Principal Investigator/Project Director: * Required First Last Phone: * RequiredEmail: * Required Please list any Departments at Seton, Waco Providence, University, Industry, or entities that are collaborators on this project: * RequiredSummarize your project or program idea in layman's terms. Any goals or specific aims would be useful to include in this narrative (2-3 paragraphs). You can upload this summary if it available in Word format: * RequiredProject Summary Upload (Optional):How does this project align with existing Seton Healthcare Family or Waco Providence initiatives? * RequiredApproximately how many hours per month do you have available to work on developing this project? * RequiredHave you ever submitted for grant funding before? * RequiredYesNoPlease describe: * RequiredHave you submitted for grant funding in this topic area? * RequiredYesNoPlease describe: * RequiredHave you received grant funding in this topic area? * RequiredYesNoPlease describe: * RequiredWhat is an estimated amount of funding you will require to complete this project? * RequiredDo you have a source of funding identified? * RequiredYesNoPlease describe: * RequiredDo you have any of the following prepared (Check all that apply)? Identified unding Source Letter of Intent Grant/Project Outline Grant Proposal Budget/Budget Justification Outline or Concept Idea Project is in existence as an active clinical program, initiative or QA/QC project at Seton Healthcare FamilyPlease describe or attach files:Attach file(s):What types of support do you need to develop and submit your project (Check all that apply)? * Required Identifying Source of Funding Developing a Letter of Intent Grant/Project Outline Grant Writing Project Management Support Budget Development Assistance with Completing/Assembling Grant Forms and Routing Assistance with data and/or analytics Developing an outline or concept idea Involvement or information from advocacy Involvement or information from Ascension Involvement or information from Seton Foundations OtherPlease describe: * RequiredPhoneThis field is for validation purposes and should be left unchanged.