AACT Knowledge Translation Grant Award Application

Part 7 of Knowledge Translation Grant
Part 8 of Knowledge Translation Grant

Step 1 of 5

Study Title
Project Start Date
MM slash DD slash YYYY
Project End Date
MM slash DD slash YYYY
Total Budget Requested? (Round to the nearest dollar):

PRINCIPAL INVESTIGATOR INFORMATION
Principal Investigator Name and Degree(s)
First Middle Last Degree
Title(s) and Institution
Title(s) Institution
Department/Division
Mailing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Fax
Email
Percent Effort Committed to this Study:
Please disclose if you are in an AACT leadership position.
If you are not in an AACT leadership position, please put "NA."

OTHER INVESTIGATORS
Name
First Last Title(s)
Institution
Email
Percent Effort:
Name
First Last Title(s)
Institution
Email
Percent Effort:
Name
First Last Title(s)
Institution
Email
Percent Effort:

SPONSORING INSTITUTION
Please note that all funds will be disbursed to the Sponsoring Institution
Institution Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Grant Officer Name and Title
First Last Title(s)
Grant Officer Email
Grant Officer Phone
Grant Officer Fax
Grant Officer Mailing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

DETAILED BUDGET FOR STATED PROJECT PERIOD
Complete Part 7 of the Knowledge Translation Award Grant document found at the top of this page and attach here.
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Max. file size: 128 MB.
CERTIFICATION AND ACCEPTANCE
Complete Part 8 of the Knowledge Translation Award Grant document found at the top of this page and attach here.
Upload
Max. file size: 128 MB.
Description of proposed project plan on no more than five (5) pages (using 11 point font or larger, 8.5 x 11 inches paper, 1 inch margins, single spacing and single sided pages) under the following headings, with up to 2 additional pages for references:
1.Abstract of proposal (limit to one page); 2.Background; 3. Previous work directly related to this project completed by the principal investigators or other personnel involved in the study; 4.Objectives and hypothesis statement(s), if applicable; 5. Rationale and anticipated significance to the selected grant category; 6. Study design and methods to be used including: detailed study procedures, power calculation if applicable, plans for data analysis, and procedures for recruitment and retention of subjects if applicable; 7. Description of the collaborative roles of the study team; 8. Equipment and facilities available; 9. A tabular or graphic month-by-month timetable for completion of the project; and 10. References (up to 2 additional pages).
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Max. file size: 128 MB.
BIOGRAPHICAL DATA
Provide a four page biosketch for each investigator. In addition to the usual vital statistics, education, professional experience, and publications, each biosketch must include the individual's major research interest and a description of their research experience. The biosketch must be limited to 4 pages and must be submitted in the format provided in the PHS 398 form from the U.S. Department of Health and Human Services. (See www.grants.nih.gov/grants/funding/phs398/biosketchsample.doc.)
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Max. file size: 128 MB.

Step 1 of 5

PRINCIPAL INVESTIGATOR INFORMATION

OTHER INVESTIGATORS

SPONSORING INSTITUTION

DETAILED BUDGET FOR STATED PROJECT PERIOD

CERTIFICATION AND ACCEPTANCE

Description of proposed project plan on no more than five (5) pages (using 11 point font or larger, 8.5 x 11 inches paper, 1 inch margins, single spacing and single sided pages) under the following headings, with up to 2 additional pages for references:

BIOGRAPHICAL DATA

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