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NASBS

NASBS

North American Skull Base Society

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Research Grant Application

Research Grant Application

"*" indicates required fields

The NASBS seeks to promote meritorious proposals from a diverse group of researchers. To help NASBS promote diversity in the research grants, we are asking the following questions about gender, race, and ethnic groups. These are optional, and applicants are not obligated to answer.
Ethnic Category
Racial Category

Correspondence

Please use the following information for all correspondence regarding this grant application
Principal Investigator*
Principal investigator must be an NASBS Member.
Mailing Address*

Grant Information

Type of Grant*
Clinical Research: Investigations that are centered on clinical care seeking answers to novel questions through well designed prospective or retrospective methods.
Basic Science/Translational Research: Investigations targeting the underpinnings of relevant anatomic and pathologic states or seeking to take basic science concepts and apply them to skull base diseases and disorders.
Career Development Award: Applicants must demonstrate that they have applied for a K award, R01, R03, R21, U01 or similar NIH funding mechanism and did not meet funding score cutoff. The goal of this award mechanism is to provide funding to obtain additional preliminary data in order to be successful in the grant awardees grant award re-submission.
MM slash DD slash YYYY
MM slash DD slash YYYY
Co-Investigators
Name
Institution
Title
 
Please use the + icon to add new rows for new co-investigators
Please de-identify your cover letter to the extent possible.
Max. file size: 512 MB.
Your application should be written in size 12 font with 1' margins and should include the following:

1. Summary Abstract of Proposal Research Study (500 words maximum)

2. Research Plan with the following sections:
Specific Aims
Background/Significance
Methodology
Data analysis plan with sample size justification (if applicable)
IRB/IUCACV approval number or timeline for obtaining approval (as applicable)

3. Budget Jusification (please note that grants can not be used for salary support or indirect costs)
Provide an in-line item format, each expenditure item, and the cost associated

Please de-identify application materials to the extent possible.
Max. file size: 512 MB.
1. Submission of unsuccessful grant, score, and reviewer feedback
2. One Page description of how the award would help progress preliminary data and support grant re-submission
3. Proposed budget

Please de-identify application materials to the extent possible.
Drop files here or
Max. file size: 512 MB.
    Max. file size: 512 MB.
    Max. file size: 512 MB.
    Drop files here or
    Max. file size: 512 MB.

      Disclosures/Conflict of Interest

      Please disclose any employment, consultancies, stock ownership, honoraria, paid expert testimony, patent applications, research/travel grants, etc. for the Principal Investigator and each of the co-principal investigators.
      PI Disclosure*
      Anything to Disclose (Y/N)
      If Y, list companies, roles, what was received
       
      Please use the + icon to add new rows for new company disclosures. If you have nothing to disclose, enter N on the first line.
      Co-PI Disclosures
      Co-PI Name
      Anything to Disclose (Y/N)
      If Y, list companies, roles, what was received
       
      Please use the + icon to add new rows for new Co-PIs and/or new company disclosures. If all Co-PI's have nothing to disclose, create new rows for each Co-PI and enter N under Anything to Disclose.
      This field is for validation purposes and should be left unchanged.

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