MGH Collaboration Catalyst Grant Program

Thank you for your interest in applying for our MGH Collaboration Catalyst Grant Program. Please complete the information below. When you are done, please click "submit". If you experience technical issues with the survey, please contact Esteban Barreto (eabarreto@mgh.harvard.edu).

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* 1. Name (i.e., Project Leads)

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* 2. Department(s)

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* 3. Brief Bios (i.e., one paragraph about each Project Lead)

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* 4. Project Title

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* 5. Project Type

Research

Quality Improvement

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* 6. Brief Project Summary (i.e., one paragraph, max. 100 words)

Detailed Project Summary (please complete information below)

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* 7. Project Goal(s) (i.e., describes the goal(s) of the project being conducted)

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* 8. Background and Significance (i.e., describes key issues/problems and articulates the gap in knowledge being addressed in the current project)

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* 9. Methods (i.e., describes project design, population/sample, setting, data collection procedures and/or interventions, methodology and proposed analysis. Describes how you intend to measure outcomes)

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* 10. Outcomes (i.e., describes a) how the proposed project will foster partnership across MGH departments or disciplines to achieve a set of agreed upon goals; b) how the proposed project will impact patient care and/or advance equity and inclusion at MGH)

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* 11. Proposed timeline (i.e., describes award timeline, including IRB submission (if applicable), project implementation, completion, and dissemination)

Please download and complete Budget Request Form below.

Budget Request Form

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* 12. Please upload completed Budget Request Form. You may also upload any other file(s) that you would like to include as part of your application.

You may upload PDF, DOC, DOCX, PNG, JPG, JPEG, or GIF files

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File