Colorado State University Pueblo Institute of Cannabis Research Grant Application

Transcription

1 Proposal Track Colorado State University Pueblo Institute of Cannabis Research Grant Application Major Project (2-3) Pilot Study (5-10) Professional Development (15-25) 1. Title of Proposal: 2. Faculty member/investigator(s): Last Name First Name Middle Initial Department: College: Phone: 3. Type of Project New area of research/creative activity for faculty member? Continuation research/creative activity for faculty member? Yes No Yes No Basic Research Applied Research Other (describe) 4. Protection Against Research Risks A. Will human subjects be tested or interviewed? Yes No If yes, what is the status of IRB review? complete document enclosed pending B. Will vertebrate animals be used? Yes No If yes, what is the status of IACUC review? complete document enclosed pending If yes, what animals (species) will be used, and how many? C. Are there other potential hazards to participants on grant (e.g. carcinogens, pathogens, ionizing radiation)? Note: Biosafety Committee will review. Yes No 5. Space Needs for Project A. Will new space be needed to complete the proposed research? Yes No If yes, what is the status of the Space Utilization Committee request? complete document enclosed pending Institute of Cannabis Research Grant Application Rev. 8/19/2016 1

2 B. Will space re-allocation be needed to complete the proposed research? Yes No If yes, what is the status of the Space Utilization Committee request? complete document enclosed pending Faculty member/ Principal Investigator Signature Date Department Chair Signature Date Dean Signature Date Institute of Cannabis Research Grant Application Rev. 8/19/2016 2

3 Abstract (500 words or less) State your project s broad objectives and specific aims. Describe concisely the research design and methods for achieving these goals. The description is meant to serve as a succinct and accurate description of the proposed work when separated from the application. Key Personnel Name Organization/Department Role on Project Institute of Cannabis Research Grant Application Rev. 8/19/2016 3

4 Background/Introduction to Problem/Project (Do not exceed two pages) Institute of Cannabis Research Grant Application Rev. 8/19/2016 4

5 Background/Introduction to Problem/Project (continuation) Institute of Cannabis Research Grant Application Rev. 8/19/2016 5

6 Research Plan/Plan of Activities Description of Project including Specific Objectives and Significance, Methods, Procedures, and Specific Activities. Include preliminary Studies and Current Status of Project (Do not exceed three pages) Institute of Cannabis Research Grant Application Rev. 8/19/2016 6

7 Research Plan/Plan of Activities (continuation) Institute of Cannabis Research Grant Application Rev. 8/19/2016 7

8 Research Plan/Plan of Activities (continuation) Institute of Cannabis Research Grant Application Rev. 8/19/2016 8

9 Plans for Final Product: Institute of Cannabis Research grant projects are expected to yield an end product. Please describe the planned final product(s) derived from the support provided through the requested grant award. Please include all available information/details (e.g. targeted journal and expected submission timeline, funding agency and program, exhibition information, or performance timeline) Institute of Cannabis Research Grant Application Rev. 8/19/2016 9

10 Detailed Budget Dates mm/dd/yy From: To: Personnel Dollar amount requested (USD) (omit cents) Name Role on Project Salary/Stipend 5% F&A Fringe Benefits Totals Sub-total (personnel) Reassigned Time Costs Semester Credit Hours Replacement Rate ($ per cr hr) Budget ($) Spring 2017 Fall 2017 Total Cost Equipment (itemize in budget justification) Supplies (itemize in budget justification) Travel (itemize in budget justification) Other expenses (itemize in budget justification) $ $ $ $ Total Direct Costs for Project $ Institute of Cannabis Research Grant Application Rev. 8/19/

11 Budget Justification (Do not exceed two pages) Provide a detailed explanation for the specific budget items requested by category. Institute of Cannabis Research Grant Application Rev. 8/19/

12 Budget Justification (continued) Institute of Cannabis Research Grant Application Rev. 8/19/

13 Biographical Sketch/Vitae (Do not exceed two pages) Provide abbreviated curriculum vitae, highlighting major accomplishments having direct relevance to the proposed project. Include education, experience, and awards as appropriate. Institute of Cannabis Research Grant Application Rev. 8/19/

14 Biographical Sketch/Vitae (continued) Institute of Cannabis Research Grant Application Rev. 8/19/

15 Literature Cited (not Bibliography) Number list of citations. Journal format: Author(s), Title of Article, Journal Abbreviation, Year, Volume, inclusive pagination. Book format (no editor): Author(s), Chapter Title, Book Title, Edition Number, Series information (if any); Publisher: Place of Publication, Year; Volume Number, Pagination. Book format (with editors): Author(s), Chapter Title, In Book Title, Edition Number; Editor(s), Eds.; Series information (if any); Publisher: Place of Publication, Year; Volume Number, Pagination. Institute of Cannabis Research Grant Application Rev. 8/19/