Kranenburg Hematology and Pathology Cancer Research Fund

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Title of Project:
Applicant's Email:
Co-Investigators
Location of Research Study:
Period of Support (up to 2 years; renewable for 1 year if approved):
Total Budget Requested:
Has this project been submitted for ethics review?

Has this project been submitted for ethics review? No, not applicable (No human subjects) Yes, approved (copy of approval notice attached) Yes, approval pending Not yet submitted
Under the following subtitles, please provide a brief outline of the project on this page.
Rationale of the Project:
The methodology to be used:
The expected results:
Personnel involved in project:
Please attach any additional information:

Attach Files
Detailed budget:

If any of these categories do not apply, please type N/A.
Undergraduate Student salary support (include 4% vacation pay, 14% benefits)
Is this for Graduate Student/Research Fellowship support?

Is this for Graduate Student/Research Fellowship support? Yes No
Consumables/Supplies
Publication fees (estimate)
Are you requesting a budget for tissue samples?

Are you requesting a budget for tissue samples? Yes No
Other
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