Pre-Award Services Request Form

Please complete the following questionnaire regarding your interest in research support for grant opportunities. This information will help Lineberger Comprehensive Cancer Center’s Pre-Award team to determine the next steps for coordination with the Sponsored Programs Office, the Sponsor, and Administration. Once this form has been submitted, a member of the research team will contact you within two business days. If you have any questions or concerns please contact Cindy Hoffmeier at cindy_hoffmeier@unc.edu

UNC Lead Principal Investigator name*

(Last, First)

If you are applying for a mentored award, who is your mentor?

Grant Specialist*

If unsure who to select, please indicate Cindy Hoffmeier and a grant specialist will be assigned to you.

Select or enter value

Application Deadline*

Alert! Routing Deadline Missed

You have selected a due date a week, or less, away from today. As a reminder, all grants must be routed for University approval at least 5 business days before they are due.

We will address this particular case with you directly, but be aware that we may not be able to submit this project. If we are able to submit, service will be limited due to the limited lead time.

Alert! Short Lead Time

You have selected a due date two weeks, or less, away from today. We will address this particular case with you directly, but be aware that service will be limited due to the limited lead time.

Application Type*

Select or enter value

Who is the leading institution for this application?

Provide available contact information.

Funding Source*

(NIH, NCI, foundation name, etc.)

FOA Number or Grant Name*

(PA-20-185, Young Investigator Award, Parent R21, etc.)

Link to funding announcement

Is this a Multiple PI (MPI) project?*

Yes

Provide the names of all MPIs involved.

Will there be any outgoing subcontracts on your proposal?*

Yes

Subcontract Information

Please provide available details including subcontract institution, PI name, administrative contact, etc.

Does this research involve HUMAN SUBJECTS?*

Yes

Does the research include "human subjects research" as defined by federal regulations, including exempt research where data is identifiable?

Yes

Does the research involve the collection or use of biospecimens that are individually identifiable or for which there is at least a very small risk that there is some way to deduce the identity of an individual?

Yes

Does the research generate individual level, human genomic data from biospecimens, or the use of such data, regardless of whether the data is "identifiable" per the Common Rule?

Yes

Does the research involve information about an individual for which there is at least a very small risk, as determined by current scientific practices or statistical methods, that the subject’s identity could be deduced?

Yes

Where is HSR being conducted?

UNC-CH

Subcontract

Does your project have a clinical component that may require budget development support from CPO finance?

Yes

If yes, select all that apply:

Study/Routine Coverage Analysis Assistance

Clinical Personnel Effort Estimates

Pricing for Study Related Procedures

Estimate for Specimen Processing, Shipment or Storage

Does your project involve an Investigational New Drug (IND) or Investigational Device Exemption (IDE) that is held by UNC?

Yes

Will you need assistance with developing the protocol or other study documents?

Yes

Does this research involve ANIMAL SUBJECTS?*

Yes

Where is the Animal Subjects research being conducted?

UNC-CH

Subcontract

Please provide approved IACUC number for project, if available.

Will you need a Letter of Support from the Cancer Center Director, Robert Ferris?*

Yes

Will you be using an LCCC Shared Resource Core and/or School of Medicine Core facilities?*

Yes

Will you collect or process participant samples or will you be sharing sample-related data generated by the grant in a national database/repository at publication?*

Yes

Tentative project title

Planned project personnel

List personnel and effort to be included on a draft budget, if known at this time.

Upload any relevant files we may need

Budget documents, invitation to apply, guidelines, anything else you think would be pertinent at this stage.

Drag and drop files here or

Other details

Please include any other details you feel are pertinent to the planning stages of this submission.

Form completed by

Enter email if other than PI

Editor services

Scientific editing support is available to Lineberger CCC members and their affiliates free of charge. You will receive a follow-up email introducing you to this optional service.