Today's Date
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Today M-D-Y
Informational Webinar PPT Presentation (10-12-23)
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Multiple Principal Investigator #1
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Example: Jones, Robert
Degree
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Career Status
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Post-doctoral Fellow Early-Stage Investigator Early-Career Faculty
MPI #1 Researcher Category
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CLINICAL RESEARCHER BEHAVIORAL/COMMUNITY RESEARCHER BASIC BIOMEDICAL RESEARCHER
RCMI Grantee Institution
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Charles R. Drew University of Medicine and Science Clark Atlanta University Delaware State University Florida A&M University Florida International University Howard University Jackson State University Meharry Medical College Morehouse School of Medicine Morgan State University North Carolina Central University Northern Arizona University Ponce Health Sciences University San Diego State University Texas Southern University Tuskegee University University of California, Riverside University of Hawaii at Manoa University of Houston University of Puerto Rico Medical Sciences Campus University of Texas at El Paso Xavier University of Louisiana Other
Please Identify Other Institution
Race/Ethnicity
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Contact Number
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Email
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Multiple Principal Investigator #2
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Example: Jones, Robert
Degree
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Please specify other degree
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Career Status
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Post-doctoral Fellow Early-Stage Investigator Early-Career Faculty
MPI #2 Researcher Category
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CLINICAL RESEARCHER BEHAVIORAL/COMMUNITY RESEARCHER BASIC BIOMEDICAL RESEARCHER
RCMI Grantee Institution
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Charles R. Drew University of Medicine and Science Clark Atlanta University Delaware State University Florida A&M University Florida International University Howard University Jackson State University Meharry Medical College Morehouse School of Medicine Morgan State University North Carolina Central University Northern Arizona University Ponce Health Sciences University San Diego State University Texas Southern University Tuskegee University University of California, Riverside University of Hawaii at Manoa University of Houston University of Puerto Rico Medical Sciences Campus University of Texas at El Paso Xavier University of Louisiana Other
Please Identify Other Institution
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*****STOP!!!***** YOU HAVE SELECTED AN INSTITUTION IDENTICAL TO ONE OR MORE OF YOUR MULTIPLE PRINCIPAL INVESTIGATOR(S). PLEASE SELECT ANOTHER INSTITUTION. Race/Ethnicity
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Contact Number
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Email
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Please upload your completed Profiles Excel Spreadsheet here
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Is there a Third Principal Investigator?
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No
Multiple Principal Investigator #3
Example: Jones, Robert
Degree
Please specify other degree
Career Status
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Post-doctoral Fellow Early-Stage Investigator Early-Career Faculty
MPI #3 Researcher Category
CLINICAL RESEARCHER BEHAVIORAL/COMMUNITY RESEARCHER BASIC BIOMEDICAL RESEARCHER
RCMI Grantee Institution
Charles R. Drew University of Medicine and Science Clark Atlanta University Delaware State University Florida A&M University Florida International University Howard University Jackson State University Meharry Medical College Morehouse School of Medicine Morgan State University North Carolina Central University Northern Arizona University Ponce Health Sciences University San Diego State University Texas Southern University Tuskegee University University of California, Riverside University of Hawaii at Manoa University of Houston University of Puerto Rico Medical Sciences Campus University of Texas at El Paso Xavier University of Louisiana Other
Please identify RCMI Other Institution
Race/Ethnicity
Contact Number
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Email
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Please upload your completed Profiles Excel Spreadsheet here
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**
Mentor #1
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Example: Jones, Robert
Degree
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Academic Rank
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Assistant Professor Associate Professor Professor Other
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Researcher Category
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CLINICAL RESEARCHER BASIC SCIENCE RESEARCHER BEHAVIORAL COMMUNITY RESEARCHER
Mentor's Institution
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Charles R. Drew University of Medicine and Science Clark Atlanta University Delaware State University Florida A&M University Florida International University Howard University Jackson State University Meharry Medical College Morehouse School of Medicine Morgan State University North Carolina Central University Northern Arizona University Ponce Health Sciences University San Diego State University Texas Southern University Tuskegee University University of California, Riverside University of Hawaii at Manoa University of Houston University of Puerto Rico Medical Sciences Campus University of Texas at El Paso Xavier University of Louisiana Other
Please identify Other Institution
Mentor #2
Example: Jones, Robert
Degree
Please specify other degree
