6. PRINCIPAL INVESTIGATOR / PROGRAM DIRECTOR ASSURANCE: I certify that the statements herein are true, complete and accurate to the best of my knowledge. I agree to accept responsibility for the scientific conduct of the project and to provide the required progress reports if a grant is awarded as a result of this application.
INSERT NAME HERE:
7. APPLICANT ORGANIZATION CERTIFICATION AND ACCEPTANCE: I certify that the statements herein are true, complete and accurate to the best of my knowledge.
INSERT NAME HERE OF INDIVIDUAL NAMED IN SECTION 5.
TITLE OF PROPOSED PROJECT (This space may contain 100 characters, including spaces.)
PROJECT DURATION (1 or 2 years)
The abstract must explain the scope and design of the project together with the rationale, objectives and summary of methods and expected results. The abstract will be judged on scientific merit, innovation, clinical/scientific impact and quality of research environment.
DO NOT EXCEED 500 WORDS.
% OF TIME DEDICATED TO PROJECT (APPLICANT)
ESTIMATE OF REQUESTED FUNDING IN US DOLLARS
$###,###.00 Also write amount in words:
APPLICANT’S ABBREVIATED BIOGRAPHICAL SKETCH (DO NOT EXCEED 2 PAGES)
POSITIONS AND HONORS (List in chronological order previous positions, concluding with your present position. List any honors. Include present membership on any advisory committees No more than 10 in total.)
SELECTED PUBLICATIONS (in chronological order, no more than 10). Do not include publications submitted or in preparation.
SUBMITTING THE APPLICATION
Once you have completed this proposal form, please email it to the Program Administrator at
email@example.com AND to firstname.lastname@example.org. Please note that if you wish to attach additional information, e.g. figures and graphs, you must cut and paste them into this document. The administrator will only accept a single Word or PDF document, not several individual items.
By submitting this application, you are confirming that the information you provided is correct and has not been falsified in any manner. If it is discovered that you knowingly provided false information, Bayer Healthcare will consider your application withdrawn and will, if appropriate, take other action.