Instructions
Please complete the form below and upload a copy of your application. The application form and instructions are on the RFA webpage . Please note that the required font size is 11-point with 1-inch margins, single spaced.

The application form should be turned into a single PDF before uploading.
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Once you submit the application a confirmation screen will appear. You may want to screenshot this confirmation. If you have any questions please contact us at funding@healtheffects.org.

Unconfirmed applications will not be considered.

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1. ᠎RFA Name (Required.)

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2. First Name, Research Institute Principal Investigator (Required.)

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3. Last Name, Research Institute Principal Investigator (Required.)

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4. Email, Research Institute Principal Investigator (Required.)

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5. Research Institution (Required.)

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6. First Name, Community-Based Organization Principal Investigator (Required.)

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7. Last Name, Community-Based Organization Principal Investigator (Required.)

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8. Email, Community-Based Organization Principal Investigator (Required.)

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9. Community-Based Organization (Required.)

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10. Application Title (Required.)

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11. Full Names of Co-Investigators and their Affiliations (Required.)

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12. Total Study Budget (Required.)

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13. Geographical Location of Study (Required.)

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14. By submitting this proposal, I certify that both Principal Investigators have read and agreed to the application. (Required.)

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15. By submitting this proposal, I certify that both Principal Investigators have committed to collaborating as partners for the life of the project and to commit time and resources as described in the proposal. (Required.)

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16. Upload your RFA 24-1, Track 2 Preliminary Application Here (Required.)

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