Assistant Professor Associate Professor Professor Other
Please specify other rank
Researcher Category
CLINICAL RESEARCHER BASIC SCIENCE RESEARCHER BEHAVIORAL COMMUNITY RESEARCHER
Mentor's Institution
Charles R. Drew University of Medicine and Science Clark Atlanta University Delaware State University Florida A&M University Florida International University Howard University Jackson State University Meharry Medical College Morehouse School of Medicine Morgan State University North Carolina Central University Northern Arizona University Ponce Health Sciences University San Diego State University Texas Southern University Tuskegee University University of California, Riverside University of Hawaii at Manoa University of Houston University of Puerto Rico Medical Sciences Campus University of Texas at El Paso Xavier University of Louisiana Other
Please identify Other Institution
Collaborator #1
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Example: Jones, Robert
Degree
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Academic Rank
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Assistant Professor Associate Professor Professor Other
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Please specify other degree
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Please specify other rank
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Researcher Category
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CLINICAL RESEARCHER BASIC SCIENCE RESEARCHER BEHAVIORAL COMMUNITY RESEARCHER
Collaborator's Institution
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Charles R. Drew University of Medicine and Science Clark Atlanta University Delaware State University Florida A&M University Florida International University Howard University Jackson State University Meharry Medical College Morehouse School of Medicine Morgan State University North Carolina Central University Northern Arizona University Ponce Health Sciences University San Diego State University Texas Southern University Tuskegee University University of California, Riverside University of Hawaii at Manoa University of Houston University of Puerto Rico Medical Sciences Campus University of Texas at El Paso Xavier University of Louisiana Other
Please Identify Other Institution
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Collaborator #2
Example: Jones, Robert
Degree
Please specify other degree
Assistant Professor Associate Professor Professor Other
Please specify other rank
Researcher Category
CLINICAL RESEARCHER BASIC SCIENCE RESEARCHER BEHAVIORAL COMMUNITY RESEARCHER
Collaborator's Institution
Charles R. Drew University of Medicine and Science Clark Atlanta University Delaware State University Florida A&M University Florida International University Howard University Jackson State University Meharry Medical College Morehouse School of Medicine Morgan State University North Carolina Central University Northern Arizona University Ponce Health Sciences University San Diego State University Texas Southern University Tuskegee University University of California, Riverside University of Hawaii at Manoa University of Houston University of Puerto Rico Medical Sciences Campus University of Texas at El Paso Xavier University of Louisiana Other
Please Identify Other Institution
Additional Team Members?
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Number of Additional Team Members
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One Additional Team Member
Two Additional Team Members
One Additional Member Only
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Additional Team Member Type
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Mentor Collaborator Multiple Principal Investigator
Degree
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Academic Rank
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Assistant Professor Associate Professor Professor Other
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Researcher Category
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CLINICAL RESEARCHER BEHAVIORAL/COMMUNITY RESEARCHER BASIC BIOMEDICAL RESEARCHER
Institution (Select one)
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Charles R. Drew University of Medicine and Science Clark Atlanta University Delaware State University Florida A&M University Florida International University Howard University Jackson State University Meharry Medical College Morehouse School of Medicine Morgan State University North Carolina Central University Northern Arizona University Ponce Health Sciences University San Diego State University Texas Southern University Tuskegee University University of California, Riverside University of Hawaii at Manoa University of Houston University of Puerto Rico Medical Sciences Campus University of Texas at El Paso Xavier University of Louisiana Other
Please identify Other Institution
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Additional Member #1 Name
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Example: Jones, Robert
Additional Team Member #1 Type
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Mentor Collaborator Multiple Principal Investigator
Additional Team Member #1
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Please specify other degree
Additional Team Member #1
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Assistant Professor Associate Professor Professor Other
Specify other rank
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Additional Team Member #1
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CLINICAL RESEARCHER BEHAVIORAL/COMMUNITY RESEARCHER BASIC BIOMEDICAL RESEARCHER
Additional Team Member #1
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Charles R. Drew University of Medicine and Science Clark Atlanta University Delaware State University Florida A&M University Florida International University Howard University Jackson State University Meharry Medical College Morehouse School of Medicine Morgan State University North Carolina Central University Northern Arizona University Ponce Health Sciences University San Diego State University Texas Southern University Tuskegee University University of California, Riverside University of Hawaii at Manoa University of Houston University of Puerto Rico Medical Sciences Campus University of Texas at El Paso Xavier University of Louisiana Other
