CHLA Core Pilot Program Outcomes Report

Intro

Please complete the following fields upon the conclusion of your Core Pilot Project.

Your Information

First Name

Last Name

Degree

Core Pilot Project Title

Core

Pilot Project Start Date

Pilot Project End Date

Pilot Project Overview

Summary of your scientific observations (300 words)

Department

Phone Number

Planned Extramural Grant Proposal Submissions

Body

The goal of the CCPP is to fund the generation of data to lead to extramural funding. Please list submitted/planned extramural grant applications/awards from this pilot program.

If you do not have a planned extramural grant proposal at this time, please type in N/A in all blank boxes.

Estimated Submission Date #1

Type of Proposal (eg: R01, K23, Non-profit)

Line 1

Estimated Submission Date #2

Type of Proposal (eg: R01, K23, Non-profit)

Line 2

Estimated Submission Date #3

Type of Proposal (eg: R01, K23, Non-profit)

If you have additional planned extramural grant proposal submissions, please list them below:

If there are no planned grant submissions at this time, please explain why below:

Future Projects

Are you planning to do any follow-up pilot projects?

Yes

Core Acknowledgement

All grant submissions and/or publications that result from the use of the CHLA Core Pilot Program must include the following acknowledgement statement: "We acknowledge support of The Saban Research Institute at CHLA and its Core Pilot Program for the use of the [Core name]"

I Agree