CAIRIBU Collaboration Award LinkedInThis field is for validation purposes and should be left unchanged.Applicant InformationApplicants are eligible if they are affiliated (i.e., trainee, K scholar, or investigator) with a CAIRIBU U54 or P20 Center, or a KURe or KUroEpi Program. Investigators involved in other CAIRIBU initiatives, such as research interest groups, are also eligible to apply. Contact Dr. Kristina Penniston (penn@urology.wisc.edu), CAIRIBU Interactions Core PI, if you have any questions.Applicant's Name(Required) Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Middle Last Suffix Applicant's Institution Name(Required)Institution Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Applicant's Telephone(Required)Applicant's Email(Required) Enter Email Confirm Email Applicant's Position(Required) Early investigator (within 10 years of terminal degree or initial academic appointment) Established investigator K scholar Trainee Other With which CAIRIBU program are you affiliated?(Required) U54 Center P20 Center KURe or KuroEpi Program Other CAIRIBU involvement (involvement in CAIRIBU initiatives or activities) Which of the following best describes you?(Required) Female Male Other Prefer not to answer What is your race or ethnicity? (Check all that apply)(Required) White- For example, German, Irish, English, Italian, Polish, French, etc. Hispanic, Latinx, or Spanish origin- For example, Mexican or Mexican American, Puerto Rican, Cuban, Salvadoran, Dominican, Colombian, etc. Black or African American- For example, African American, Jamaican, Haitian, Nigerian, Ethiopian, Somali, etc. Asian- For example, Chinese, Filipino, Indian, Vietnamese, Korean, Japanese, Pakistani, etc. American Indian or Alaska Native- For example, Navajo Nation, Blackfeet Tribe, Mayan, Aztec, Native Village of Barrow Inupiat Traditional Government, Nome Eskimo Community, etc. Middle Eastern or North African- For example, Lebanese, Iranian, Egyptian, Syrian, Moroccan, Algerian, etc. Native Hawaiian or Other Pacific Islander- For example, Native Hawaiian, Samoan, Chamorro, Tongan, Fijian, Marshallese, etc. Other Prefer not to answer Do you have a physical or mental impairment that substantially limits one or more major life activities, as described in the Americans with Disabilities Act of 1990?(Required) Yes No Don’t know Prefer not to answer Do you meet two or more of the disadvantaged background criteria below?(Required) Yes No Don’t know Prefer not to answer Individuals from disadvantaged backgrounds are defined by the NIH as those who meet two or more of the following criteria: *Were or currently are homeless, as defined by the McKinney-Vento Homeless Assistance Act *Were or currently are in the foster care system, as defined by the Administration for Children and Families *Were eligible for the Federal Free and Reduced Lunch Program for two or more years *Have/had NO parents or legal guardians who completed a bachelor’s degree (see First-Generation and Continuing-Generation College Students: A Comparison of High School and Postsecondary Experiences *Were or currently are eligible for Federal Pell grants Received support from the Special Supplemental Nutrition Program for Women, Infants and Children (WIC) as a parent or child *Grew up in one of the following areas: (a) a U.S. rural area, as designated by the Health Resources and Services Administration (HRSA) Rural Health Grants Eligibility Analyzer, or (b) a Centers for Medicare and Medicaid Services-designated Low-Income and Health Professional Shortage AreasFile Upload Check List(Required) Face page (PHS or similar) Specific Aims (1 page) Description of CAIRIBU research goals (describe how your proposal will meet the CAIRIBU research goals you propose) (1page) Research Strategy (include Background/Significance, Innovation, Approach, and Preliminary data) (≤6 pages) Bibliography (unlimited) Budget (≤2 pages) Budget Justification (personnel and other, as needed (unlimited) NIH Formatted Biographical Sketches for significant investigators (≤5 pages for each Bio) Please check the boxes to confirm you have included all the required documents in your application. Note that SPECIFIC AIMS and RESEARCH STRATEGY pages should be in font size no less than 10 and with margins no less than 0.5 inchesLetters of support and other documents (optional) Timeline Letters of support/collaboration Other attachment(s) Please check the boxes indicating the additional documents you have included in your application.Main Application File Upload(Required)Accepted file types: pdf, Max. file size: 10 MB. Please upload a single PDF file that includes all required documents. If you have a Microsoft Word document, please go to File, Save As, and choose the PDF option in the File Format dropdown list. File size limit 2,000 KBSupporting Documents File Upload (optional)Accepted file types: pdf, Max. file size: 10 MB. Please upload a separate PDF file that includes any optional materials (e.g., timeline, letters of support/collaboration, etc.). If you have a Microsoft Word document, please go to File, Save As, and choose the PDF option in the File Format dropdown list. File size limit 2,000 KB