Proposal Request Form

A form for investigators to submit at least two weeks in advance of the proposal due date.

PI Name
Letter of Intent (if any) Due Date
MM slash DD slash YYYY
Type of proposal
- New
- Resubmission
- Revision
- Competitive renewal
- Annual Progress Report
- Mid-Period Report
- Other Report
If re-submission, renewal, or revision, provide grant #
Agency
RFA # (if applicable)
Type of Proposal (Research, fellowship, etc)
Is this a Limited Submission Proposal?
Agency Due Date
MM slash DD slash YYYY
Project Title
Project Start Date
MM slash DD slash YYYY
Project Due Date
MM slash DD slash YYYY
Does this project include Subcontractors?
- Yes
- No
If yes, list subcontractors here
If more than 3 subcontracts please use separate sheet
Does this project include Human Subjects
- Yes
- No
If yes, provide IRB#
IRB approved date
MM slash DD slash YYYY
Does this project include Vertebrate Animals?
- Yes
- No
If yes, provide IACUC #
IACUC Approved Date
MM slash DD slash YYYY
Will recombinant DNA be used at any time?
- Yes
- No
Will this proposal have any international aspects (I.A.)?
- Yes
- No
Will carcinogenic or biohazardous materials be used at any time?
- Yes
- No
If yes, describe:
Will this project send data or technologies outside of the US?
- Yes
- No
If yes, describe:
Other materials
Drop files here or

Accepted file types: pdf, doc, docx, odt, txt, rtf, Max. file size: 98 MB.
REQUIRED DOCUMENTS FOR OSR 1. Budget - DRAFT 2. Budget Justification & details for Personnel (ROUGH DRAFT) 3. Abstract and Relevance Statement 4. Biographical Sketch (FOR ALL "KEY" PERSONNEL)*
Untitled

The UNC Family Medicine Center at Chapel Hill
Clinic appointments phone: (984) 974-0210

UNC Department of Family Medicine
Administrative phone: (984) 974-4888

Clinic & Department Address
590 Manning Drive
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Directions to the UNC Family Medicine Center, as well as our to our Administrative Offices.