This application has 5 sections (Details, Investigators, Project, Review, Proposal)
PI 1 (Contact PI) Information
The account user name must match the PI1 name. To submit on behalf of a PI, sign in using their credentials (their email and password).
To avoid spam & junk mail issues, use of web-based emails (Gmail, Yahoo) is discouraged. If possible, use a UCSF email address.
MD PhD MCR/MPH/MS DDS RN PharmD Other
If Other Degree
Male Female Other
Time Spent in Research
Time Spent in Clinic
Are you currently a K awardee?
Have you received funding from a RAP Funding Agency in the past three years?
Mentor (if applicable)
Post Award Analyst
One paragraph only, maximum 300 words
Does your budget include a component for travel?
Does your project involve payments to international organizations/research expenses in other countries?
Does your project involve human subjects?
Yes, CHR/IRB Approval # is
Yes, CHR/IRB Approval Pending
Yes, CHR/IRB Approval Planned
No, CHR/IRB Not Applicable
Does your project involve human stem cell?
Does your project involve animal subjects?
Yes, IACUC Approval # is
Yes, IACUC Approval Pending
Yes, IACUC Approval Planned
No, IACUC Not Applicable
Last, First Name
Does this project involve an invention that has the potential for patenting?
Yes No Not Sure
If it does or you are not sure if it does, contact UCSF Office of Innovation, Technology & Alliance.
Will your proposed study target inclusion of subjects from special populations?
If yes, select AT LEAST ONE from Special Category Populations that is applicable:
Children (under 18)
Pregnant under 18
Institutionalized - Incarcerated/prisoners
Institutionalized - Nursing home population
Institutionalized - Mental health facility
Under-represented ethnic minorities: Hispanic or Latino
Under-represented ethnic minorities: Not Hispanic or Latino
Under-represented ethnic minorities: Prefer not to Answer
Under-represented racial minorities: American Indian or Alaskan Native
Under-represented racial minorities: Asian
Under-represented racial minorities: Black or African American
Under-represented racial minorities: Native Hawaiian or Other Pacific Islander
Under-represented racial minorities: White
Under-represented racial minorities: Other
Under-represented racial minorities: Prefer not to Answer
Review Process Information
Version used in RAP Spring 2018 Cycle