EaRTH Center Seedling Application Form

EaRTH Center Seedling Application Form

The Seedling Awards Program is only available to EaRTH Center members or affiliate members.

It is HIGHLY recommended to consult with the EaRTH Core service prior to submitting this application to discuss feasibility, timeline and estimated cost.

If you are from a community organization, the Center member you are working with will need to submit this application.

Please note, this application must include:

This completed application

PI’s Biosketch

Questions or need a consult from an EaRTH Core service? Email alana.daleo@ucsf.edu.

Today's Date*

First and last name*

Co-Investigator(s)

Title of project*

Overall description of project and environmental health relevance (limited to 500 words):*

Which Core service(s) are you proposing to use for this Seedling Award submission?*

High-throughput Chemical Screening

Environmental Chemical Laboratory Biomonitoring Services

Translational Research Support Core

Proteomics

What is the estimated cost for the requested service?*

If you did not discuss this with your requested Core service, we will try to obtain that information after you submit the application. It is advised to ask for this information from the Core service first, if possible.

Purpose of requested support*

Select

You selected "other". Please explain.*

You selected, "Enhance a current research project".*

Please provide:

Grant number

Grant title

Please describe your desired timeline for using this service.*

For example - Do you need the data by a particular date? Are you able to start right away? Etc.

Does project involve human subjects?*

Yes and IRB is in progress

Yes and IRB is complete

Does project involve animal subjects?*

Yes and IACUC is in progress

Yes and IACUC is complete

Please upload PI's biosketch. Feel free to use biosketch from last grant submitted.*

Drag and drop files here or

Send me a copy of my responses

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