Welcome to the AHRQ PCOR K12 application form. Please visit the CHeSS website for details on the eligibility and application guidelines. After you complete this form, you should submit your application as one PDF to Kelsey Bogue at kbogue@bsd.uchicago.edu.
You will not be able to save the application once you have begun. After you submit your application form, you will receive a confirmation email.
If you have any questions, please contact Kelsey Bogue at kbogue@bsd.uchicago.edu.
Your full application, which should be emailed to Kelsey Bogue, should include:
1) Cover Letter
2) Project Summary
3) Candidate Forms
4) Key Personnel Forms
5) Mentoring Plan
6) Signed Letters of Support from Collaborators and Consultants (if applicable)
7) Candidate Information and Research Plan
8) Training in the Responsible Conduct of Research
9) Statement of Commitment from Department
10) Letters of Reference
11) Description of Facilities and Resources
12) Human Subject Forms (if applicable)
13) Targeted/Planned Enrollment Table (if applicable)