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Title of Project |
| 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*
* A cover letter detailing changes from the original application is required for
all re-submissions. The OTA Research Committee will review both the
original application and re-submitted application. |
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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 a maximum of 1,800 words.
- Grant applications exceeding the word limit will not be considered for funding.
- Please include References (1 page) and a completed Grant Budget Sheet. These are NOT included in the 1,800 word limit.
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I. Specific Aims (250 words maximum):
In this section please define the clinical or basic science
problem that exists that deserves investigation. Provide a null
hypothesis and specific aims. It should be brief and concise. |
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II. Background & Significance
(350 words maximum; if preliminary data is available, include here):
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. Research Design and Method (1,000 words maximum):
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 (200 words maximum):
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. |
| V. References (1 page maximum) |
| Supporting Documents:
When you submit the application, you will be provided via email with a link to
submit a Detailed Budget and OTA Member Letter of Support. (Note: This can be submitted with the application or
any time before 1/12/10) |
VI. Detailed Budget:
Please download and complete the budget form. |
VII. OTA Member Letter of Support (1 page maximum)
Brief letter from the OTA co-investigator (less than one page) that acknowledges the resident involvement and clearly demonstrates that this is not an "add on" application to increase funding for current research that has already begun. |
Grant Application File: |
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Please call Kathleen Caswell at (847) 698-1631 with questions regarding this form.