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Dear Applicant:
Thank you for your request for an application for our Grants
Program.
Applications may be submitted upon invitation only.
To obtain an invitation, please send a 1-2 page summary
of your proposal to James Gnarra, Ph.D., Chairman., via e-mail to research@vhl.org.
Once Dr. Gnarra has approved this summary and invited you to apply, please
proceed to formal application.
Enclosed please find the application. Kindly complete
and submit the enclosed application
electronically (Word, rtf, or pdf) to:
James Gnarra , Ph.D. research@vhl.org
One elecronic copy (Word, rtf or pdf) of the completed application must
reach the Alliance no later than March 31 , 2008,
for consideration for the next funding period.
The Alliance's normal grant year is from July 1, 2007, through
June 30, 2008. Should a different time schedule be
necessary, please explain on the Justification of Budget page.
All information regarding the evaluation and critique of grant proposals
is confidential and will not be released to any investigators.
For your information, a list of the grants funded by the Alliance for
the past several years can be found on the Internet at http://www.vhl.org/research
Sincerely,
| James Gnarra |
Joyce W. Graff |
Bruce S. Weinberg |
James Gnarra, Ph.D.
Chair, Research Committee |
Joyce Wilcox Graff
Executive Director, VHLFA |
Bruce S. Weinberg, J.D.
Chairman of the Board, VHLFA |
(new page)
VHLFamily Alliance
VHL Fund for Cancer Research
Grants Program
Dedicated to improving diagnosis, treatment, and quality
of life
for individuals and families affected by von Hippel-Lindau
Application for Research Grant
Part I - Project Summary
Title of Proposed Project
Total Funds Requested: (1 year) ________
(2 years)_________ (3 years)_________
From July 1, 2008
Principal Investigator:
Name:
Title:
Address:
Telephone:
Fax number:
E-mail:
Degrees and Field(s) of Specialization:
Sponsoring Institution
Name:
Address:
Address where research is to be performed (if different):
Name & Title of Authorized Responsible Administrative
Official:
Does this project involve human subjects?
Yes_____ No_____
If yes, has project been cleared with sponsoring institution?
Yes_____ No_____
Are legally acceptable consent forms and procedures enclosed?
Payee as it should appear on all checks:
Institutional official to whom checks should be mailed:
Certification: We, the
undersigned, certify that the statements contained herein are true and
complete to the best of our knowledge, and we agree to accept the terms
and conditions of the VHL Family Alliance, Inc., in effect at the time
of award of the Grant for which we hereby apply.
Signed: __________________________________
Principal Investigator |
_______________________________________
Department Chairman |
Dated: ___________________________________
|
_______________________________________
Responsible Administrator |
(new page)
VHL Family Alliance
VHL Fund for Cancer Research
Part II - Application for Grant
Scientific Summary of Project: (limit to half-page
single spaced)
Description of Project in lay terms: (limit
to half-page single spaced. To be used by non-scientific national
officers of the Alliance)
(new page)
Detailed Budget for First Year
Salaries: Title of Position
% Effort % of Salary Fringe Benefits
Total
(Professional)
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
(Non-Professional)
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Equipment (list each item)
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Supplies
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Miscellaneous Expenses:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Total Direct Costs: __________________________________________________________________________
Indirect Costs: (VHLFA grants include no overhead)
__________________________________________________________________________
Total Budgetary Request for First Year __________________________________________________________________________
(new page)
Justification of Budget
Explain Salary requests for all personnel for the year. Justify
equipment requirements.
(new page)
Research Support
Please list all research support, current and pending.
Please include:
- a) All other sources of support
- b) Title of project
- c) Amount of support and percent effort of applicant
- d) Period of support
- e) Name of primary investigator
- f) Indicate relationship of this proposed project to all current support
and/or to any pending applications.
(new page)
Research Plan
- (Not to exceed 5 pages, not counting progress report in renewal applications).
- Applications exceeding 5 pages limit will be returned
to the applicant.
Your Research Plan must include the following items:
A. Specific Aims: List Specific objectives for the
period of requested support
B. Significance (Please emphasize implications for
VHL).
- Background (previous work in area by others and preliminary work
or background studies by investigator(s)
- Rationale
C. Progress Report or Preliminary Data (required
for renewal applications) should include: summary in 200 words or less;
detailed report on progress toward objectives; publications/manuscripts
resulting from project
D. Experimental methods
E. Facilities available to carry out proposed study.
F. Appendix - Optional - Attach reprints of relevant
published material of applicant.
G. Attach approved consent form if human subjects
are at risk.
(new page)
Biographical Sketches for each Investigator
Your biographical sketches for each investigator must include the following
items:
1. Name, date of birth
2. Academic and Institutional titles
3. Education (year of degree, degree awarded, institution)
4. Chronological listing of professional experience
and positions
5. Publications
The format used for NIH applications is acceptable.
Right-click here to download this application
in rich text format (rtf)
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