Jump to:

Council for Tobacco Research

[A Blank Funding Request Form for Scientific Studies]

Date: Feb 1985
Length: 11 pages
CTRMN000872-CTRMN000882
Jump To Images
snapshot_ctr CTRMN000872_0882

Abstract

MAR

Fields

Depository Date
25 Sep 1995
Master ID
Ctrmn00000667-6967
Related Documents:
Author
Ctr
Request
118
Type
APPLICATION FOR GRANT
Box
002
UCSF Legacy ID
nmq30a00

Document Images

Text Control

Highlight Text:

OCR Text Alignment:

Image Control

Image Rotation:

Image Size:

Page 1: nmq30a00 Log in for more options!
Ex~.~ ~a THE COUNCIL Fon Toswcco REsr.ARCx-U.S.A.. INC. 000 Tuinn ArEhvX NEW YORK. N.Y. 10022 February 1985 DEADLINE: MAY 31, 1985 NOTICE: A PROGRESS REPORT and an ABSTRACT thereof must accompany a NEW APPLICATION subpitted by the recipient of a terminating previous grant. These are OBLIGATORY for consideration or action upon the new application. The following formats are requested: 1. PROGRESS REPORT (30 copies on 3-hole paper). The Progress Report should be a separate item and NOT included in the body of the application. The first page of the Progress Report should contain the following information only: CTR GRAINT NO. PROGRESS REPORT NO. (Inclusive Dates Covered) Name of Investigator Name of Institution Full Mailing Address TITLE OF GRANT 2. ABSTRACT OF PROGRESS REPORT (30 copies on 3-hole paper) The Abstract, separate from the full Progress Report, should be no more than two pages. The top of the first page (marked ABSTRACT) should contain the information given on the first page of the full Progress Report (see above box), followed by: (a) Abstract of specific aims as originally stated and (b) Abstract of progress made on these aims. The Council has two closing dates, May 31 and November 30, for receipt of re- search applications; usual starting dates of approved applications are July 1 and January 1, respectively. If you have questions, please write or feel free to telephone colle`t. DEADLINE FOR SUBMISSION: May 31, 1985 R• ~ 64 CTR H#~ 0006'~ ~'
Page 2: nmq30a00 Log in for more options!
TiiL COUNCIL Ton Touwcco Rrsl:ArzCx-U.S.A., I%-c. 000 7711Jt1) .40'"L'E 1\ E%%' YOJUC. /.. T. 10023 January 1985 IHPORTANT PROCIDURAL INFOR?iATION FOR APPLICANTS Policies . Applications signed by grantees and institutional officials con- stitute an agreement to abide by stipulations in the folder entitled, "Statement of Policy Containing Conditions and Terms Under Which Project Grants Are Made." Human Subjects For any studies that involve human subjects, the Council requires annual institutional certification that adequate informed consent has been obtain6d. This will be done on a form furnished by the Council. Completeness of Applications Please provide all information and signatures requested on application forms. Use additional sheets as necessary. The accom- panying check-off sheet contains more specific information. Submission of Grant Applications Deadlines for submission of all copies of a full application are November 30 and May 31. Normally grants are made for a period of one year with activation on January 1 or July 1. A renewal application with status report must be filed 7 months before the anniversary date of the grant. This is the grantee's responsibility. A formal progress report is always required upon termination of any CTR project. Grants in Amounts Less Than Requested Sometimes grants are made in amounts less than requested. In such event, a revised budget including new signatures must be submitted. Priority in Awarding Renewals Although grants can be made for one year only, many studies are designed to extend over a longer period. In these cases, consideratij; will be given to renewed support up to an inclusive total of three years in annual competition for available funds. Nevertheless, a renewal application and appropriate status report are required each year before the request can be considered. CTR= I 65 C`~R H~~4 t~oC~e'~='~
Page 3: nmq30a00 Log in for more options!
