Grant Research Application » Florida Center for Brain Tumor Research » College of Medicine

Grant Application Form
Date
MM slash DD slash YYYY
Name and Title
Prefix First Last
Institution and Department
Mailing Address
Street Address Address Line 2 City State ZIP Code
Shipping Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
Grant Proposal
Title of Project
Abstract
Please include a concise paragraph that summarizes the proposed study.
Hypothesis and Specific Aims
Number the Specific Aims in this Section and refer to them throughout the remainder of the proposal.
Preliminary Results
Research Plan and Methods
Discuss experimental design and methodology. Include statistical considerations, if applicable.
Research Category
- Cancer/Stem Cell Biology
- Radiation Biology & DNA Repair
- Immunology
- Clinical Trials
- Cancer Pharmacology/Experimental Therapeutics
- Biomedical Informatics & Biomedical Computation Research
- Genomics & Proteomics
- Biology, Oncogene & Cell Cycle
- Tissue Imaging
- Epidemiology
- Other
Select all that apply
IRB or IACUC Approval Letter
Max. file size: 125 MB.
Attach a copy of your IRB or IACUC approval letter to this request when applicable. No funding or tissue will be released from the Florida Center for Brain Tumor until a required approval letter is on file.
FCBTR Biorepository Brain Tumor or Blood Product request
If requesting Tumor, please fill out the information below
Tumor Type
Please specify: frozen (yes/no), how many, and weight/mg
Any age limits?
Sex
- Male
- Female
- No Selection
Race
- White
- Black/African American
- Asian/Pacific Islander
- American Indian/Alaskan Native
- No Selection
Ethnicity
- Hispanic
- Non-Hispanic
- No Selection
Any additional specifications?
Justification for Amount of Tissue Requested
Blood/DNA Request
If requesting Blood, please fill out the information below
Please specify if you are requesting DNA, Plasma or Serum and then how many for each
Any age limits?
Sex
- Male
- Female
- No Seletion
Race
- White
- Black/African American
- Asian/Pacific Islander
- American Indian/Alaskan Native
- No Selection
Ethnicity
- Hispanic
- Non-Hispanic
- No Selection
Any additional specifications?
Justification for About of Fluids/DNA Requested
Supplementary Materials Required:
-NIH-style Biosketch for Principal Investigator and Key Personnel (each biosketch can be no longer than 5 pages)
-Statement of career goals (250 words or less)
-Letter of support from your supervisor or Department Chair, or letter of support from your research mentor or director of the laboratory in which the investigation will be conducted
-Research proposal should not exceed 5 ½ pages
-Statement of any other pending, concurrent applications for the same research project
-Statement of any other pending, concurrent applications for the same research project
Supplementary Materials Upload
Drop files here or

Max. file size: 125 MB.
Budget Summary
Title
Principal Investigator
Total Requested
Personnel
- Salaries and Wages
- Fringe Benefits
- Consultants and Contract Services
Please provide totals for each

Include the personnel & total for each item selected; use the "+" to add a new line of text. Note: the total must add up to the total amount requested for the grant.
Non-personnel
- Space Costs
- Rental, Lease or Purchase of Equipment
- Consumable Supplies
- Patient Care
Please provide totals for each

Include the non-personnel descriptor & total for each item selected; use the "+" to add a new line of text. Note: the total must add up to the total amount requested for the grant.
Submission Dates and Times
Final Deadline: April 1, 2022; Applications must be submitted electronically to Kimberly.foli@ufl.edu.
The word version sent via email can be completed and emailed back to Kimberly.foli@ufl.edu directly, or submission on this web portal is acceptable, as long as all supplemental materials are included. Any incomplete submissions will be not be returned, but it will affect the scoring process. You must start and end the submission process all at one time, it is not saved in between work sessions.
Application Review Information
The FCBTR staff will acknowledge receipt of the application soon after we receive it. The following evaluation criteria and weights will be used by the review panel to form recommendations: Criteria for Judging Projects
1. Scientific Impact. (30%)
2. Quality and extent of innovation. (30%)
3. Ability to complete the project's proposed objectives, judged by the qualifications of the investigators and the reasonableness of the work plan and budget. (25%)
4. Feasibility of some day implementing the research findings into a real-world product / procedure / treatment. (15%)
Award Administration Information
Grants are contingent upon available appropriated funds. In some cases, the review panel will adjust grant amounts depending upon the number of recommended proposals, priorities, and total budget. Grant applicants will be notified within 2 weeks of the panel’s decision
Agency Contact
Applicants are encouraged to contact Kim Foli, FCBTR Administrative Director, at Kimberly.foli@ufl.edu for questions regarding the review process, what activities are eligible for support, and other general questions. Please visit www.fcbtr.ufl.edu for more information.
Consent*
I have read the below statement and agree to the terms set by FCBTR.
Publication Policy

It is understood and agreed that prompt publication of results of research conducted using Florida Center for Brain Tumor Research (FCBTR) resources is desired; and to that end, all Investigators shall be encouraged to publish results of such research in accordance with the publication policy of their institution.

Subject to the acknowledgment requirement, each party shall be free to use the results of its research for its own non-commercial teaching, research, educational, clinical and publication purposes without the payment of royalties or other fees.

Abstracts and manuscripts detailing results of studies utilizing samples or funding from the FCBTR Brain Tumor Tissue Repository shall acknowledge the FCBTR as the source of the samples regardless of the FCBTR affiliation of the Investigators or Authors.

Prior to submission of the abstract or manuscript, each Investigator shall forward a copy to the Coordinator of the FCBTR for purposes of inclusion in the FCBTR Brain Tumor Tissue Repository Database and the FCBTR bibliography.

Each Investigator shall provide one reprint of each published article involving tissue obtained from the FCBTR Tissue Repository to the Coordinator.

Acknowledgment Policy
If findings result in a publication, please include the following statement in the Acknowledgements or Methods section of your manuscript:

“Tissue used in this project was provided by the Florida Center for Brain Tumor Research.”
Or “Support for this project was provided by the Florida Center for Brain Tumor Research and Accelerate Brain Cancer Cure.”

Human Subject Protection Policy
In accordance with federal regulations, it is the responsibility of each Investigator to obtain appropriate approval from their local Institutional Review Board (IRB). No specimens will be released without an official approval letter on file in the FCBTR Office.

Intended Use of Tissue Policy: It is the policy of the Florida Center for Brain Tumor Research to limit the use of the tissue provided to you for that purpose for which it was explicitly requested. You must request permission in writing for any additional use.

Confidentiality Agreement
A University of Florida IRB Confidentiality Agreement form between FCBTR and the recipient Investigator must be completed and signed before tissue will be released.
I agree to abide by the policies listed above.
Investigator's Signature

Grant Application Form

Grant Proposal

FCBTR Biorepository Brain Tumor or Blood Product request

Blood/DNA Request

Budget Summary

Submission Dates and Times

Application Review Information

Criteria for Judging Projects

Award Administration Information

Agency Contact

Publication Policy