LDSFC Research Funding Application Form - Loeys-Dietz Syndrome Foundation Canada

A. Research Proposal

Title of Project:

(maximum 25 words)

Requested Grant Funds:

Total Project Budget:

Duration of Grant:

(1 year, 2 years or 3 years)

B. Applicant Information

(Principal Investigator)

Applicant Name:

First

Last

Title:

Service/Unit/Division/Department:

Institution:

Phone

C. Project Summary:

Provide a concise summary of the project, its goals, and how it aligns with LDSF Canada's mission.

(150 words max)

D. Project Details:

(1000 words max)

Background and Rationale:

Provide it Budget:

Objectives:

(List the key objectives of your project)

Methods and Activities:

(Describe the major activities or milestones planned to achieve the objectives)

Expected Outcomes:

(Explain the anticipated outcomes and how success will be measured)

E. Funding Plan:

(200 words max)

Grant Utilization:

(Explain how the requested grant funds will be used (e.g., staff salaries, materials, etc.))

Matching Funds/Other Sources of Funding:

(List other sources of funding and their contributions (if applicable))

F. Co-Applicants and Collaborators:

Co-Applicant Information

Name

First

Last

Applicant Type: Co-Applicant; Collaborator

Role in the Project:

Institution

G. Supporting Documents

Upload letters of support or collaboration, or any other documents that you deem pertinent as a single PDF file.

File Upload

Drag & Drop Files, Choose Files to Upload

H. Declaration and Confirmation

I hereby confirm that I have read and agree to comply with LDSF Canada granting policy.

Agreed to and accepted on behalf of the APPLICANT:

Signature

Clear Signature

Date