Award year
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Please download the Letter of Intent guidance and biosketch templates required for your submission. You will be promted to upload your completed documents as part of your application. When you click on the link to download the template, you will be asked "Do you want to leave this site? Changes you made may not be saved." Please select LEAVE. Do not worry, your online application will not be affected. Alternatively, you can right-click on the link and select "open in new tab."
COMPETITIVE LETTER OF INTENT GUIDANCE AND TEMPLATE:
BIOSKETCH TEMPLATE: A completed biosketch is required for Principal Investigator (lead) and all named Co-Principal Investigators.
Please find biosketch instructions and sample at
Grants.NIH.gov.
Project title
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Project Abstract
Please provide an abstract or a brief description of your project, including a clear statement of the aims and their relevance to human health as well as an outline how the project helps address the identified translational science problem. (maximum 250 words)
* must provide value
Keywords
Identify the name(s) of the disease(s) or condition(s) being studied, or the focus and/or methodology of the study. Provide up to five keywords or short phrases. Use a semicolon to separate entries.
* must provide value
Translational research phase(s)
For additional information on the translational research phases, please visit the Tufts CTSI website * must provide value
Please check all that apply
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
Does your study involve human or animal subjects?
For more information on human subjects research, please see the NIH definition available at Grants.NIH.gov * must provide value
Please check all that apply
Does the proposed research meet the NIH definition of a clinical trial?
For more information, please see the NIH definition of a clinical trial at Grants.NIH.gov * must provide value
Yes No Not sure
Early Phase 1
Phase 1
Phase 1-2
Phase 2
Phase 2-3
Phase 3
Phase 4
Not sure
PLEASE NOTE: Tufts CTSI can only support clinical trial activity through the end of Phase IIB.
The option " " can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?
Required regulatory approval(s)
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Please check all that apply
Does the proposed research involve a foreign component, as defined by NIH? E.g., is any element or segment of the proposed research intended to be performed outside of the U.S. and/or with data previously gathered outside of the U.S., by a non-U.S. vendor, or a collaborator employed by a foreign entity? If applicable, is the partnership with a collaborator at a foreign site anticipated to result in co-authorship, use of facilities or instrumentation at a foreign site, or receipt of financial support or resources from a foreign entity?
For more information, please see the NIH definition of a foreign component at ncats.nih.gov * must provide value
Yes No Not sure
Please describe
* must provide value
Project information section end
Award information section end
LETTER OF INTENT:
Please upload the completed Letter of Intent form.
* must provide value
Project documents section end
All proposals must designate a PI with a primary appointment or position at a Tufts CTSI-affiliated partner organization. Â To see a list of eligible organizations, please refer to the S-GATS Program RFA available here . For questions or assistance, please reach out to the S-GATS Program Team at sgats@tuftsmedicine.org .
Title or position
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First name
* must provide value
Last name
* must provide value
Degree(s)
* must provide value
Check all that apply
Degree(s), other
* must provide value
Primary affiliation
* must provide value
Action for Boston Community Development (ABCD) Asian Community Development Corporation Asian Task Force Against Domestic Violence Asian Women for Health Authentic Caribbean Foundation Boston Chinatown Neighborhood Center Brandeis University Broad Institute Center for Information and Study on Clinical Research Participation Cooperative Services Inc. Support & Development Critical Path Institute Greater Boston Chinese Golden Age Center Greater Boston Section of the National Council of Negro Women Health Resources in Action Kaiser Permanente Center for Health Research Institute for Clinical Research and Health Policy Studies Lahey Hospital and Medical Center Maine Medical Center Massachusetts Biotechnology Education Foundation Massachusetts General Hospital Institute of Health Professions Massachusetts Institute of Technology Medical Legal Partnership, Boston Museum of Science, Boston New England Quality Care Alliance Newton-Wellesley Hospital Northeastern University Phillips Research Point32Health RAND Corporation Rounding The Bases, Inc. The Jackson Laboratory The People's Academy Tufts Medical Center/Tufts Medicine Tufts University Union Capital Boston Urban College of Boston
School or center
* must provide value
Tufts University School of Graduate Biomedical Sciences Tufts University School of Engineering Tufts University Cummings School of Veterinary Medicine Tufts University Fletcher School of Law and Diplomacy Tufts University Friedman School of Nutrition Science and Policy Tufts University School of Dental Medicine Tufts University School of Arts and Sciences Tufts University Tisch College of Citizenship and Public Service Tufts University Jean Mayer USDA Human Nutrition Research Center on Aging Tufts University School of Medicine Tufts Center for the Study of Drug Development Other
School or center, other
* must provide value
Department
Please provide the department name. If your organization does not have a department, simply input N/A.
