FOGARTY INTERNATIONAL SCIENTIST
TRAINING PROGRAM IN HIV/AIDS
INSTRUCTION FORM
Resource Allocation Program (RAP)
University of California San Francisco

Proposal Length: maximum 6 pages, including figures and tables, excluding literature cited.
Format Requirements:  Arial font; 11 pt; minimum 0.5 inch for all margins; no appendices.

Please create one single PDF file including all of the following information:

1. Project Title
2. Amount Requested: $
3. UCSF (or affiliate) Faculty Sponsor Name(s)
• Title
• Department/Affiliation
• Email address
• Box No. (or address)
• Phone
4. Foreign/Visiting Scientist Name(s)
• Title
• Department/Affiliation
• Email address
• Phone
• Fax number
• Box No. (or mailing address)
• Country of citizenship
• Country of permanent residence
5. Grant Administrator:
• Titles
• Department/Affiliation
• Email address
• Box No. (or address)
• Phone
6. Specify if you have been funded in the past 5 years by one of the following UCSF agencies:
   List titles of grants in detail. Include enough information to allow RAP to understand their content.
   Specify dollar amounts awarded and source of funds (e.g., REAC).
• CTSI-SOS
• REAC
• CFAR
• ARI
• Cancer Center-CIRP
• NCOE
• Academic Senate
• Departmental Startup Funds
• Other UCSF (explain _____)
7. Abstract (one paragraph only, max 300 words)
8. Proposal (maximum 3 pages, including figures and tables, excluding literature cited)
1. Specific objectives (purpose of the training or research)
2. Background and Significance and benefits
3. Training Narrative
• For individual trainee applicants: Describe the training agenda and objectives for the visiting/foreign scientist. If the training is part of a project, provide details on how this training supports or leverages the project. Include references to or support for current UCSF/UCB international projects and expectations for future research.
• Describe the foreign/visiting scientist's past experience with AIDS-related work and any specific positions on projects
• Describe the foreign/visiting scientist's research experience and how the proposed training will enhance this experience (if applicable)
• Also, include information on the foreign institution and department that the foreign/visiting scientist will be representing and the scientist's position and length of time at the organization
• For research training programs: Describe the training program, trainees, timeframes, and materials and provide specifics as to how the program will be implemented and evaluated. Describe the program's intended benefits and how that relates to capacity building and research activities in foreign location. Include references to or support for current UCSF/UCB international projects.
4. Timetable: Provide a timeline for the training or training program
9. Budget ($25,000 maximum total costs per proposal inclusive of 8% indirect costs) Use NIH Budget Page Form (one year)
   

   Fogarty International Training Awards Budget	Allowable	Not Allowable
   PI Salary		X
   Foreign/visiting scientist stipend	X
   Administrative Support		X
   Supplies	X
   Equipment *		X
   Software	X
   Personal Computers	X
   Mailing	X
   Tuition	X
   Travel	X
   Research Staff Support (e.g. SRA; Lab. Technician)	X
   Patient Care		X
   Indirect Costs - (8%) inclusive of $25K award	X
   Others Expenses **	X

   *Travel for awardees is restricted to attendance at conferences where the awardee is presenting or
   **Refer to UCSF Charging Practices for examples of allowable expenses http://acctg.ucsf.edu/extramural_funds/policies/Practice.htm#NonPayrollExps
   ***Refer to UCSF Charging Practices for examples of unallowable expenses http://acctg.ucsf.edu/extramural_funds/policies/Practice.htm#UnallowedExps

10. Budget Justification: justify all costs fully.
11. Personnel:
• UCSF faculty sponsor(s) biosketch - Use NIH 398/2590 Biographical Sketch format page
• For each foreign/visiting scientist, please enclose a curriculum vita that includes present and past positions held (including present employment), education, any awards or honors received, and any publications and/or presentations at scientific meetings.
• For any key personnel, provide either a biosketch or description of their role(s) in the training or training program.
12. Letter(s) of support: Please provide a letter(s) of support from the training site(s)/institution(s) with signature. The site(s)/institution(s) should comment on the independence of the trainee(s) and/or availability of space and other resources for the proposed training.