2018 Special Projects Grant

Fields marked with * are required.

Your form submission WILL be encrypted using SSL to ensure your privacy.

Submissions are due by midnight, January 5, 2018.

Project Title: *
Project Team: *
Primary Project Contact: *
Mailing Address: *
Email: *
Phone Number: *
Additional Team Members:
Project Information (Select Only One): *

Clear Selection

If you selected "Research Initiative", you must also answer the following questions:

Does your research involve human subjects?

Clear Selection
Have your received IRB approval from your institution?

Clear Selection
Please upload your IRB approval Documentation.

 
Project Starting Date: *
Project Ending Date: *
Attach a 500-word summary of the project: *
Project Budget: Amount Requested From IDEC: *
Project Budget: Other Funding: *
Total Project Budget: *
Please download, complete and upload the following form:

2018 Special Projects Grants Budget Form

Detailed Project Budget: complete and attach the detailed project budget document: *



Your form submission WILL be encrypted using SSL to ensure your privacy.

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