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Project Investigator Name
Project Investigator Email address
Grant Number (Even if the project won’t be utilizing your funds, the NIH still requires our Collaborative Projects to have a current funding source listed- please enter a funding source you are sponsored by that would work for the proposed collaborative project)
Grant Title and Dates of funding for the funding source entered above
PI Name (if not CP Investigator)
Institution
Administrative Contact
TR&D for collaboration
TR&D 1
TR&D 2
TR&D 3
Site Licensing # (NRC or Agreement State)
Enter #
Not applicable
eIND# or Pending:
Enter #
Not Applicable
Attach any publications to support your research project ideas and goals.
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Description of research project:
Describe how relevant research will aid in obtaining future funding initiatives:
How or will the proposed research collectively engage with the PET-RTRC as a whole or the TR&D Projects current goals and objectives?:
Push-pull relationship(s). Explain in detail what will be received from the TR&D, and what will be provided back to drive/motivate the TR&D:
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