Requestor Name Applicant Email Applicant Phone Number Project Principal Investigator Institution Faculty Department Name of Funding Agency and Program Project Application Deadline Brief Description of Proposed Research Project Summary Budget of Proposed Research Project Personnel ($) Training/HQP ($) Research Costs ($) Research Equipment/Infrastructure ($) Travel ($) Dissemination and Knowledge Transfer ($) Other ($) e.g. Renovations Upload Budget Please append detailed budget and justification including all request cash and in-kind amounts. Is the Application Led by an NSH Researcher? Yes No Where at Nsh Is the Research Taking Place? Does This Research Meet the Mandate and Mission of NSH? Yes No What Is the Impact of This Research at NSH? What Is the Percentage of the Match Required? Cash (%) In-Kind (%) Are Other Institutions Partnering on the Application? Yes No Are Other Insitutions and/or Partners Providing Matching Funds to the Application? Include institution name, amount matching in cash and/or in-kind. Be sure to provide a detailed summary of all confirmed and requested cash and in kind amounts in your budget. Did You Request Matching Funds From Your Department, Division or Faculty? Yes No Please List Any Confirmed Contributions Matching Funds Requested from VP Research Matching Fund Matching Fund Fiscal Year Amount
