{"id":10885,"date":"2019-05-08T14:44:44","date_gmt":"2019-05-08T18:44:44","guid":{"rendered":"https:\/\/www.med.unc.edu\/fammed\/?page_id=10885"},"modified":"2019-05-08T14:44:44","modified_gmt":"2019-05-08T18:44:44","slug":"proposal-request-form","status":"publish","type":"page","link":"https:\/\/www.med.unc.edu\/fammed\/research\/hub\/proposal-request-form\/","title":{"rendered":"Proposal Request Form"},"content":{"rendered":"<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_6' style='display:none'>\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Proposal Request<\/h3>\n                            <p class='gform_description'>A form for investigators to submit at least two weeks in advance of the proposal due date. <\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_6'  action='\/fammed\/wp-json\/wp\/v2\/pages\/10885\/' data-formid='6' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_6' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_6_1\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_1'>PI Name<\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_6_1' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_2\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_2'>Letter of Intent (if any) Due Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_2' id='input_6_2' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_6_2_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_6_2_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_6_2' class='gform_hidden' value='https:\/\/www.med.unc.edu\/fammed\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_6_3\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Type of proposal<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_3'>\n\t\t\t<li class='gchoice gchoice_6_3_0'>\n\t\t\t\t<input name='input_3' type='radio' value='New'  id='choice_6_3_0'    \/>\n\t\t\t\t<label for='choice_6_3_0' id='label_6_3_0' class='gform-field-label gform-field-label--type-inline'>New<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_3_1'>\n\t\t\t\t<input name='input_3' type='radio' value='Resubmission'  id='choice_6_3_1'    \/>\n\t\t\t\t<label for='choice_6_3_1' id='label_6_3_1' class='gform-field-label gform-field-label--type-inline'>Resubmission<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_3_2'>\n\t\t\t\t<input name='input_3' type='radio' value='Revision'  id='choice_6_3_2'    \/>\n\t\t\t\t<label for='choice_6_3_2' id='label_6_3_2' class='gform-field-label gform-field-label--type-inline'>Revision<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_3_3'>\n\t\t\t\t<input name='input_3' type='radio' value='Competitive renewal'  id='choice_6_3_3'    \/>\n\t\t\t\t<label for='choice_6_3_3' id='label_6_3_3' class='gform-field-label gform-field-label--type-inline'>Competitive renewal<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_3_4'>\n\t\t\t\t<input name='input_3' type='radio' value='Annual Progress Report'  id='choice_6_3_4'    \/>\n\t\t\t\t<label for='choice_6_3_4' id='label_6_3_4' class='gform-field-label gform-field-label--type-inline'>Annual Progress Report<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_3_5'>\n\t\t\t\t<input name='input_3' type='radio' value='Mid-Period Report'  id='choice_6_3_5'    \/>\n\t\t\t\t<label for='choice_6_3_5' id='label_6_3_5' class='gform-field-label gform-field-label--type-inline'>Mid-Period Report<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_3_6'>\n\t\t\t\t<input name='input_3' type='radio' value='Other Report'  id='choice_6_3_6'    \/>\n\t\t\t\t<label for='choice_6_3_6' id='label_6_3_6' class='gform-field-label gform-field-label--type-inline'>Other Report<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_5\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_5'>If re-submission, renewal, or revision, provide grant #<\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_6_5' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_6\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_6'>Agency<\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_6_6' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_7\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_7'>RFA # (if applicable)<\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_6_7' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_8\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_8'>Type of Proposal (Research, fellowship, etc)<\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_6_8' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_31\" class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_31'>Is this a Limited Submission Proposal?<\/label><div class='ginput_container ginput_container_select'><select name='input_31' id='input_6_31' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/li><li id=\"field_6_9\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_9'>Agency Due Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_9' id='input_6_9' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_6_9_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_6_9_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_6_9' class='gform_hidden' value='https:\/\/www.med.unc.edu\/fammed\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_6_10\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_10'>Project Title<\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_6_10' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_11\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_11'>Project Start Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_11' id='input_6_11' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_6_11_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_6_11_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_6_11' class='gform_hidden' value='https:\/\/www.med.unc.edu\/fammed\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_6_12\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_12'>Project Due Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_12' id='input_6_12' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_6_12_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_6_12_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_6_12' class='gform_hidden' value='https:\/\/www.med.unc.edu\/fammed\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_6_14\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Does this project include Subcontractors?