Form: Proposal Intake - Regenstrief Institute

Name of person completing this form:*

First Last

Email of person completing this form:*

Funding Agency:

(Vital/Critical - This field is critical to ensuring your request is appropriately handled.)

Link to Funding Opportunity ID:

(Vital/Critical - This field is critical to ensuring your request is appropriately handled.)

Submission Deadline:

(Vital/Critical - This field is critical to ensuring your request is appropriately handled.)

Letter of Intent Deadline: (if applicable)

(Vital/Critical - This field is critical to ensuring your request is appropriately handled.)

Lead Organization/University:

(Vital/Critical - This field is critical to ensuring your request is appropriately handled.)

Submitting Unit (Dept.):*

PI/PD:*

Project Title:

(Vital/Critical - This field is critical to ensuring your request is appropriately handled.)

How many years will be listed on the budget?

(Vital/Critical - This field is critical to ensuring your request is appropriately handled.)

Proposal Type:

(Vital/Critical - This field is critical to ensuring your request is appropriately handled.)

Will Regenstrief be:

(Vital/Critical - This field is critical to ensuring your request is appropriately handled.)

handling the entire submission

sub only

Please list any senior/key personnel and indicate their proposed role and FTE on this project.

(This information will be used for initial budget creation; but it will be adjusted and confirmed as we work through the budget process.)

Does your project include any subs?

(Vital/Critical - This field is critical to ensuring your request is appropriately handled.)

Yes

Please list the sub name(s).

(Vital/Critical - This field is critical to ensuring your request is appropriately handled.)

CAPTCHA

Finance & Grants Administration

Proposal Intake Form

In The News

Regenstrief Research Scientist Sharmistha Dev, M.D., explained how for older adults, emergency department visits are part of a continuum of care, the importance of frailty evaluation and the impact of ED deprescribing potentially incorrect medications for aging patients.

Influence

‘Memory loss is not normal aging’ — Regenstrief scientist highlights challenges of living with dementia

Featured Fellowship

Health Services Research (HSR) Fellowships & Training

People

NewsWhat people want: Regenstrief-IU study explores patients’ perspectives on diabetes self-management apps

NewsAn emergency department visit as part of a continuum of care

VideoDr. Sprague: Cognitive training can mitigate falls in high-risk older adults

NewsResearch to improve quality of stroke care is advancing but gaps exist

NewsCognitive training helpful for some but not a panacea for fall prevention

What people want: Regenstrief-IU study explores patients’...

Finance & Grants Administration

Proposal Intake Form