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PRISM Local Research Institution Collaboration Program Grants 2013
Principal Investigator*
First Name Last Name
Local Research Institution Collaborator*
First Name Last Name
Collaborator Institution*
Date*
/ Month / Day Year
Review Board Approval (Please check all that apply)*

Requires Institutional Review Board (IRB) approval Requires Institutional Animal Care and Use Committee (IACUC) approval Requires Institutional Biosafety Committee (IBC) approval Does not require IRB, IAUCUC, or IBC approval
Prior sources of PRISM funding in last 5 years*

Murdock CMOP Internal Local Research Collaboration None
Years of prior PRISM support
External grant proposals submitted in last 5 years*
Peer-reviewed publications in last 5 years*
Conference presentations in last 5 years*
Undergraduates mentored in last 5 years*
CV (pdf format)*
Cover letter (pdf format)*
Proposal (pdf format)*
Should be Empty:

PRISM Local Research Institution Collaboration Program Grants 2013