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Page 1: Academy of Architecture for Health Foundationaahfoundation.org/pdfs/AAHF_RFP-APPLICATION_2014 …  · Web viewResearch Design: ... (100 word max per person). Name: ... Academy of

20142015

Page 2: Academy of Architecture for Health Foundationaahfoundation.org/pdfs/AAHF_RFP-APPLICATION_2014 …  · Web viewResearch Design: ... (100 word max per person). Name: ... Academy of

Table of Contents

Section I. Application Cover Sheet...................................................................................................................3

Section II. Application Narrative Outline...........................................................................................................4

Section III. Budget Worksheet..........................................................................................................................5

Section IV-A: Research Timeline SAMPLE.........................................................................................................7

Section IV-B. Research Timeline.......................................................................................................................8

Section V. Research Qualifications....................................................................................................................9

Section VI. Bibliography..................................................................................................................................10

Section VII. Application Requirements Checklist............................................................................................11

AAHF RFP Application | 2

Page 3: Academy of Architecture for Health Foundationaahfoundation.org/pdfs/AAHF_RFP-APPLICATION_2014 …  · Web viewResearch Design: ... (100 word max per person). Name: ... Academy of

Section I. Application Cover SheetAPPLICANT INFORMATION

RESEARCH TITLE:      

PRINCIPAL INVESTIGATOR:

     

CO-INVESTIGATOR(S)      

PRIMARY CONTACT:      

COMPANY/ORGANIZATION:

     

STREET ADDRESS:      

CITY:       STATE:

      ZIP:

      COUNTRY:

     

TELEPHONE:       FAX:      

CONTACT EMAIL:      

WEBSITE (if applicable):      

ABSTRACT (150 words or less):

     

KEYWORDS (FIVE OR LESS):      

FUNDING REQUEST INFORMATION

AMOUNT REQUESTED: $      

COMMITTED MATCH: $      

TENTATIVE/ANTICIPATED MATCH:

$      

TOTAL RESEARCH BUDGET $      

AAHF RFP Application | 3

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Section II. Application Narrative OutlinePlease provide a brief narrative outlining your proposed research that includes the following sections. Add additional pages as needed.

Project Description (50 words or less):     

Research Question(s):     

Significance of research to the practice of healthcare architecture:     

Research Design:     

Research Methods:     

Desired outcomes and application to the practice of healthcare or the creation of healthcare environments:     

AAHF RFP Application | 4

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Section III. Budget Worksheet

RESEARCH TITLE:       

PRINCIPAL INVESTIGATOR:       TELEPHONE

:      

COMPANY/ORGANIZATION:        EMAIL:       

PROJECT PERIOD:        FAX:       

A. SALARIES AND FRINGE BENEFITS (calculate salaries by using either BILL RATE or % of FTE)

FIRST AND LAST NAME TITLE

TOTAL HOURSOR % FTE RATE

TOTAL WAGES

TOTAL FRINGE

AAHF FUNDS

OTHER FUND

SOURCES

                                                       

                                                       

                                                       

                                                       

TOTAL                  

B. CONTRACT SERVICES AND SUBCONTRACTORS (if applicable)

ITEM DESCRIPTION TOTAL COSTAAHF

FUNDSOTHER FUNDS

                              

                               

                               

TOTAL                  

C. OTHER DIRECT EXPENSES

TRAVEL EXPENSES DESCRIPTION TOTAL COSTAAHF

FUNDSOTHER FUNDS

                              

                               

                               

TOTAL                  

AAHF RFP Application | 5

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D. EQUIPMENT AND SUPPLIES

ITEM DESCRIPTION TOTAL COSTAAHF

FUNDSOTHER FUNDS

                              

                               

                               

TOTAL                  

E. OTHER DIRECT PROJECT EXPENSES

ITEM DESCRIPTION TOTAL COSTAAHF

FUNDSOTHER FUNDS

                              

                               

                               

TOTAL                  

TOTAL

TOTAL DIRECT COSTS = A + B + C + D + E                  

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Section IV-A: Research Timeline SAMPLEThis is a sample of a proposed research timeline. Please use the next page to complete your proposed timeline. (Do not include the Research Time SAMPLE sheet with your application submission)

ANTICIPATED TASK START AND FINISH (By Month)

TASK 1 2 3 4 5 6 7 8 9 10 11 12

survey medical staff X X X X

compile data X X X

write report X X X

present report X

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Section IV-B. Research Timeline Please provide a list of anticipated research process steps. Provide an estimate indicating which month you intend to begin each task and when you will complete the task.

ANTICIPATED TASK START AND FINISH (By Month)

TASK 1 2 3 4 5 6 7 8 9 10 11 12

                                                     

                                                     

                                                     

                                                     

                                                     

                                                     

                                                     

                                                     

                                                     

                                                     

                                                     

                                                     

                                                     

                                                     

                                                     

                                                     

AAHF RFP Application | 8

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Section V. Researcher QualificationsPlease provide a brief narrative for lead researchers (100 word max per person).

Name:     Researcher Qualifications:      

Name:     Researcher Qualifications:      

Name:     Researcher Qualifications:      

Additional information as necessary:      

AAHF RFP Application | 9

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Section VI. BibliographyPlease provide a bibliography. Full literature reviews may be used in lieu of the bibliography and are encouraged.

     

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Section VII. Application Requirements Checklist (Please include the completed Application Requirements Checklist with application materials submission)

X APPLICATION SECTION COMMENTS

    Section I. Application Cover Sheet      

    Abstract      

    Section II. Application Narrative Section      

    Application      

    Project Description      

    Problem Statement      

    Research Question      

    Research Methodology      

    Section III. Budget Worksheet      

    Section IV. Research Timeline      

    Section V. Researcher Qualifications      

    Section VI. Bibliography      

    Section VII. Application Requirements Checklist

     

AAHF RFP Application | 11