Innovative Research Program

Proposal Form

Deadline for proposals: February 29, 2012 (midnight PST)

This form is for submitting a new proposal. If you already submitted a proposal and have a proposal number and wish to send a revision, please send your revision to the e-mail address provided in the confirmation e-mail you should have received after submitting your proposal.

Items with an asterisk (*) must be filled in.

*Title of Project

*Proposed Budget

US$

Lead PI

The Lead PI should be the individual responsible for the bulk of the research. The Lead PI will also be the main contact for research updates and other correspondence.

*Name:
*Dept. or Institional (if not UCSD) Affiliation:
*E-mail Address:
Telephone Number:
Fax Number:
Mail code or Address:

Co-Investigators

	Name	E-mail	Affiliation
1
2
3
4
5

Fiscal Contact

Please list the fiscal contact handling your funds.

*Name:
*E-mail Address:
Telephone Number:
Fax Number:

Animal/Human Subjects

Are animals used in your research project?

Yes No

If yes, please include the following:

Protocol number:
Approval date:

Are human subjects used in your research project?

Yes No

If yes, please include the following:

Protocol number:
Approval date:

Proposal

Upload proposal (PDF) to include these sections:
A. 1-2 paragraph Executive Summary:
B. Description of Research:
C. Scientific Team and Laboratories:
D. Budget:

NOTE: The attachment file size must not be greater than 10 MB