Technology Mini-Symposium Awards
INSTRUCTION FORM
Resource Allocation Program (RAP)
University of California San Francisco

Proposal Length: Maximum 6 pages, including figures and tables, excluding table of contents and literature cited.
Format Requirements:  Arial font; 11 pt; minimum 0.5 inch for all margins; no appendices; include page numbers and table of contents.

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

1. Project Title
2. Amount Requested: $
3. P.I. Name
• Title
• Department/Affiliation
• Email address
• Box No. (or address)
• Phone
4. Abstract (one paragraph only, max 300 words)
5. Co-Investigator Names
• Titles
• Department/Affiliation
• Email address
• Box No. (or address)
• Phone
6. Grant Administrator: (Indicate a post-award financial analyst in your Dept. that will help you manage this grant and be our main contact if you are awarded)
• Title
• Mailing Address:
• Email
• Box No. (or address)
• Phone
7. Proposal (Maximum 3 pages)
1. Motivation for the proposed meeting.
2. Anticipated schedule, speakers and location.
3. Target audience.
4. Method used to assess impact.
5. Matching funds that have been secured.
8. Budget ($2,500 maximum per proposal)
   Use the following form:
   PHS 398 Form Page 4, "Detailed Budget for the Initial Period":
   http://grants.nih.gov/grants/funding/phs398/phs398.html
   
Add the network recharge rates to your budget.



	Allowable	Not Allowable
PI Salary		X
Supplies	X
Equipment		X
Personal Computers		X
Advertisements	X
Travel	X

Administrative support, mail, and travel must be required specifically by the proposed mini symposium, and must be clearly justified.
9. Budget Justification. Clearly justify all costs fully.
10. NIH BioSketch of Principal Investigator and Co-Investigator(s) (4 page maximum) Use Form "PHS 398/2590" from the NIH Grant Applications with other support pages. Include active, pending, and planned proposals. Include percent effort, total direct costs (current year) and potential overlap with the current proposal.
11. Departmental Approval
    Department Chair/Unit Head should indicate support for the application with signature.
12. If Applicable - Important Information REQUIRED for SUBAWARDS:
    Does the proposed project include a sub-award?
    Is the applicant PI appointed at an institution other than UCSF? If so, then any award, if funded by CTSI-SOS, will be a sub-award.
    
    If you checked either of these boxes, your RAP application requires additional information to ensure timely set-up of your award.
    
    Many of the agencies that make awards through RAP are funded by federally sponsored projects. Therefore, sub-awards on RAP projects must be approved by the parent funding agency in advance of the project start date. CTSI-SOS parent funding agencies require the following information:
    1. Title of Project
    2. Project period
    3. Pilot Project Principal Investigator’s Name, Organization and Address
    4. What is the nature of the collaboration? If the sub-award is a foreign institution, will domestic researchers be traveling and conducting research at the foreign site?
    5. ESTIMATED TOTAL COSTS for the entire project period
    6. ESTIMATED CONTRIBUTION by sub-award institution (if applicable)
    7. Sub-award Investigator(s) Name, Organization, City, Country, Email, Phone
    8. Research Project Objectives
    9. Human Subject Involvement
    1. Assurance no. for the sub-award site
    2. Who are the participants for the interviews, surveys, and focus groups?
    3. What is the sample size?
    4. What are the procedures for consent and ensuring confidentiality?
    10. IRB information
    11. Animal Subject Involvement