Mock Review Application

Mock Review Application
Please complete this form once you have identified reviewers who have agreed to serve as mock reviewers for your grant application.
Applicant Name*

First NameLast Name
Applicant Email*
example@example.com
Funding Agency & Mechanism*
Grant Due Date*

MonthDayYear
Date
Type of Review Requested*

Early stage help in shaping and critiquing Specific Aims and HypothesesMock Review of entire grant
Reviewer #1 Name, Title, and Institutional Affiliation*
Reviewer #1 Email*
example@example.com
If applicable:
Reviewer #2 Name, Title, and Institutional Affiliation
Reviewer #2 Email
example@example.com
Reviewer #3 Name, Title, and Institutional Affiliation
Reviewer #3 Email
example@example.com
Date Draft Will Be Ready to Share with Reviewers (must be at least 10 weeks prior to submission for early-stage materials or 6 weeks prior to submission for the entire grant)

MonthDayYear
Date
Comments?
Once you submit this form:
- TECPAD will email the reviewer/s (CCing you) to confirm participation, reiterate the timeline and review requirements, and outline and facilitate payment.
- Copy TECPAD (tecpad@chla.usc.edu) on your email to reviewers with your early-stage materials and/or entire grant.
- Once the review is completed, send a copy of mock reviewer comments along with the final revised grant to tecpad@chla.usc.edu to facilitate mock review payment.
Should be Empty: