HSG Preliminary Proposal for New Study or Project

HSG Preliminary Proposal for New Study or Project

Before filling out this proposal form, please read through it and make sure you have all required elements ready to submit at one time. This application is not a “save as you go” process, so please be sure you have your necessary documents ready to upload when you complete your application.

PLEASE NOTE: If your request is for a publication approval only and does not require HSG resources, please contact Lynn Denise at lynn.denise@hsglimited.org.

Instructions

The HSG Leadership Team will review your request and perform an Initial Screening to determine if it falls under the HSG Mission, and the HSG Finance/Operations teams will conduct an Initial Screening to determine fiscal feasibility.

If the request is not approved, the Leadership Team will provide feedback and, if appropriate, guidance for resubmitting the request.

If the request is approved, the Leadership Team will provide feedback and further guidance for submitting a formal proposal.

HSG Approved Initiatives

Serve the HSG mission to seek treatments that make a difference
Adhere to HSG Policies
Ensure proper funding and resources to plan, conduct, and analyze the study
Report progress and deliverables to the designated overseeing body according to the schedule
Ensure compliance with laws and GCP

Use this form to submit preliminary proposals/ideas to the HSG for review. Your proposal will be distributed to members of the HSG Leadership Team, and you may be asked to present your idea to them. The goal is to provide feedback and discussions that will help you and/or your HSG Committee or Working Group to plan and potentially prepare a more complete proposal for submission to the HSG Leadership Team, Executive Membership Committee, Scientific Advisory Council, Operations Team, and/or Board of Directors for review as applicable, and for a submission to other funding agencies.

Please note: it is not mandatory for you to be part of a current HSG Committee or Working Group to submit a request, but you may be asked to either join an existing relevant group or to create a new one, depending on the content and work scope of the initiative.

Name*

Please enter your full name.

Date*

Email*

Please enter your email address

Phone*

Please enter your phone number

Title of Proposal*

Title of Proposal and acronym, if available

Collaborators

Co-Investigators/Collaborators, if any

Applicant’s Institution(s)*

HSG Committee submitting request, if any

HSG Working Group submitting request, if any

Type of request is Other*

Please specify

Please Upload the Abstract and Project Summary*

Project Summary should include primary aims, secondary aims, brief description of scientific rationale for the proposal, brief description of the preliminary evidence available relevant to the proposal, and brief description of proposal design.

Drag and drop files here or

Estimated required resources*

(Check all that apply)

Estimated required resources is Other*

Please specify

Estimated timeline for major milestones*

(i.e., final protocol, site selection, enrollment, etc., if applicable)

Estimated total cost*

(Range is acceptable)

Plan for potential funding*

(Check all that apply)

HSG (Please note that request of HSG funding for an initiative does not guarantee availability of funds.)

Private foundation

NIH

Other

None (study does not require funding)

Private foundation funding*

(Please specify)

NIH funding*

(grant type)

Other funding*

(Please specify)

Additional Information (optional)

If available, please upload additional pages to include any additional information/details about the proposal that is not already included in the above form. This additional information is optional. You are welcome to submit preliminary proposals with only the information outlined above.

Additional pages can be uploaded in the 'Abstract and Project Summary' section.

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