Awards & Grants Application – The Editorial Council of the Journal of Prosthetic Dentistry

Funding Request Type:
Research Study
Technical Procedure
Educational/Professional Meeting
Special Project

Please select the option that best fits your funding request.

Applicant (Individual/Organization):

Mailing Address:

Has this proposal been submitted previously to any agency?
Yes No

If you answered yes to the question above, please include the name of the agency below.

Date previously submitted:

Outcome of previous submission:

Is other external support being sought for this application?
Yes No

If you answered yes to the question above, please include the name of other funding sources below:

Date other funding source application was submitted:

When will the outcome of the application be known?

If a Research Study, does the proposed project involve Human Subjects?
Yes No

Please summarize the following proposed budget items:

Salaries and Wages:

Overhead:

Supplies and Materials:

Equipment:

Other (Itemize):

Please provide a detailed justification for the proposed budget.

If this application is for supplemental funding, please explain the other source(s) of funding and specifically what portions of the budget are to be covered by the funds from the Editorial Council.

Describe succinctly but completely, the significance of your proposal and how it will satisfy the funding criteria of the Editorial Council. If you are proposing a Research Project, include also the Project Plan and Specific Aims.