Submit Letter of Intent for Head and Neck SPORE Pilot Funding

Deadline: Feb 24

Please submit your LOI by Feb 24, 2023. This helps us select the most appropriate reviewers for your application.

Select Pilot Program*

The Career Enhancement Program is directed toward early stage investigators (Assistant Professors only). The Developmental Research Program is open to established investigators pursuing Head & Neck translational research. If you are unsure, we can help you select the program best suited to your research.

Name*

First Last Degree(s)

NetID

Please provide your NetID (if applicable).

Email*

Anticipated Title of Application*

This can be modified in your final application.

Key Personnel

List key personnel you anticipate to be involved in this pilot project. CEP applicants are required to list at least one mentor. Click the "+" button to add more lines.

First Name	Last Name	Department	Role (Co-I, mentor, etc.)

Other potential conflicts of interest

Please list others you would like to remove from the reviewer list due to potential conflict of interest.

First Name	Last Name	Reason

Brief description of your project (2-3 sentences)*

Human Subjects Research?*

Will human biospecimens or clinical data (PHI) be involved in this research? Additional forms may be required in the application.

Yes
Yes, but no PHI involved
No
Unsure

SPORE Resources*

Please note any associated HN SPORE Resources you have contacted (encouraged).

Admin Core
Path Core
Biostats Core
Other
I would like more information