Spring 2014 CTSI LOI Submission Form

Please select the grant program to which you wish to submit:

Project Title

PI Last Name

PI First Name

Degree(s)

Other

Faculty Rank

Other

Department

Email Address

Phone Number

Please list any co-PIs or co-investigators on this project.

Which of the principal investigators have already been identified for this project?

UMN Co-PI Last Name

UMN Co-PI First Name

UMN Co-PI Degree(s)

Other UMN Co-PI Degree

Department

UMN Co-PI Email Address

UMN Co-PI Faculty Rank

Other

UMN Co-PI Phone Number

Community Co-PI Last Name

Community Co-PI First Name

Community Co-PI Degree(s)

Other Community Co-PI Degree

Community Co-PI Email Address

Community Organization

Community Co-PI Title

Community Co-PI Phone Number

Is assistance needed in identifying research partners?

If you are invited to submit a full application, you will be contacted to begin the matching process. Please include additional information about the type or expertise you are looking for in a community partner.

TRANSLATIONAL GRANT PROGRAM

Upload your letter of intent here. Letters should be one page maximum and should include:

1. Project title

2. Identification of unmet health care or medical need being addressed. To the extent possible, please include the following:

- Description of the disease or condition to be treated, diagnosed or prevented

- Overview of the current standard of care

- Explanation of why new or improved treatments or diagnostic approaches are necessary

2. Description of product (e.g. therapeutic, diagnostic, or device) or treatment approach that may result from the proposed research.

RESEARCH SERVICES PILOT FUNDING PROGRAM

Upload your letter of intent here. Letters should be one page maximum and should include:

1. Project title

2. Statement of Specific Aim

3. Brief description of the significance of the clinical problem to be explored.

4. Brief description of the research plan and identification of which CTRS services are to be utilized.

5. One year timeline and corresponding milestones for project completion.

COMMUNITY HEALTH COLLABORATIVE GRANT PROGRAM

Upload your letter of intent here. Letters should be one page maximum and should include:

1. Project title

2. What health issue or priority is this project proposing to address?

3. What is the significance and relevance of the health issue to communities in Minnesota, particularly in underserved populations?

4. Why is your organization/partnership suited to do this work?

5. Provide a brief description of research goals and plan including project design and study population.