* must provide value
Student or trainee status
Please specify your student or trainee status, if applicable.
* must provide value
Clinical Fellow Clinical Intern Clinical Resident Student T Awardee K Awardee Other Not applicable
Student or trainee status, other
* must provide value
Academic rank
Please specify your academic rank, if applicable.
* must provide value
Distinguished Professor Professor Associate Professor Assistant Professor Lecturer Instructor Adjunct Professor Clinical Associate Other Not Applicable
Academic rank, other
* must provide value
Email address
Please provide email address associated with your primary affiliation.
* must provide value
Phone number
Please provide phone number associated with your primary affiliation.
* must provide value
Business address
Please provide mailing address associated with your primary affiliation.
* must provide value
State
* must provide value
Alabama Alaska Arizona Arkansas California Colorado Connecticut Washington D.C. Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip code
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BIOSKETCH :
Please upload your completed biosketch.
* must provide value
PRINCIPAL INVESTIGATOR section end
Research teams may include collaborators who are and who are not affiliated with Tufts CTSI.
Number of senior/key collaborators
* must provide value
None 1 2 3 4 5
COLLABORATOR 1 INFORMATION Collaborator's role on the project:
* must provide value
Co-Principal Investigator Co-Investigator Other
Collaborator's role, other
* must provide value
Collaborator's first name
* must provide value
Collaborator's last name
* must provide value
Collaborator's degree(s)
* must provide value
Check all that apply
Collaborator's degree(s), other
* must provide value
Collaborator's primary affiliation
* must provide value
Action for Boston Community Development (ABCD) Asian Community Development Corporation Asian Task Force Against Domestic Violence Asian Women for Health Authentic Caribbean Foundation Boston Chinatown Neighborhood Center Brandeis University Broad Institute Center for Information and Study on Clinical Research Participation Cooperative Services Inc. Support & Development Critical Path Institute Greater Boston Chinese Golden Age Center Greater Boston Section of the National Council of Negro Women Health Resources in Action Kaiser Permanente Center for Health Research Institute for Clinical Research and Health Policy Studies Lahey Hospital and Medical Center Maine Medical Center Massachusetts Biotechnology Education Foundation Massachusetts General Hospital Institute of Health Professions Massachusetts Institute of Technology Medical Legal Partnership, Boston Museum of Science, Boston New England Quality Care Alliance Newton-Wellesley Hospital Northeastern University Phillips Research Point32Health RAND Corporation Rounding The Bases, Inc. The Jackson Laboratory The People's Academy Tufts Medical Center/Tufts Medicine Tufts University Union Capital Boston Urban College of Boston Other
Collaborator's primary affiliation, other
* must provide value
Collaborator's school or center
* must provide value
Tufts University School of Graduate Biomedical Sciences Tufts University School of Engineering Tufts University Cummings School of Veterinary Medicine Tufts University Fletcher School of Law and Diplomacy Tufts University Friedman School of Nutrition Science and Policy Tufts University School of Dental Medicine Tufts University School of Arts and Sciences Tufts University Tisch College of Citizenship and Public Service Tufts University Jean Mayer USDA Human Nutrition Research Center on Aging Tufts University School of Medicine Tufts Center for the Study of Drug Development Other
Collaborator's school or center, other
* must provide value
Collaborator's academic rank
* must provide value
Distinguished Professor Professor Associate Professor Assistant Professor Lecturer Instructor Adjunct Professor Clinical Associate Other Not Applicable
Collaborator's academic rank, other
* must provide value
Collaborator's email
* must provide value
BIOSKETCH :
Please upload biosketch for Collaborator 1.
