MARY BABB RANDOLPH CANCER CENTER
 West Virginia University Health Sciences Center

Pilot Funding Grants (MBRCC-PFG's)

* required

Additional instructions are provided following the submission of this form.

GENERAL INFORMATION

 
Priniciple Investigator  
Prefix:
*PI Last:
 First:
Degrees:
Department:
*Email Address:
Work Phone:

Dept. Chair Name (last, first) Email

 

Center Director Name (last, first) Email

 


APPLICATION INFORMATION
Check Relevant Research Focus Areas:
BASIC SCIENCE
Tumor Microenvironment
Cell Signaling Networks
Other Basic Science

POPULATION HEALTH SCIENCE
Tobacco Research
Health Services & Outcomes
Prevention/ Molecular Prevention
Other Population Science


CLINICAL/TRANSLATIONAL SCIENCE
Breast Cancer
Lung Cancer
Hematological Malignancies & BMT
Developmental Therapeutics
Other Clinical Science
Is this a resubmission? Yes   No

Title of project:
Briefly Describe how this proposal fits with one of the research focus areas identified above.


Briefly Describe how funding of the project will enhance your ability to compete for external funding.


CO-INVESTIGATORS    
  Name (last, first) Degrees

Co-Investigator 1

Co-Investigator 2

Co-Investigator 3

Co-Investigator 4


COMPLIANCE ISSUES

Vertebrate Animals:		 Yes No IACUC Approval Date: xx/xx/xx
Human Subjects: Yes No IRB Approval Date: xx/xx/xx
Biohazards: Yes No IBC Approval Date: xx/xx/xx

BUDGET INFORMATION
Personnel - List people AND amounts
(existing technical personnel only)
Supplies
(divide into subcategories such
as animals, chemicals, etc.)
Equipment purchase or upgrade

Total Budget: $
Period of Support:

Budget Justification:
Briefly discuss the need for the funds in each category