TRAC Pilot Grants LOI
Letter of Intent
Descriptive title
*
Which grant are you applying to
TRAC-C
TRAC-03
For TRAC-C, under which topic are you applying?
TB and Diabetes
TB and HIV
TB and sex-based research
Other
Short summary of the proposed project
*
Max 250 words
Area of focus
*
To help identify appropriate reviewers
How many PI will this project have?
One
Two
PI 1 Name
*
First Name
Last Name
PI 1 Email
*
example@example.com
PI 1 Country of Residence
*
Please Select
United States
Ethiopia
Georgia
Kenya
Philippines
South Africa
Uganda
PI 1 Institution
*
Please Select
Emory University
University of Georgia
Georgia Tech
Georgia State
Morehouse School of Medicine
PI-1 Racial Identity
American Indian/Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Multiracial
Prefer not to answer
Prefer to describe
PI 1 Racial Identity description
PI 1 Gender Identity
Please Select
Female
Male
Trans Female
Trans Male
Gender fluid or Non Binary
Prefer not to answer
Prefer to self describe
PI 1 Gender Identity Self Description
PI 1 Academic Rank
Please Select
Professor
Associate Professor
Assistant Professor
Fellow
Lecturer
Post-Doc
Senior Associate
Staff Scientist
Other
PI 1 Academic Rank Other
Is PI 1 considered an ESI
*
Yes
No
PI 2 Name
First Name
Last Name
PI 2 Email
example@example.com
PI 2 Country of Residence
Please Select
United States
Ethiopia
Georgia
Kenya
Philippines
South Africa
Uganda
PI 2 Institution
*
Please Select
Emory University
University of Georgia
Georgia Tech
Georgia State
Morehouse School of Medicine
Aga Khan University East Africa, Kenya
Armauer Hansen Research Institute, Addis Ababa University, and Ethiopian PublicHealth Institute, Ethiopia
Centre of the AIDS Research Programme in South Africa (CAPRISA), South Africa
Coptic Hospital, Kenya
De La Salle Health Science Institute, Philippines
Makerere University, Uganda
National Center for Tuberculosis and Lung Disease (NCTLD) and National Center for Disease Control and Prevention (NCDC), Georgia
National Health and Laboratory Services (NHLS), South Africa
University of Cape Town (UTC), South Africa
University of Kwazulu-Natal, South Africa
PI 2 Gender Identity
Please Select
Female
Male
Trans Female
Trans Male
Gender fluid or Non Binary
Prefer not to answer
Prefer to self describe
PI 2 Gender Identity Self Description
PI 2 Racial Identity
American Indian/Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Multiracial
Prefer not to answer
Prefer to describe
PI 2 Racial Identity description
PI 2 Academic Rank
Please Select
Professor
Associate Professor
Assistant Professor
Fellow
Lecturer
Post-Doc
Senior Associate
Staff Scientist
Other
PI 2 Academic Rank Other
Is PI 2 considered an ESI
Yes
No
Please list the names and academic rank of any additional collaborators
Submit
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