Application for Grant Funding The International Retinal Research Foundation, Inc., Birmingham, Alabama 1. Application Instructions The IRRF Grant Application Form (online version) consists of the following nine sections: Application Instructions Face Page Abstract Research Design Literature Cited Budget Support from Other Agencies Principal and Co-Investigators Biographical Sketch Checklist All sections must be completed and required fields addressed before you will be able to submit your application. Applications cannot exceed page limits where indicated. Manuscripts authored by the applicant may be provided as additional support material. 2. Face Page Title of Project Principal Investigator Degree(s) Position Title Email Telephone Telefax Co-Investigator(s) Name, Degree, and Institution Project Start Date Project End Date Name of Grantee Organization Mailing Address Email Department Head Title Email Acceptance By checking this box, I understand that my department head will receive a copy of this application via email. Acceptance Date 3. Abstract Briefly state the hypothesis and specific aims of the research project as proposed, or as modified during the course of the research. Specific Aims 4. Research Design Background, Research Design, Methods 5. Literature Cited Published media 6. Budget Line item budget Indirect costs up to but not to exceed 5% of the total requested project amount. Large capital equipment items that exceed $10,000 must be justified in writing. No more than a total of $2,000 for travel in any 12-month period will be approved. Principal Investigator salaries must be accompanied by matching funds. Principal Investigator must list percent effort on project. Budget 7. Support Support from Other Agencies Principal and Co-Investigators List all active or other pending sources of research support, giving source and grant amount and dates. Support Source Grant Amount Project Start Date Project End Date Support Source Grant Amount Project Start Date Project End Date Support Source Grant Amount Project Start Date Project End Date 8. Biographical Sketch Upload document(s), not to exceed two pages per investigator. (Work history; educational history; honors and awards; relevant published manuscripts or in press.) NIH Form will be accepted. You may upload multiple files at once. File types accepted are: TXT, PDF, DOC, DOCM, and DOCX. Upload documents here 9. Checklist Check the appropriate radio button (application cannot be submitted if buttons are not checked, indicating that all application requirements have been met). Budget $100,000 or less per year. Yes N/A Does this proposal involve humans? Yes N/A Does this proposal involve animals? Yes N/A Is the IRB status currently active? Yes N/A Does the application involve capital equipment purchase? Yes N/A If 'Yes', Upload documents here The percentage of effort for PI is listed. Yes N/A All existing grant support listed, including dates. Yes N/A Terms and Privacy I have read and accepted the terms of IRRF’s Policy Statements. ACCEPTANCE By checking this box, I acknowledge that the scientific and technical material contained in this application submission is, to the best of my knowledge, current and accurate. Acceptance Date SUBMIT APPLICATION