ࡱ> jli#` bjbjmm =L=DDDD???8 @<H@N6A$A:A:A:ABBBXNZNZNZNZNZNZN$PhwRp~NBBBBB~NDD:A:ANoDoDoDBDR:A:AXNoDBXNoDoDVK@"K:A@ P_ }?BDK TLN0NPKxRMCRKRKBBoDBBBBB~N~ND^BBBNBBBBD%,,DDDDDDN  APPLICATION FOR A PILOT PROJECT GRANT FROM AMERICAN CANCER SOCIETY INSTITUTIONAL RESEARCH GRANT #IRG _08-060-04___ BIOGRAPHICAL INFORMATION First Name, Last name, Degree(s) Academic Title Department School Citizenship Status  FORMCHECKBOX  U.S. citizen or noncitizen national  FORMCHECKBOX  Permanent resident of U.S. Year last degree conferred: Year of first independent position: Administrative Contact: Name: Phone: Email: Verification of Applicant Eligibility by Department Chair (Applicants must be within six years of their first independent research or faculty appointment, must be salaried faculty with appropriate committed research facilities, and may not have competitive national funding active at the start date of the proposed IRG allocation.) Name of Department Chair: Signature Date: Education Degree/year conferred Institution/Location Field of study    Training Title Mentor Institution/Location Dates     First Name, Last name, Degree(s)  AppointmentsTitleInstitution/Location Dates     Other Research Support: Publications (use continuation page if necessary)   Continued on next page First Name, Last Name, Degree(s) PROJECT TITLE: DESCRIPTION OF RESEARCH PROPOSED (use continuation pages as necessary; 8 page limit): Continued on next page First Name, Last name, Degree(s) TOTAL AMOUNT REQUESTED: TERM: from to BUDGET PROPOSED: A. Personnel B. Permanent Equipment C. Supplies D. 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