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OSR Grant Support Request Form
Request Form
First Name:
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Last Name:
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Academic Title:
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Phone Number:
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Department this grant will be submitted through:
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select...
Anesthesiology
Biochemistry
Cardiology
Cardiothoracic Surgery
Cell Biology
Child & Adolescent Psychiatry
Clinical Pharmacology
Dermatology
Emergency Medicine
Environmental Medicine
Epidemiology
Gastroenterology
General Internal Medicine
Infectious Diseases
Medical Parasitology
Medicine
Microbiology
Neurology
Neurosurgery
NYU Cancer Institute
Obstetrics & Gynecology
Oncology
Ophthalmology
Orthopaedic Surgery
Otolaryngology
Pathology
Pediatrics
Pharmacology
Physiology & Neuroscience
Population Health
Psychiatry
Pulmonary/Critical Care
Radiation Oncology
Radiology
Rheumatology
Rusk Institute Rehabilitation Medicine
Skirball Institute
Surgery
Urology
Your primary Department’s Administrative Contact:
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Year(s) as faculty:
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0 to 5
5 to 10
10+
Overview Information
Select Funding Agency:
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National Institutes of Health (NIH)
Other
If other please specify:
Proposal Title or Number (RFA/PA#):
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Activity Code (Type of Grant P01, U01, R01, K23, etc.):
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Letter of Intent Due Date (if applicable):
Submission Due Date:
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Type of Application:
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New
Revision
Resubmission
Project Title:
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Project Description (one paragraph):
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Strategic Areas:
Cancer Institute
Cardiovascular Institute
Children's Health
I3: Immunology, Inflammation, Infection
Musculoskeletal Institute
Neuroscience Institute
Public Health & Population Sciences
Diabetes, Metabolism & Obesity
Genetics & Epigenetics
Stem Cells
Drug Discovery
Imaging
Indicate the Type of Service(s) you are Requesting:
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Content Editing
Budget Review
Assess Compliance
Has a previous version of this grant been edited by us?:
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Yes
No
I don't know
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3rd file:
4th file: