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Project Investigator Name
Grant Number (Even if the project won’t be utilizing your funds, the NIH still requires our Service Projects to have a current funding source listed- please enter a funding source you are sponsored by that would work for the proposed service project)
Grant Title and Dates of funding for funding source listed above
PI Name (if not SP Investigator)
Institution
Administrative Contact
Choose which TR&D whose technology will most benefit your research?
TR&D 1
TR&D 2
TR&D 3
Site Licensing# (NRC or Agreement State):
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Not Applicable
eIND# or Pending:
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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:
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