Application for Grant

* All Fields are Required

Application is hereby made for a grant in the amount of $
for the purpose of conducting a research project on the following subject:

Title of Project:
Name of Principle Investigator (only one):
Title of Principle Investigator:
Institution:
Address:
City/State:   
Zip Code:
Phone:
E-Mail Address:
Co-Investigators:

AGREEMENT IN REGARD TO GRANTS-IN-AID FROM APPLICATION

The undersigned agree:

  1. to expend funds granted by the American Academy of Sports Medicine solely for research purposes specified within this grant application.
  2. to keep detailed records of the conduct of this project and all matters pertinent to it, including a detailed accounting of funds, materials, and equipment.  Reasonable care, maintenance, and insurance of all major equipment shall be provided.
  3. to return all unexpended funds at the end of the grant period.
  4. to submit a progress report at six months after the initial disbursement of grant funds and a final report to be submitted not later than eight weeks after the conclusion of the grant period.
  5. that when publishing results of the investigations, AAPSM support shall be acknowledged.

Electronic Signature - Official Authorized to Sign for Institution

Electronic Signature - Principal Investigator


Certificate of Compliance
PROTECTION OF RESEARCH SUBJECTS

Please check those that apply.

Committee on use of human subjects
This project has been reviewed by our Committee and the following is noted: 

The project does not include activities involving human subjects.

The project includes activities exempt from review.

The project does include activities involving human subjects.
      The Committee reviewed and approved it on  (date)

Committee on animal welfare
This project has been reviewed by our Committee and the following is noted: 

The project does not include activities involving animal subjects.

The project includes activities exempt from review.

The project does include activities involving animal subjects.
      The Committee reviewed and approved it on  (date)

I hereby certify that the committee meets the regulations in all federal, state, and local laws concerning the use of human subjects and the handling of experimental animals.

Electronic Signature


SUMMARY OF BUDGET AND FINANCIAL STATEMENT

  Requested Budget Funds from Other Sources Actual Expenditure
       
Investigators' Salaries (not allowable):    
Physical Plant Renovations:    
Personnel:
Expendable Supplies:
Equipment:
Office Supplies:
Other Miscellaneous:
       
TOTALS

 

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