NNVAWI Founders' Legacy Early- and Mid-career Seed Grant Application
Please refer to the Guidance Note here for application requirements
Eligibility
Which best describes you?
*
I am currently enrolled in a doctoral or terminal degree program
I received my terminal degree in 2015 or later
Please upload a screenshot of your current, active NNVAWI membership. This can be found by going to www.nnvawi.org and clicking "Account" in the top right corner to log in.
*
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1. Basic information
Please fill out the below information.
Chief/Principal Investigator
*
First Name
Last Name
Chief/Principal Investigator Email Address
*
example@example.com
Please list your primary affiliation
*
In which capacity are you applying?
*
As an individual (award disbursed to individual)
In my official capacity as a student or employee of a university, hospital, or other entity (award disbursed to organization)
Project Title:
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Co-Investigator 1 (if applicable)
First Name
Last Name
E-mail
example@example.com
Co-Investigator 2 (if applicable)
First Name
Last Name
E-mail
example@example.com
Co-Investigator 3 (if applicable)
First Name
Last Name
E-mail
example@example.com
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2. Project Details
Please answer the questions to the best of your ability.
Project Abstract
*
250 words max
0/250
Lay Summary
*
100 words max
0/100
Upload your two-page application here Details are included in the Guidance Note
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3. Project Budget
Include a budget table and budget narrative in a single .pdf document. Details are included in the Guidance Note.
*
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4. PI Demographic Questions
These are optional
What is your gender identity?
Cisgender male
Cisgender female
Gender diverse, assigned male at birth
Gender diverse, assigned female at birth
Agender, non-binary, or another gender
Wish not to report
What is your age?
18-24
25-34
35-44
45-54
55-64
65 or older
What are your ethnic origins or ancestry?
Western Europe (e.g. Greece, Sweden, United Kingdom)
Eastern Europe (e.g. Hungary, Poland, Russia)
North Africa (e.g. Egypt, Morocco, Sudan)
Sub-Saharan Africa (e.g. Kenya, Nigeria, South Africa)
West Asia / Middle East (e.g. Iran, Israel, Saudi Arabia,)
South and Southeast Asia (e.g. India, Indonesia, Singapore)
East and Central Asia (e.g. China, Japan, Uzbekistan)
Pacific / Oceania (e.g. Australia, Papua New Guinea, Fiji)
North America (Canada, United States)
Central America and Caribbean (e.g. Jamaica, Mexico, Panama)
South America (e.g. Brazil, Chile, Colombia)
Wish not to report
Other
Are you a Registered Nurse or midwife? (this will not affect your chances of funding)
Yes
No
In which country are you primarily based?
Details below:
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