Innovation Grant Letter of Intent Application

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General Information

Investigator Full Name

Investigator Title

Preferred Email Address

Co-Investigator/Faculty Sponsor Full Name

Co-Investigator/Faculty Sponsor Title

Division

NOTE: If you are a resident, please choose "Residents" as your division.

Title of Project

Project Description

Provide a brief description of your project

200 words maximum

Will your project focus on developing a curriculum or evaluating a program within our institution (curriculum project) or is it designed to contribute to generalizable knowledge (research project)?

Curriculum Project

Research Project

Outcomes and Impact

What impact do you expect your project to have?

200 words maximum

Do you have any unmet needs for this project (e.g. mentorship, data analysis, etc.)?

Yes

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