I-CIS Innovation Grant: Sobi Early Career Award Application Form

Application Form

The Clinical Immunology Society (CIS)and Sobi, Inc. are pleased to announce the I-CIS Innovation Grant – Sobi Early Career Award! This award is offered to an early-career faculty investigator – defined as an individual with a faculty appointment equivalent to instructor or Assistant Professor at non-profit universities in the United States and Canada – whose research focuses on inborn errors of immunity (IEI). The Early Career Award will provide one individual with a one-year grant in the amount of $100,000. The objective of this grant is to support the development of early-career investigators in academic clinical immunology who have demonstrated commitment to the study of IEIs as a career path in the United States and Canada. Funding is provided to support the education and/or research endeavors of this individual. This award is made possible by a generous unrestricted grant from Sobi, Inc.
Applicant Contact Information
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Current Institution:
Faculty Position:
Training Institution:
Training Graduation Date (MM/DD/YYYY)
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Award applications must be submitted online. Incomplete applications will not be accepted. All application components will follow NIH format guidelines, including font size 11 points or larger, single space, and at least ½” margins.
Biographical Sketch (NIH Format)

Include a full disclosure of all grants or awards currently received or pending including a statement of any overlap. Uploads must be in .pdf format.
NIH Bio Sketch

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Other support forms:

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Personal Statement & Career Development Plan

Not to exceed one page. Summarize your training to date. Comment on your specific clinical and research interests. Describe the percentage of time allocated for your responsibilities (including research, teaching, clinical and administrative duties). Describe current and future plans for overall career development including training and research goals. Include specifics of how this award will contribute to your career development. Upload must be in .pdf format.
Personal Statement & Career Development Plan

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Specific Aims

Succinctly outline the overall goals and aims of the proposed research Uploads must be in .pdf format.
Specific Aims

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Research Plan

Font size 11 points or larger, single space, and at least ½” margins; not to exceed three pages in NIH format, including all figures; References are separate. Uploads must be in .pdf format.
Research Plan (NIH format)

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References Cited (NIH format)

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Budget Description & Budget Justification (NIH format)

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Financial Conflicts of Interest Statement(s)

For each investigator, list real or potential financial conflicts of interest with the proposed studies. Financial conflicts of interest would include direct payments from corporate entities related to the proposed studies and/or investments that would benefit the investigator or the investigator’s family as a result of the proposed studies.
Enter all real or potential conflicts of interest in the space provided. Type "None" if none.
Institutional approvals: Agreement, if applicable, that upon receipt of the funds that the proposed research will be approved by the Institutional Animal Care and Use Committee (IACUC), human subjects Institutional Review Board (IRB), Institutional Biosafety Committee, and/or other relevant approvals to conduct the proposed research of the grantee institution.
Institutional Letter of Support

Upload your letter of support, not to exceed two pages. Letter must be from Division Chief, Department Chair, or equivalent and include: Details on the Institutions’ commitment to the applicant; Applicant’s qualifications for an academic career and availability of funding for applicant’s academic cost sharing expenses; Applicant’s career development plan (specify skills to be acquired). The letter writer must sent the LOS directly to the CIS Executive Director, Madeleine Hanan, at mhanan@clinimmsoc.org. LOSs that are not received by the deadline are considered incomplete and ineligible for consideration.
I have or will have my letter writer send the LOS directly to mhanan@clinimmsoc.org to complete my application:
Any additional letters of collaboration relevant to the proposed research (not to exceed one page each)

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Should be Empty:

Application Form

Applicant Contact Information

Biographical Sketch (NIH Format)

Personal Statement & Career Development Plan

Specific Aims

Research Plan

Financial Conflicts of Interest Statement(s)

Institutional Letter of Support