2013 Research Program - Letter of Intent Submission Form

Before beginning, please review the detailed instructions by clicking the Help button in the navigation bar on the left.

PLEASE NOTE THAT ALL OF THE INFORMATION REQUESTED MUST BE FILLED OUT AND SUBMITTED AT ONE TIME.  THEREFORE, PLEASE HAVE ALL THE NECESSARY INFORMATION READY BEFORE BEGINNING.  FURTHERMORE, ONCE THE LETTER OF INTENT HAS BEEN SUBMITTED, IT CANNOT BE EDITED.

To view the Request for Proposals for the 2013 Research Program, click here.

Potential applicants must complete the required information and submit a Letter of Intent in order to be considered to receive an application for the 2013 March of Dimes Research Program. Please complete the Letter of Intent by entering information in the fields below. All fields marked with an asterisk (*) are required and must be filled out in order to submit the form. Upon completion, please click the Submit button at the end of the form.



*NEW PROJECT OR RENEWAL OF A CURRENT MOD GRANT

Please indicate below if the Letter of Intent is for a renewal of a current research grant or Basil O'Connor phase-in application. If the Letter of Intent is not for a renewal, select the New option and proceed to the next section. If the Letter of Intent is for a renewal, select the Renewal option and fill out the applicable information. If the Letter of Intent is for the phase-in of a Basil O'Connor application, select the Basil O'Connor phase-In Application option and fill out the grant information.

New
Renewal
Basil O'Connor Phase-In Application
*Grant Number
  (Please format grant number as xx-fyxx-xxx)
*Grant Start Date   
*Grant End Date   
*TITLE OF THE PROPOSED RESEARCH PROJECT
Enter the title of the proposed research project in the field below with initial capitals (e.g., The Dynamics and Genetics of Asymmetric Cell Division). The project title may not exceed 250 characters, including spaces.

 
INFORMATION ABOUT THE PRINCIPAL INVESTIGATOR
*First Name Middle Name *Last Name Suffix (Jr., Sr.)
*Degree(s)
*Academic Rank/Title
*Department Line 1
Department Line 2
*Institution
Institution 2
*Address Line 1
Address Line 2
Address Line 3
*City
State/Province
Other
*Postal Code
*Country
Other
*Telephone Number Extension 
(For U.S. and Canadian numbers, please format the
telephone number as 999-999-9999.)
*FAX Number
(For U.S. and Canadian numbers, please format the
FAX number as 999-999-9999.)
*E-mail Address
 
*CURRICULUM VITAE UPLOAD
The curriculum vitae (in NIH format) must be in PDF format.  The CV may not exceed two pages in length.  Click here to view a sample CV. To upload the CV, click the Browse button to locate the file. Select the file and click the Open button. Then, click the Upload button to upload the file.
   Upload CV
No curriculum vitae has been uploaded.

*LETTER OF INTENT UPLOAD
THE UPLOADED LETTER OF INTENT DOCUMENT MUST CONTAIN THE FOLLOWING INFORMATION NUMBERED AND IN THE FOLLOWING ORDER:
  1. The objective of the research.
  2. The relevance to birth defects or reproductive health.
  3. The hypothesis or hypotheses to be tested.
  4. Preliminary data.
  5. A statement of the methods of procedure.
  6. A plan for evaluating results.
  7. All current financial support for the conduct of this research. If there are no grants, state "NONE."
  8. A request for a renewal of a current March of Dimes grant or Basil O'Connor phase-in application must include a summary of its progress.
FORMAT THE LETTER OF INTENT DOCUMENT ACCORDING TO THESE SPECIFICATIONS:
  • No more than three pages in length for items 1-7
  • If applicable, no more than two pages in length for item 8
  • 12-point Times New Roman font
  • Single-spaced
  • One-inch/2.54 centimeter margins
  • No headers, footers, or page numbers

The Letter of Intent must be in PDF format. To upload the Letter of Intent, click the Browse button to locate the file. Select the file and click the Open button. Then, click the Upload button to upload the file.

   Upload LOI File
No Letter of Intent has been uploaded.

Please review all of the above information before clicking the Submit button.

Submit Letter of Intent