No Cost Extension (NCE) Request Form

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* 1. Title of the grant

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* 2. What SIR Foundation grant or program are you requesting an NCE for?

Clinical Research and Trials

Academic Transition Grant

Allied Scientist Grant

Dr. Ernest J. Ring Academic Development Grant

Funding Source Development Grant

Pilot Research Grant

Radiology Resident Research Grant

Dr. and Mrs. W.C Culp Student Research Grant

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* 3. Please list the principal investigator and co-authors

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* 4. What is the reason for requesting a no-cost extension? (max 250 words)

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* 5. What is the length of extension?

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* 6. Please include a brief progress report, including to-date findings and problems encountered.