Group Foundation for Advancing Mental Health Research Grant Application

Project Title:

Total Funds Requested:

Principal Investigator:

Current Position(s) of Principal Investigator:

Email:

Mailing Address of Principal Investigator:

Telephone Number of Principal Investigator:

Fax Number of Principal Investigator:

Co-Investigator(s):

Institutional Location of Project:

Name and Address of Financial Officer who will administer the funds:

Have funds for this project been obtained from other sources?

Source(s), Amount:

I accept the conditions governing the award of a research grant as determined by the Group Foundation for Advancing Mental Health.

Date:

Signature of Principal Investigator:

Provide a one-page summary of the objectives, hypotheses, subjects, procedures and relevance of the project