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_14'>\n\t\t\t<li class='gchoice gchoice_6_14_0'>\n\t\t\t\t<input name='input_14' type='radio' value='Yes'  id='choice_6_14_0'    \/>\n\t\t\t\t<label for='choice_6_14_0' id='label_6_14_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_14_1'>\n\t\t\t\t<input name='input_14' type='radio' value='No'  id='choice_6_14_1'    \/>\n\t\t\t\t<label for='choice_6_14_1' id='label_6_14_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_15\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_15'>If yes, list subcontractors here<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_15' id='input_6_15' class='textarea medium'  aria-describedby=\"gfield_description_6_15\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_6_15'>If more than 3 subcontracts please use separate sheet<\/div><\/li><li id=\"field_6_16\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Does this project include Human Subjects<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_16'>\n\t\t\t<li class='gchoice gchoice_6_16_0'>\n\t\t\t\t<input name='input_16' type='radio' value='Yes'  id='choice_6_16_0'    \/>\n\t\t\t\t<label for='choice_6_16_0' id='label_6_16_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_16_1'>\n\t\t\t\t<input name='input_16' type='radio' value='No'  id='choice_6_16_1'    \/>\n\t\t\t\t<label for='choice_6_16_1' id='label_6_16_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_17\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_17'>If yes, provide IRB#<\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_6_17' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_18\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_18'>IRB approved date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_18' id='input_6_18' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_6_18_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_6_18_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_6_18' class='gform_hidden' value='https:\/\/www.med.unc.edu\/fammed\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_6_19\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Does this project include Vertebrate Animals?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_19'>\n\t\t\t<li class='gchoice gchoice_6_19_0'>\n\t\t\t\t<input name='input_19' type='radio' value='Yes'  id='choice_6_19_0'    \/>\n\t\t\t\t<label for='choice_6_19_0' id='label_6_19_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_19_1'>\n\t\t\t\t<input name='input_19' type='radio' value='No'  id='choice_6_19_1'    \/>\n\t\t\t\t<label for='choice_6_19_1' id='label_6_19_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_20\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_20'>If yes, provide IACUC #<\/label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_6_20' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_22\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_22'>IACUC Approved Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_22' id='input_6_22' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_6_22_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_6_22_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_6_22' class='gform_hidden' value='https:\/\/www.med.unc.edu\/fammed\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_6_23\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Will recombinant DNA be used at any time?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_23'>\n\t\t\t<li class='gchoice gchoice_6_23_0'>\n\t\t\t\t<input name='input_23' type='radio' value='Yes'  id='choice_6_23_0'    \/>\n\t\t\t\t<label for='choice_6_23_0' id='label_6_23_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_23_1'>\n\t\t\t\t<input name='input_23' type='radio' value='No'  id='choice_6_23_1'    \/>\n\t\t\t\t<label for='choice_6_23_1' id='label_6_23_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_24\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Will this proposal have any international aspects (I.A.)?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_24'>\n\t\t\t<li class='gchoice gchoice_6_24_0'>\n\t\t\t\t<input name='input_24' type='radio' value='Yes'  id='choice_6_24_0'    \/>\n\t\t\t\t<label for='choice_6_24_0' id='label_6_24_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_24_1'>\n\t\t\t\t<input name='input_24' type='radio' value='No'  id='choice_6_24_1'    \/>\n\t\t\t\t<label for='choice_6_24_1' id='label_6_24_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_25\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Will carcinogenic or biohazardous materials be used at any time?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_25'>\n\t\t\t<li class='gchoice gchoice_6_25_0'>\n\t\t\t\t<input name='input_25' type='radio' value='Yes'  id='choice_6_25_0'    \/>\n\t\t\t\t<label for='choice_6_25_0' id='label_6_25_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_25_1'>\n\t\t\t\t<input name='input_25' type='radio' value='No'  id='choice_6_25_1'    \/>\n\t\t\t\t<label for='choice_6_25_1' id='label_6_25_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_26\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label 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