Medical Student Seed Funding Grant Program

Students must prepare and submit a proposal detailing the proposed research project. The proposal is to be developed by the student in consultation and collaboration with the mentor.The application package must be submitted as ONE (1) combined PDF labeled as “Applicant Last name, First name” and assembled according to the information found in the Medical Student Seed Funding Grant Program Guidelines.

Today's Date*

PI (Student) Information

PI Last Name*

PI First Name*

PI OHIO Email Address*

PI Campus*

Select or enter value

PI Status*

Select or enter value

Mentor Information

Mentor Last Name*

Mentor First Name*

Mentor Email Address*

Additional Investigator Information (if applicable)

Indicate Names and Institutions/Affiliations of Additional Investigators

Additional Investigators (if applicable)

Proposal Information

Research Project Title*

IRB (If not approved, date submitted)

IACUC (If not approved, date submitted)

IBC/Other (If not approved, date submitted)

Requested Budget (Maximum $3,000)*

File Attachments*

Please read the program guidelines and application document carefully. Proposals must include all components in the order listed in the program guidelines and application document. Incomplete proposals or those that do not follow the guidelines outlined in the program guidelines and application document will be withdrawn from funding consideration. • Proposals must be submitted as a PDF document. • Proposals must be submitted by the close of business (5:00 PM) on or before the deadline date. • Questions concerning the proposal preparation process should be directed to Karen Collins, Office of Research and Grants. collink3@ohio.edu.

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