2015 Research Awards Program

Cutaneous Lymphoma Foundation (CLF) Research Awards Program (RAP)

CLARIONS Grant Application

Overview

The format for the Cutaneous Lymphoma Foundation's Research Awards application is intended to allow investigators to present their proposals in a succinct fashion, demonstrating the questions to be addressed, the significance of the questions in relation to basic or clinical research in cutaneous lymphoma, an outline of the techniques to be utilized, and the competence of the investigator to complete the work proposed. These awards are intended to support preliminary experiments that will be suitable in expanded form for the National Institutes of Health and other funding.

Directions
Complete application form and click on "Submit" button to receive a digital copy by email. Return the application form electronically with the additional required materials as specified in the CLARIONS Grant Manual (also listed at the bottom of this form).

1. Project Description

Title of Research Project: *This question is required.

2. Funding Period: *This question is required.

3. Applicant Data

Salutation *This question is required.

First Name *This question is required.

Middle Initial

Last Name *This question is required.

Degree *This question is required.

Date of Birth *This question is required.

calendar

Mailing Address *This question is required.

Country *This question is required.

Office Phone *This question is required.

Mobile Phone *This question is required.

Fax Number

Home Phone

Email Address *This question is required.

Position (Title) *This question is required.

Institution *This question is required.

4. Other Funding *This question is required.

I am NOT currently supported by or seeking funding from other sources for this or other project.
I am currently supported by or seeking funding for Please enter an 'other' value for this selection.

Comments:

5. Please list all the current research support indicating the source, start date and amount. Please identify any grants/awards that have budgetary overlap with this application:

	Type of Support	Source	Date	Amount	Yes	No
	Type of Support	Source	Date	Amount	Overlap
1	Type of Support	Source	Date	Amount	1: Overlap: Yes	1: Overlap: No
2	Type of Support	Source	Date	Amount	2: Overlap: Yes	2: Overlap: No
3	Type of Support	Source	Date	Amount	3: Overlap: Yes	3: Overlap: No
4	Type of Support	Source	Date	Amount	4: Overlap: Yes	4: Overlap: No
5	Type of Support	Source	Date	Amount	5: Overlap: Yes	5: Overlap: No

Additional research support sources may be listed in a separate document and included in the application submission packet.

Click the "Submit" button to receive a digital copy (pdf) of your application form via email. The application form must accompany the following materials and be sent electronically to the research@clfoundation.org to be considered for the Research Award Program grant:

Application Checklist
Title Page and Abstract
Layman's Statement
Budget
Applicant's Biographical Sketch (use NIH format)
Mentor's Letter of Support (only for Fellows)
Research Proposal

2015 Research Awards Program

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