Please identify Other Institution
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Additional Member #2 Name
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Example: Jones, Robert
Additional Team Member #2 Type
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Mentor Collaborator Multiple Principal Investigator
Additional Team Member #2
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Please specify other degree
Additional Team Member #2
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Assistant Professor Associate Professor Professor Other
Specify other rank
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Additional Team Member #2
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CLINICAL RESEARCHER BEHAVIORAL/COMMUNITY RESEARCHER BASIC BIOMEDICAL RESEARCHER
Additional Team Member #2
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Charles R. Drew University of Medicine and Science Clark Atlanta University Delaware State University Florida A&M University Florida International University Howard University Jackson State University Meharry Medical College Morehouse School of Medicine Morgan State University North Carolina Central University Northern Arizona University Ponce Health Sciences University San Diego State University Texas Southern University Tuskegee University University of California, Riverside University of Hawaii at Manoa University of Houston University of Puerto Rico Medical Sciences Campus University of Texas at El Paso Xavier University of Louisiana Other
Please identify Other Institution
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*****STOP!!!***** YOU HAVE SELECTED AN INSTITUTION IDENTICAL TO ONE OR MORE OF YOUR MULTIPLE PRINCIPAL INVESTIGATOR(S). PLEASE SELECT ANOTHER INSTITUTION. Project Title (character limit: 200)
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Character limit 200
Research Area (select one)
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Addiction & Drug Abuse Cancer Cardiovascular & Pulmonary Diseases Digestive & Renal Diseases Environmental Health HIV/AIDS Infectious & Immunological Diseases Neurological Disorders & Mental Health Obesity & Metabolic Syndromes Women's Health
Upload PROJECT SUMMARY in PDF
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Upload SPECIFIC AIMS in PDF
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RESEARCH STRATEGY TEMPLATE Upload RESEARCH STRATEGY in PDF
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LITERATURE CITED TEMPLATE
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Upload MPI PLAN in PDF
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FACILITIES & RESOURCE TEMPLATE
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Upload DETAILED BUDGET in PDF
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BUDGET JUSTIFICATION SAMPLE
BUDGET JUSTIFICATION TEMPLATE
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NIH BIOSKETCH SAMPLE (Version: on or after January 25, 2022)
NIH BIOSKETCH TEMPLATE (Use Arial 11)IMPORTANT: You must use this version or your Biosketch will be rejected
Upload MPI BIOSKETCHES as PDF here (Must use the template provided in this application) (as a combined document)
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Upload MENTORS AND COLLABORATORS' BIOSKETCHES in PDF here (as a combined document)
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Upload OTHER KEY PERSONNEL BIOSKETCHES in PDF here (as a combined document)
Upload LETTERS OF SUPPORT in one combined document (in PDF)
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Does your project involve human subjects?
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Yes
No
GUIDELINES - PROTECTION OF HUMAN SUBJECTS
HUMAN SUBJECTS PLAN TEMPLATE
TARGETED/PLANNED ENROLLMENT TABLE (FORM FILLABLE)
TARGETED/PLANNED ENROLLMENT TABLE (2020 VERSION IN WORD)
Upload HUMAN SUBJECTS PLAN in PDF
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Upload ENROLLMENT TABLE (CONVERT TO PDF AND UPLOAD):
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How many team members are involved with human subjects in this project?
Instructions:
Enter the number of team members involved with human subjects in the textbox below, and Provide their names
CITI HUMAN SUBJECTS TRAINING CERTIFICATES Upload CITI TRAINING CERTIFICATES in PDF
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Do you have an IRB approval letter for each institution at this time?
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Pending
INSTITUTION #1: Upload IRB APPROVAL LETTER in PDF
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INSTITUTION #2: Upload IRB APPROVAL LETTER in PDF
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Email correspondence of IRB application or reliance documentation request is required from each MPI institution at the time of submission. PDF
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Does your project involve vertebrate animals?
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No
Upload VERTEBRATE ANIMAL PLAN in PDF
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Upload IACUC TRAINING CERTIFICATE in PDF
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Do you have an IACUC letter of approval at this time?
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Pending
Upload IACUC APPLICATION in PDF
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Upload IACUC APPROVAL LETTER in PDF
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Will you be using the matrix?(NOTE: This is a hidden field on the front-end)
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PDF
Save & Return Later Submit REMINDER: THE FULL PROPOSAL SUBMITTAL DATE:TUESDAY, JANUARY 16, 2024 at 5 PM HST
If you have any questions please contact Dr. Vivek Nerurkar at
nerurkar@hawaii.edu or Pam Bullard at
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