDGET PERIOD
DIRECT COSTS ONLY
/ FROM / THROUGHList PERSONNEL (Applicant organization only)
Use Cal, Acad, or Summer to Enter Months Devoted to Project
Enter Dollar Amounts Requested (omit cents) for Salary Requested and Fringe Benefits
NAME / ROLE ONPROJECT / Cal.
Mnths / Acad.
Mnths / Summer
Mnths / INST.BASE
SALARY / SALARY
REQUESTED / FRINGE
BENEFITS / TOTAL
PD/PI
SUBTOTALS
CONSULTANT COSTS
EQUIPMENT (Itemize)
SUPPLIES (Itemize by category)
TRAVEL
INPATIENT CARE COSTS
OUTPATIENT CARE COSTS
ALTERATIONS AND RENOVATIONS (Itemize by category)
OTHER EXPENSES (Itemize by category)
CONSORTIUM/CONTRACTUAL COSTS / DIRECT COSTS
TOTAL DIRECT COSTS FOR INITIAL BUDGET PERIOD / $
PHS 398 (Rev. 6/09)Page Form Page 4
Program Director/Principal Investigator (Last, First, Middle):DETAILED BUDGET FOR INITIAL BUDGET PERIOD
DIRECT COSTS ONLY
/ FROM / THROUGHList PERSONNEL (Applicant organization only)
Use Cal, Acad, or Summer to Enter Months Devoted to Project
Enter Dollar Amounts Requested (omit cents) for Salary Requested and Fringe Benefits
NAME / ROLE ONPROJECT / Cal.
Mnths / Acad.
Mnths / Summer
Mnths / INST.BASE
SALARY / SALARY
REQUESTED / FRINGE
BENEFITS / TOTAL
PD/PI
SUBTOTALS
CONSULTANT COSTS
EQUIPMENT (Itemize)
SUPPLIES (Itemize by category)
TRAVEL
INPATIENT CARE COSTS
OUTPATIENT CARE COSTS
ALTERATIONS AND RENOVATIONS (Itemize by category)
OTHER EXPENSES (Itemize by category)
CONSORTIUM/CONTRACTUAL COSTS / DIRECT COSTS
TOTAL DIRECT COSTS FOR INITIAL BUDGET PERIOD / $
PHS 398 (Rev. 6/09)Page Form Page 4
Budget Justification
A detailed budget justification is required for all cost. Please use an additional page if needed.
Mentoring plan and current clinical commitment
Up to 1 page
Only for Clinical junior faculty pilot award