* must provide value
COLLABORATOR 2 INFORMATION Collaborator's role on the project:
* must provide value
Co-Principal Investigator Co-Investigator Other
Collaborator's role, other
* must provide value
Collaborator's first name
* must provide value
Collaborator's last name
* must provide value
Collaborator's degree(s)
* must provide value
Check all that apply
Collaborator's degree(s), other
* must provide value
Collaborator's primary affiliation
* must provide value
Action for Boston Community Development (ABCD) Asian Community Development Corporation Asian Task Force Against Domestic Violence Asian Women for Health Authentic Caribbean Foundation Boston Chinatown Neighborhood Center Brandeis University Broad Institute Center for Information and Study on Clinical Research Participation Cooperative Services Inc. Support & Development Critical Path Institute Greater Boston Chinese Golden Age Center Greater Boston Section of the National Council of Negro Women Health Resources in Action Kaiser Permanente Center for Health Research Institute for Clinical Research and Health Policy Studies Lahey Hospital and Medical Center Maine Medical Center Massachusetts Biotechnology Education Foundation Massachusetts General Hospital Institute of Health Professions Massachusetts Institute of Technology Medical Legal Partnership, Boston Museum of Science, Boston New England Quality Care Alliance Newton-Wellesley Hospital Northeastern University Phillips Research Point32Health RAND Corporation Rounding The Bases, Inc. The Jackson Laboratory The People's Academy Tufts Medical Center/Tufts Medicine Tufts University Union Capital Boston Urban College of Boston Other
Collaborator's primary affiliation, other
* must provide value
Collaborator's school or center
* must provide value
Tufts University School of Graduate Biomedical Sciences Tufts University School of Engineering Tufts University Cummings School of Veterinary Medicine Tufts University Fletcher School of Law and Diplomacy Tufts University Friedman School of Nutrition Science and Policy Tufts University School of Dental Medicine Tufts University School of Arts and Sciences Tufts University Tisch College of Citizenship and Public Service Tufts University Jean Mayer USDA Human Nutrition Research Center on Aging Tufts University School of Medicine Tufts Center for the Study of Drug Development Other
Collaborator's school or center, other
* must provide value
Collaborator's academic rank
* must provide value
Distinguished Professor Professor Associate Professor Assistant Professor Lecturer Instructor Adjunct Professor Clinical Associate Other Not Applicable
Collaborator's academic rank, other
* must provide value
Collaborator's email
* must provide value
BIOSKETCH :
Please upload biosketch for Collaborator 2.
* must provide value
COLLABORATOR 3 INFORMATION Collaborator's role on the project:
* must provide value
Co-Principal Investigator Co-Investigator Other
Collaborator's role, other
* must provide value
Collaborator's first name
* must provide value
Collaborator's last name
* must provide value
Collaborator's degree(s)
* must provide value
Check all that apply
Collaborator's degree(s), other
* must provide value
Collaborator's primary affiliation
* must provide value
Action for Boston Community Development (ABCD) Asian Community Development Corporation Asian Task Force Against Domestic Violence Asian Women for Health Authentic Caribbean Foundation Boston Chinatown Neighborhood Center Brandeis University Broad Institute Center for Information and Study on Clinical Research Participation Cooperative Services Inc. Support & Development Critical Path Institute Greater Boston Chinese Golden Age Center Greater Boston Section of the National Council of Negro Women Health Resources in Action Kaiser Permanente Center for Health Research Institute for Clinical Research and Health Policy Studies Lahey Hospital and Medical Center Maine Medical Center Massachusetts Biotechnology Education Foundation Massachusetts General Hospital Institute of Health Professions Massachusetts Institute of Technology Medical Legal Partnership, Boston Museum of Science, Boston New England Quality Care Alliance Newton-Wellesley Hospital Northeastern University Phillips Research Point32Health RAND Corporation Rounding The Bases, Inc. The Jackson Laboratory The People's Academy Tufts Medical Center/Tufts Medicine Tufts University Union Capital Boston Urban College of Boston Other
Collaborator's primary affiliation, other
* must provide value
Collaborator's school or center
* must provide value
Tufts University School of Graduate Biomedical Sciences Tufts University School of Engineering Tufts University Cummings School of Veterinary Medicine Tufts University Fletcher School of Law and Diplomacy Tufts University Friedman School of Nutrition Science and Policy Tufts University School of Dental Medicine Tufts University School of Arts and Sciences Tufts University Tisch College of Citizenship and Public Service Tufts University Jean Mayer USDA Human Nutrition Research Center on Aging Tufts University School of Medicine Tufts Center for the Study of Drug Development Other
Collaborator's school or center, other
* must provide value
Collaborator's academic rank, other
* must provide value
Collaborator's academic rank
* must provide value
Distinguished Professor Professor Associate Professor Assistant Professor Lecturer Instructor Adjunct Professor Clinical Associate Other Not Applicable
Collaborator's email
* must provide value
BIOSKETCH :
Please upload biosketch for Collaborator 3.
