ࡱ> 685a bjbj  xEbxEb 444444hhhh$h,"(888!!!!!!!$$#%v!4   !4488! v4848! !: ,S!8 /tAM !!0,"!RP&H*P&S!P&4S!DvTD!!!r^,"    P&B : SUMMARY PAGE DEVELOPMENTAL PSYCHOBIOLOGY RESEARCH GROUP Applicant(s) to whom communication shall be sent. Name________________________________ Address ______________________________ City__________________ State __________ Zip____________ Phone ________________ Email _______________________________ Co-applicant(s) Name _________________________________ Address________________________________ City__________________ State ____________ Zip____________ Phone _________________ Email_________________________________ 2.Title of Project Long Title (80 characters max): ______________________________________________________________________ Short Title (30 characters max): ______________________________ 3.Which aim of the DPEF applies to your project: A.____ Facilitation of research of young investigators in developmental psychobiology. B.____ Facilitation of new research. C.____ Emergency one-time support for an ongoing project. D.____ Seed money for a collaborative multidisciplinary project which has emerged within developmental psychobiology. E.____ Special project of the DPRG as a whole. 4.Date of application: 5.Length of time requested for grant: From ______To ______. 6.Outline of budget: A.Personnel $ ______________ B.Equipment $ ______________ C.Consumable Supplies $ ______________ D.Other Expenditures (specify) $ ______________ TOTAL AMOUNT REQUESTED $______________ 7.List total sources and amounts of support for your research. Are you applying for external support for this project? Specify: 8.If humans/animals are to be used as research subjects, submit approval from: ______ Human Subjects Committee______ Animal Review Board 9. Have DPEF Funds been requested for any portion of this project in the past? ______Yes ______No 10. If this award is granted, I agree to use the funds in accordance with the application and the rules and regulations of the DPRG. Date_______________________ Applicant's Signature _______________________________________ Applicants Email Address ______________________________________________________________ Date_______________________ Co-Applicant's Signature____________________________________ Co-Applicants Email Address___________________________________________________________     Application for research funds Page  PAGE 2 of  NUMPAGES 2   9  + 0 2 O ^ i j k p y    *     ' ( ? ӽȽӽȽȽȽȽȽȽȽӵӭh[hn;CJaJh(2CJaJhn;CJaJh[h[CJaJh[h*CJaJh[h(2CJaJh[h[5CJaJh(25CJaJh[h(25CJaJ@ 9:;`pq 6 8 H I J q  + gd[$a$gd*h^hgd(2 & Fgd(2gd(2$a$gd(2gd*+  c $ B t u  '  @@gd*  gd* h^hgd(2^gd(2h^hgd(2 @h^hgd(2gd(2^gdn;? @ R S s t *+ ' )hikp !#$&')*,þjh*0JU*h<^0JmHnHu* h*0Jjh*0JU h*h* h*:h}jh}Uh[CJaJh(2CJaJh[h[CJaJh[h(2CJaJh[h*CJaJ8' R 56+,jh^hgd* P@h^hgd*gd(2 p^p`gd[  `gd*  @@gd*jk "#%&()+,gd*gd(2h[h(2CJaJh}h[h*h*:jh*0JU*21h:p(2/ =!"#$% K 01h:p*/ =!"#$% P0 5 01h:p(2/ =!"#$% s2&6FVfv2(&6FVfv&6FVfv&6FVfv&6FVfv&6FVfv&6FVfv8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@_HmH nH sH tH @`@ *NormalCJ_HaJmH sH tH DA`D Default Paragraph FontRiR  Table Normal4 l4a (k (No List 4@4 *Header  !4 4 *Footer  !.)@. * Page NumberPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭Vc:E3v@P~Ds |w< ; ! !4 !  ?  + ' j !8@0(  B S  ?YH=ZH=[H=\H=]H=^H=_H=`H=  =*urn:schemas-microsoft-com:office:smarttags PlaceType=*urn:schemas-microsoft-com:office:smarttags PlaceName9*urn:schemas-microsoft-com:office:smarttagsplace  " # # % & ( ) + , `eix$1" " # % & ( ) + , 333333333 * )hikp # % & ( ) + ,  " # # % & ( ) + , "r'vdY(Ijh 88^8`hH.h ^`hH.h  L ^ `LhH.h   ^ `hH.h xx^x`hH.h HLH^H`LhH.h ^`hH.h ^`hH.h L^`LhH.hh^h`o(. 88^8`hH. L^`LhH.   ^ `hH.   ^ `hH. xLx^x`LhH. HH^H`hH. ^`hH. L^`LhH."r'Y(I                    n;*(2Wb}[a1<^&Y_ " @ @UnknownG.[x Times New Roman5Symbol3. .Cx ArialA$BCambria Math"1h:xg:xg+&\\!4  2QHP ?(22!xx  SUMMARY PAGEnatvigcL'hommedieu, Stacey  Oh+'0 ( H T ` lxSUMMARY PAGEnatvigc Normal.dotmL'hommedieu, Stacey2Microsoft Office Word@@Zj_@bhAM@bhAM\ ՜.+,0 hp  UCHSC   SUMMARY PAGE Title  !"#$&'()*+,./012347Root Entry FptAM91Tabled&WordDocument SummaryInformation(%DocumentSummaryInformation8-CompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q