Research Grant Application

Please read all the information provided on our Research Grant Information page before starting the application process. Be sure to download and complete the Letter of Verification. Contact us with questions or concerns. For best results uploading files, reduce file sizes. Keep combined file sizes below 1 GB. The applicant will receive an email with a copy of the submission.

Title of Project

Applicant's name

First NameLast Name

Applicant's Email Address

example@example.com

Are you the Principal Investigator?

Name of Principal Investigator

First NameLast Name

Principal Investigator's Email Address

example@example.com

Institution Name

Location

Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Are you the person responsible for the research location, facility space and/or equipment?

Name of person responsible for the research location, facility space, and/or equipment, if different than above:

First NameLast Name

Email address of the person responsible for the research location, facility space, and/or equipment.

example@example.com

Are there any Co-investigators

List the names of any Co-investigators along with Co-investigators' Institution or Organization, email address, and mailing address:

Name of individual who has the authority to review and sign a Grant Agreement, if awarded.

First NameLast Name

Email of individual who has the authority to review and sign a Grant Agreement, if awarded.

example@example.com

CV of applicant & principal investigator (if different)

Comment on your specific clinical research interests. If uploaded as a separate document, indicate the name of the document in this space. Limit length to no more than 1 page:

Upload for Specific Clinical Research

List prior relevant publications if applicable:

Call for Proposals: Area of Interest (Select all that apply).

Proposals should be focused on practical, meaningful advances for Severe Combined Immune Deficiency. Proposed projects must address one or more of the areas of interest listed below.:

Is this a new or ongoing project?

Planned Start Date:

Date

Describe the Project Timeline. Indicate what portion of this project you expect to be completed within the grant period: If uploaded as a separate document, indicate the name of the document in this space. Limit length to no more than 1 page.

Upload for Project Timeline

Percent of time dedicated to the project (Principal investigator and co-investigators, if applicable)

Briefly describe specifically how the outcome of this research will support the Area(s) of Interest of the grant. If uploaded as a separate document, indicate the name of the document in this space.

Upload the outcome of this research

Project Budget: Provide a budget and justification for the project, (limit length to no more than 2 pages). If uploaded as a separate document, indicate the name of the document in this space.

Upload for budget

Description - Research Project Summary: 1. Purpose 2. Outline the specific aims 3. Background 4. Materials and methodology 5. Goals of the intended project, including expected outcomes 6. Project limitations 7. Limited to a maximum of 2 to 4 pages. If uploaded as a separate document, indicate the name of the document in this space.

Upload for Research Project Summary

Completed and signed Letter of Verification

Additional Documents: Provide any additional documents that show approval by the Institutional Animal Care and Use Committee for animal studies or by the Institutional Review Board for human studies from the grantee institution, if applicable. Add any additional information you deem relevant or necessary. List all additional documents you intend to attach to this application. Be sure to include all required information listed in the Request for Proposals if not already included on the form.

Upload for any additional documents. For successful upload, please keep file sizes below 1 GB.

I certify that the statements contained in this Research Grant Application and all accompanying materials are accurate and complete to the best of my knowledge. I agree to comply with all terms and conditions of the award if funding is granted. I understand that any false, misleading, or fraudulent statements may result in disqualification of this application, revocation of an award, and repayment of any funds disbursed by the SCID Foundation. I further agree to abide by all grant requirements and conditions. As part of the application process, I will submit a Letter of Verification signed by the Principal Investigator confirming the accuracy of the information provided and the institution's support of the proposed project.