* must provide value
COLLABORATOR 4 INFORMATION Collaborator's role, other
* must provide value
Collaborator's role on the project:
* must provide value
Co-Principal Investigator Co-Investigator Other
Collaborator's first name
* must provide value
Collaborator's last name
* must provide value
Collaborator's degree(s)
* must provide value
Check all that apply
Collaborator's degree(s), other
* must provide value
Collaborator's primary affiliation
* must provide value
Action for Boston Community Development (ABCD) Asian Community Development Corporation Asian Task Force Against Domestic Violence Asian Women for Health Authentic Caribbean Foundation Boston Chinatown Neighborhood Center Brandeis University Broad Institute Center for Information and Study on Clinical Research Participation Cooperative Services Inc. Support & Development Critical Path Institute Greater Boston Chinese Golden Age Center Greater Boston Section of the National Council of Negro Women Health Resources in Action Kaiser Permanente Center for Health Research Institute for Clinical Research and Health Policy Studies Lahey Hospital and Medical Center Maine Medical Center Massachusetts Biotechnology Education Foundation Massachusetts General Hospital Institute of Health Professions Massachusetts Institute of Technology Medical Legal Partnership, Boston Museum of Science, Boston New England Quality Care Alliance Newton-Wellesley Hospital Northeastern University Phillips Research Point32Health RAND Corporation Rounding The Bases, Inc. The Jackson Laboratory The People's Academy Tufts Medical Center/Tufts Medicine Tufts University Union Capital Boston Urban College of Boston Other
Collaborator's primary affiliation, other
* must provide value
Collaborator's school or center
* must provide value
Tufts University School of Graduate Biomedical Sciences Tufts University School of Engineering Tufts University Cummings School of Veterinary Medicine Tufts University Fletcher School of Law and Diplomacy Tufts University Friedman School of Nutrition Science and Policy Tufts University School of Dental Medicine Tufts University School of Arts and Sciences Tufts University Tisch College of Citizenship and Public Service Tufts University Jean Mayer USDA Human Nutrition Research Center on Aging Tufts University School of Medicine Tufts Center for the Study of Drug Development Other
Collaborator's school or center, other
* must provide value
Collaborator's academic rank
* must provide value
Distinguished Professor Professor Associate Professor Assistant Professor Lecturer Instructor Adjunct Professor Clinical Associate Other Not Applicable
Collaborator's academic rank, other
* must provide value
Collaborator's email
* must provide value
BIOSKETCH :
Please upload biosketch for Collaborator 4.
* must provide value
COLLABORATOR 5 INFORMATION Collaborator's role on the project:
* must provide value
Co-Principal Investigator Co-Investigator Other
Collaborator's role, other
* must provide value
Collaborator's first name
* must provide value
Collaborator's last name
* must provide value
Collaborator's degree(s)
* must provide value
Check all that apply
Collaborator's degree(s), other
* must provide value
Collaborator's primary affiliation
* must provide value
Action for Boston Community Development (ABCD) Asian Community Development Corporation Asian Task Force Against Domestic Violence Asian Women for Health Authentic Caribbean Foundation Boston Chinatown Neighborhood Center Brandeis University Broad Institute Center for Information and Study on Clinical Research Participation Cooperative Services Inc. Support & Development Critical Path Institute Greater Boston Chinese Golden Age Center Greater Boston Section of the National Council of Negro Women Health Resources in Action Kaiser Permanente Center for Health Research Institute for Clinical Research and Health Policy Studies Lahey Hospital and Medical Center Maine Medical Center Massachusetts Biotechnology Education Foundation Massachusetts General Hospital Institute of Health Professions Massachusetts Institute of Technology Medical Legal Partnership, Boston Museum of Science, Boston New England Quality Care Alliance Newton-Wellesley Hospital Northeastern University Phillips Research Point32Health RAND Corporation Rounding The Bases, Inc. The Jackson Laboratory The People's Academy Tufts Medical Center/Tufts Medicine Tufts University Union Capital Boston Urban College of Boston Other
Collaborator's primary affiliation, other
* must provide value
Collaborator's school or center
* must provide value
Tufts University School of Graduate Biomedical Sciences Tufts University School of Engineering Tufts University Cummings School of Veterinary Medicine Tufts University Fletcher School of Law and Diplomacy Tufts University Friedman School of Nutrition Science and Policy Tufts University School of Dental Medicine Tufts University School of Arts and Sciences Tufts University Tisch College of Citizenship and Public Service Tufts University Jean Mayer USDA Human Nutrition Research Center on Aging Tufts University School of Medicine Tufts Center for the Study of Drug Development Other
Collaborator's school or center, other
* must provide value
Collaborator's academic rank
* must provide value
Distinguished Professor Professor Associate Professor Assistant Professor Lecturer Instructor Adjunct Professor Clinical Associate Other Not Applicable
Collaborator's academic rank, other
* must provide value
Collaborator's email
* must provide value
BIOSKETCH :
Please upload biosketch for Collaborator 5.
* must provide value
Principal Investigator Signature
Please type in your first name and last name.
Principal Investigator Signature Date
Today M-D-Y
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