tvut~ t~%!LIVV l-!DDRESS: T,ir: COUINciL TOIt ToBACCO P.I:SCAncx-U.S.A., I-,c. g00 T1i1RD AVENUE NEW YORK, N.Y. 10022 WHEN YOU ARE PACKAGING YOUR APPLICATION, PLEASE CHECK OFF ITEMS AND MAIL THIS SHEE? SEPARATELY NEW APPLICATIONS Name of Principal Investigator Institution Grant Application No. - Short title of Project The following checked iteas have been packaged for mailing to The Council for Tobacco Research. (Note: The first 5 items are ABSOLUTE REQUIREMENTS and failure by the Principal Investigator to provide all 5 can result in delaying consideration of the application.) _ ~ Original, plus thirty (30) copies of signed application (on 3-hole paper) ~......~ ~ 4.~...G Relevant curriculum vitae, original plus ten (10) Copies (on 3=ho1e Original plus thirty (30) copies of Progress Report...including Face-Sheet (on 3-hole paper) Original plus thirty (30) copies of separate Abstract of Progress Report (on 3-hole paper) Signed Hu=an Subject Certificate of Institute where aoplicable. Other itens ~ ~ F-7 Reprints (if any)............ 8 copies of each Manuscripts (if any)......... 8 copies of each Other (describe briefly) Signature of Principal Investigator Date: *Note: Reprints submitted with applications are separate froA the CTR request for 20 copies of reprints of new publications which acknowledge CTR support. k Co TR = 66 I Cl_- H~~ C~C~f~8 'r''~
Page 4: nmq30a00 Log in for more options!
Tse Couxcu, Fox ToB..cco RESE,+.RCS-U.S.A., INc. 600 THIRD AVENUE NEN' 7ORH. N. 7. 10022 (212)421-6885 Application for Research Grant (lhe extn pa9es a r>•.ded) I. hindpd Inartfp.tor (pivw title and d.pne): 2. Irotitutlon & addr.a: 3. D.prt.nent(G) wh.re rew.rch will be done or collabontion provided: 4. Shon tiNe of ttudy: 6. iropo.M.t.rtinp date' 6. E.timated tima to comp+etr kh.ck one Dox only): O t year ID2 yaan ID3 yaars 7. ppcritk the boad Qoalt of the project and th..ppro+chef piann.d. Do not .cced the space .'iotnd Dei ov.: Date: 8. LMt no mon than 6 k.yworde d.urtptsvt of this pro).ct, 1 ; rR: { 1 , 67 C TR' H N 0 0 0 6'f E-5
Page 5: nmq30a00 Log in for more options!
fi. Enurn.mm rand d.rcrlDe txiefly the sIp,lflunt sp.clfie arm or obj.ctiva of ehb n.r#.rch pro).ct (r oopos.d w tt+y b.wd oo.it pn»ni:d fn Itsm 7 raDoK): 10. Deailt of.xp#rim.nti d.sipn rand Dtoc.dun» (spp.nd r+utrn p.yn.+ n.eut.ry) "#'TR -' I 1 ~ 68 CTR HN 00067 ~6
Page 6: nmq30a00 Log in for more options!
© 11. ipaN wvd fidlitbt ewdl.bl4 (wMn Mm.whitn tMn Ittm 2lndietMtm trtsp loadon): 12 AdditionN /Kilititt rf4uirtd: 13. 6iopr.phic.l sk.tcha of Invatiprtorlt).nd other professlonat p.nonnN (.pp.nd): 14. Pubiicationt ! Enclo.e ryprino or m.nu.cripts of not mort then jLn of t1» apptiunt's tnott ncent ind pertin0nt ardcla. CTR"- 1 69 , C `~f~ HN (~Ot~ B'~ '~
Page 7: nmq30a00 Log in for more options!
16. firtt ysor budpet: A. talsria iplvr namw or sut. "to b. r.erulta(r") 1rof.aionst (plve % time of Inv.aiystor(s) Mn If no Lalary reQue+etad) Te+chnkal B. Conwm.bls avppG.t (by rn.jorcat.poria) C. (>ther szpenset (it.mize) D. hrmsn.nt.4uipm.nt (It.ml:.) 4 x tim. Lub•Totsl for A Sub-Tot.N for B SubTotd for C Runninp Total of A. B+ C iub-Totd for D E. Indirat coab (16% of A.B+C) E Tot.+ r.Qu.st Amount 16. Ettimar.d futun r.quinm.nts: Salsria Consum.ble Suppl. C+thar Ezp.n..y hrman.nt Eoulo. Indir.ct Costs Tot.' VY.r 2 Y.ar 3 1 C TM, J 70 ' CTR MN 0008-78
Page 8: nmq30a00 Log in for more options!
17. Otner sourrn of fin.ncia supeort: lkt fin.ncl.l wpDOn hom .11 eourca. Mdudlnp own IrKtltution.lor d+4 tK+d rNaod e.eearM Droiect+. 11tH of Pro)ect Tide of Project CURRENTLY ACTIVE tourcw Inel urt w (OIM Onnt numbn) . AmouM PENDING OR PLANNED Drtn Source Inzluslve Ip;ve pr.nt numWn) Amount Detn eTR-' / 71 CTR H~`~~ t~0t~B'~ ~~
Page 9: nmq30a00 Log in for more options!
h Is WnMnteod IMt eh. invwlNaor " irrthtrtional .ffio.rs In app1y/M Ioe a/rant h.rm w.d and eaoapt tM Ceunc9l'e ">tiv»nwnt of Policy ConWnlnii Condi. Bione a,nd T.rnr tlnd.r WhbA ho).ct Or.rtt..e. M.Oe." rrincfpat Inv.etipetor Rppoerlde offinr of Inrtitution Typ+d N.me Typed Narne iipnaun Dstn Tltle Matlinp Addntts &pnature Otta Mailing addnu TNephone (where principai inveetipator can be rs.ched duriny txnintu hours): Telephone Arta Code Number Esitension Arsa code Number Eztaruion Checks payade to Checks should tx maiUd to: IName and address of ncipient) N.me end addr+n of penon rssaontlde for providing financl.l intomnation to The Council. Name Addresr CTR: 1 72 CTR HN 000860
Page 10: nmq30a00 Log in for more options!
71u COUNCIL tor TOBACCO RESEARCH -~ U.S.A., tNC. Statement of Policy Containing Conditions ~ ~ and Terms V Under Which Project Grants Are Made 1!a reparu oa conununiatiau ikowJd be un! 10: SECRETARY Tns Councu for ToDxco Rsuarcn-U.S.A., Inc. 900 TAlyd Arcnus Nsw York. N.Y. 10022

Text Control

Highlight Text:

OCR Text Alignment:

Image Control

Image Rotation:

Image Size: