Klaus Perinatal Research Grant

Klaus Perinatal Research Grant

AAP Section on Neonatal-Perinatal Medicine | Marshall Klaus Research Award
Important Dates and Links
- Deadline for Submission, January 31, 2025 | 11:59pm CST - Deadline for application and research proposal.
- June 1, 2025 - Grants to be funded will be finalized
- July 14, 2025 - All applicants will be notified and research grants will be mailed.
*Please notify AAP of any address change*
Please Select the Type of Award You Are Applying For:*
Name*

First NameMiddle NameLast NameSuffix
Applicant Gender:

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Address*

Street Address

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Email Address*
Work Telephone
Home Telephone
Date of Birth*

MonthDayYear
Date
Race/Ethnicty:*

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Are you an International Medical Graduate?*

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Nationality (choose all that apply)*

United States CitizenCanadian CitizenResidencePermanent ResidentInternational Medical GraduateOther
Place of Birth*

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Medical School*

Name of SchoolDate of Graduation (MM/DD/YR)
Medical School

Name of SchoolDate of Graduation (MM/DD/YR)
Medical School

Name of SchoolDate of Graduation (MM/DD/YR)
Pediatric Training (Include name of hospital, city, state and dates)*
Additional Degrees:

MSPhDOther: Please specify below
If other degrees have been obtained, please specify here:
Are you on Pediatric Scientist Development Track:

YesNo
Are you on a T32:

YesNo
Anticipated Date of Completion of Your Fellowship*

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Fellowship Program Director*

First NameLast Name
Program Director’s Email*
Program Director’s Phone Number
Division Chief*

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Division Chief’s Email*
Division Chief’s Phone Number
Mentor's Name*

First NameLast Name
Mentor's Gender

FemaleMalePrefe Not To Answer
Mentor’s Email*
Mentor's Phone Number
Title of Research Project
Type of Research:

BasicTranslational (using human subjects or human samples)ClinicalEducationHealth Services ResearchQIOther
Proposals involving human subjects require Institutional Review Board (IRB) approval. Has your IRB approved this proposal?*
Please note: Funding will be granted to the institution only with documentation of IRB approval for the project, if applicable
Proposals involving animals require Institutional Animal Care and Use Committee (IACUC) approval. Has your IACU approved this proposal?*
Please note: Funding will be granted to the institution only with documentation of IACUC approval for the project, if applicable
Proposed Starting Date of Research*

MonthDayYear
Anticipated Date of Completion*

MonthDayYear
Institution Address

Street Address

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CityState / Province

Postal / Zip CodeCountry
GRANT INFORMATION

The $5,000 payment will be made payable to the name of the institution. The grant must be used specifically for this project but cannot be used for salary support or travel. No indirect charges will be paid to the institution

*Please note the AAP will require a Letter of Determination and the institution's W-9 fully process this grant. The names must match on each document as well as on the contract. Please send the documentation to jcouto@aap.org directly.
Name of Institution
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Upload Science Proposal here:*

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Upload NIH Biosketch Applicant here:*

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Upload NIH Biosketch Mentor here:*

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Upload Mentor Letter of Support here:*

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Upload Fellowship Program Director Letter of Support here:*

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