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Title of Project |
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Principal Investigator (Resident) |
Full Name: |
Last Name
Degree
First Name
Middle |
Address: |
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City, State ZIP: |
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Country: |
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Telephone: |
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Fax: |
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E-mail: |
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Are you a Resident
Member of the OTA? (Principal or Co-Principal Investigator must
be a member.)
Yes
No |
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Is your research project:
Clinical Research
Basic Research |
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Is this application a:
new pre-proposal
revision of previously submitted pre-proposal |
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The Research Institution is located in North America.
Yes
No
(This is required. Funding will not
be granted for research conducted outside North America.) |
Co-Principal Investigator |
Full Name: |
Last Name
Degree
First Name
Middle |
Address: |
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City, State ZIP: |
,
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Country: |
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Telephone: |
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Fax: |
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E-mail: |
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Are you an OTA Member? (Principal
or Co-Principal Investigator must be a member.)
Yes
No |
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Grant Application File
- PLEASE SUBMIT A BLIND FILE (DO NOT REFERENCE NAMES OR INSTITUTIONS).
- The application is limited to (5) pages single spaced, 12-pt. type (or aprox. 1,500 words).
- Please include references (1 page). References are NOT included in the 5 page limit.
- Grant applications exceeding the page limit will not be considered for funding.
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I. Definition of the Research Question (1 page):
In this section please define the clinical or basic science
problem that exists that deserves investigation. Provide a null
hypothesis and specific aims. |
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II. Importance of the Research Question to
Orthopaedic Traumatology, Background, and Preliminary Data
(if available) (1 page):
Briefly present the impact you think your research might have
on orthopaedic trauma clinical practice or for future research
effects. |
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III. Detailed Research Design & Proposed Data Analysis (2 pages):
Give a brief review of your study design and research
method (as one would in an abstract for a meeting presentation). |
IV. Role of the Resident on the Project and Detailed Budget (1 page): :
Thoroughly describe the role the resident will play in the
research project, including development of the proposal, data
collection and analysis and formulation of the manuscript. |
Grant Application File: |
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Please call Kathleen Caswell at (847) 698-1631 with questions regarding this form.