Intent to Submit

Please tell us about the grant you plan to submit. If you don’t know some of this information, please leave it blank and submit the form with what you know. For any questions, please contact Maude Romney (maude.romney@utah.edu, 801-213-2366), or the Vice Chair for Research, Joseph B. Stanford (joseph.stanford@utah.edu, 801-587-3331).

For other support requests (e.g., to schedule a NPWG session, REDCap support, IRB support, assistance with nomination letters, etc.), please contact Eliza Taylor (eliza.taylor@utah.edu).

Name:

Email:

Tentative title and/or short title:

What is this project about? What do you propose to do? Please describe briefly (1-3 sentences):

Funding agency and institute/directorate (as applicable):

Funding Opportunity Announcement title and number, or URL:

University OSP deadline (5 working days prior to the sponsor deadline):

Names and roles of other investigators or key persons that will be involved (please include institution if outside the University of Utah):

Will there be subawards to outside entities? If yes, please include the name(s) of institution(s):

Is this a resubmission of a previous proposal?:

Does your project involve human subjects?:

Please name 3 people you would like to attend the DFPM New Proposal Working Group (external or internal):

When would you like to present to the DFPM New Proposal Working Group?:

Would you like to request external expert peer review (requires 2+ months)?:

Would you like to request technical editing of your grant proposal?:

If applicable, would you like to request IRB support?:

Would you like to consult with a biostatistician?:

Comments or additional requests:

Intent to Submit

Family & Preventive Medicine