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Letter of Intent to Apply for Research Awards - ASNR

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800 ENTERPRISE DRIVE, SUITE 205<br />

OAK BROOK, IL 60523-4216<br />

630-574-0220/FAX: 630-574-0661<br />

<strong>Letter</strong> <strong>of</strong> <strong>Intent</strong> <strong>to</strong> <strong>Apply</strong> <strong>for</strong> <strong>Research</strong> <strong>Awards</strong><br />

Check one <strong>of</strong> the following Award Categories:<br />

[ ] Scholar Award in Neuroradiology <strong>Research</strong> ($60,000)<br />

[ ] Comparative Effectiveness <strong>Research</strong> Award ($60,000)<br />

[ ] <strong>Research</strong> Scientist Award in Neuroradiology ($60,000)<br />

Eligibility <strong>for</strong> the Scholar Award in Neuroradiology <strong>Research</strong> and Comparative Effectiveness<br />

<strong>Research</strong> Award: Candidates must be members <strong>of</strong> the <strong>ASNR</strong> with an MD or DO degree, and must be<br />

board-certified or board-eligible in Radiology by either the American Board <strong>of</strong> Radiology or the Canadian<br />

equivalent. A candidate must have completed a residency in diagnostic radiology. Junior faculty are<br />

encouraged <strong>to</strong> apply.<br />

While under the auspices <strong>of</strong> the Foundation <strong>Research</strong> Award, the candidate must be in an approved<br />

fellowship program or be serving as a faculty member in neuroradiology. The candidate must be under<br />

the direct supervision <strong>of</strong> an <strong>ASNR</strong> Senior Member, who is willing <strong>to</strong> act as men<strong>to</strong>r and project supervisor.<br />

Eligibility <strong>for</strong> the <strong>Research</strong> Scientist Award: Only PhD scientists and candidates who are members <strong>of</strong><br />

the <strong>ASNR</strong> are eligible <strong>to</strong> apply <strong>for</strong> this award.<br />

While under the auspices <strong>of</strong> the Foundation <strong>Research</strong> Award, the candidate must be serving as a<br />

postdoc<strong>to</strong>ral fellow or faculty member in a department with an approved neuroradiology program.<br />

Postdoc<strong>to</strong>ral fellows must be under the direct supervision <strong>of</strong> an <strong>ASNR</strong> Senior Member, who is willing <strong>to</strong><br />

act as men<strong>to</strong>r and project supervisor.<br />

Title <strong>of</strong> Proposal:<br />

Principal Investiga<strong>to</strong>r:<br />

Program Direc<strong>to</strong>r / Sponsor:<br />

Institution:<br />

Department:<br />

Street Address:<br />

City, State, Zip:<br />

Phone: A/C<br />

E-mail:<br />

Submission Instructions<br />

<strong>Letter</strong> <strong>of</strong> <strong>Intent</strong> Submission Deadline is 9:00 AM Central Daylight Time (CDT),<br />

November 1, 2012.<br />

<strong>Letter</strong> must be submitted via e-mail (in .pdf or .doc <strong>for</strong>mat) <strong>to</strong> Stephanie Walsh at The<br />

Foundation <strong>of</strong> the <strong>ASNR</strong>: foundationawards@asnr.org<br />

On the subject line <strong>of</strong> e-mail submissions, indicate: Scholar Award <strong>Letter</strong> <strong>of</strong> <strong>Intent</strong><br />

Submission, Comparative Effectiveness <strong>Research</strong> Award <strong>Letter</strong> <strong>of</strong> <strong>Intent</strong> Submission,<br />

or <strong>Research</strong> Scientist Award <strong>Letter</strong> <strong>of</strong> <strong>Intent</strong> Submission.<br />

Applicants will receive an e-mail acknowledgement from Stephanie Walsh, upon receipt <strong>of</strong><br />

submission. Applicants who are selected <strong>to</strong> submit a full proposal will receive a follow-up email<br />

invitation.


Principal Investiga<strong>to</strong>r (Last, first, middle):<br />

THE FOUNDATION OF THE AMERICAN SOCIETY OF NEURORADIOLOGY<br />

LETTER OF INTENT TO APPLY FOR RESEARCH AWARD<br />

Instructions: Provide a brief description <strong>of</strong> the proposed research. It is recommended <strong>to</strong> organize this<br />

section in<strong>to</strong> paragraphs with the following headings: Background, Goals and Objectives, Plan, and<br />

Anticipated Outcomes. (Do not exceed one-page limit using a minimum <strong>of</strong> 11 point font size in<br />

Arial or Times New Roman font type and 0.5 inch margins. References are not included in the onepage<br />

limit.)

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