BRI Community Program and Event Awards
Submit your request for funding and limited BRI staffing to support special projects, initiatives or events aimed at fostering collaborative research activities. Examples include but are not limited to hosting research talks/symposia, workshops, poster sessions and networking events. Requests must outline targeted research communities as well as anticipated outcomes and impact on future research efforts in this field. Applications must have a multidisciplinary or interdepartmental focus to be considered and BRI funds will only be awarded if other support is not available or insufficient.
Name
*
First Name
Last Name
Degree(s)
*
Email
*
example@example.com
Department
*
Please Select
Anesthesiology, Perioperative and Pain Medicine
Dermatology
Emergency Medicine
Medicine
Neurology
Neurosurgery
Obstetrics and Gynecology
Orthopaedic Surgery
Pathology
Pediatrics
Physical Medicine and Rehabilitation
Psychiatry
Radiation Oncology
Radiology
Surgery
Urology
Division
HMS Rank
*
Please Select
Professor
Associate Professor
Assistant Professor
Lecturer
Instructor
Fellow
Student
Staff
Other
BWH Job Title
*
Do you think of yourself as:
*
Please Select
Male
Female
Transgender man/trans man
Transgender woman/trans woman
Genderqueer/gender nonconforming neither exclusively male nor female
Additional gender category (or other)
Prefer not to answer
Ethnicity
*
White or Caucasian
Asian
Black or African American
Hispanic, Latino, or Spanish origin
American Indian or Alaska Native
Native Hawaiian or Other Pacific Islander
Prefer not to disclose
Another racial-ethnic group not listed (please specify)
Proposal/Event Title
Please upload a PDF (1-page limit, excluding references) proposal detailing the following:•Introduction/Background/Rationale• Approach/Strategy• If a series is proposed, a timeline of activity with discrete milestones including a specific start date• Composition ofexisting/proposed team• Proposed metrics of success – how will success of this activity be measured?
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Please upload a budget summary of how the funds will be used
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