2020 Health Disparities Pilot Grants - Letter of Intent (Required)
The University of Minnesota Program in Health Disparities Research (PHDR) is pleased to announce the 2020 Health Disparities Pilot Grants. These grants are designed to encourage community-initiated research and foster sustainable long-term collaboration between community-based organizations and academic researchers conducting research projects focused on reducing and eliminating health disparities. This required letter of intent is due Friday, February 7th, 2020 by 4:00pm.  After you have completed all of the required sections below, please click "Submit" at the bottom.
Sign in to Google to save your progress. Learn more
Community Organization
Community Organization Affiliation *
Name *
Email *
Phone Number *
University of Minnesota Academic Partner
Please choose one of the following statements
*
Name *
If you do not have an academic partner, write "N/A".
Department *
If you do not have an academic partner, write "N/A".
Email *
If you do not have an academic partner, write "N/A".
Phone Number *
If you do not have an academic partner, write "N/A".
Response
Please complete the following sections.  
Statement of Research Intent *
Significance of Research Interest *
Plans for Future Funding and Research *
Which funding priority topic applies to your application? *
Please check all that apply
Required
How did you hear about the Health Disparities Pilot Grants *
Please check all that apply
Required
Questions or comments
You may also contact Maiyia Kasouaher at hdpilotgrants@umn.edu. Please click "Submit" at the bottom.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of University of Minnesota Twin Cities. Report Abuse