The John and Lillian Mathews Regenerative Medicine Endowment

Fiscal Year 2016 Request for Proposals

Proposal Title:

Principal Investigator:

Questions? Contact: Ann LeFever, PhD

Director, Mathews Center for Cellular Therapy

312-926-2325

Please send completed RFP by June 1, 2015 to: [email protected] I. Cover Page: Principal Investigator Personal Overview

a. Name:

b. Title:

c. Department:

d. Division (if applicable):

e. E-mail Address:

f. Telephone Number:

g. Campus Address:

II.

a. Project Title:

b. Statement of How Project will Advance the mission of the John and Lillian Mathews Regenerative Medicine Endowment fund: [The Mission of the John and Lilian Mathews Regenerative Medicine Endowment Fund is to provide support for cGMP activities within the MCCT including but not limited to: the process development, validation and implementation of clinical grade (cGMP) products for patient therapies.] III. Project Overview

a. Project Title:

b. Project Abstract in Lay Language (limit 200 words)

c. Project Introduction and Background (limit 1pg)

d. Project Hypothesis: (limit 500 words)

e. Project Scope: (limit 500 words)

f. Specific Goals and Objectives: (limit 500 words)

g. Scientific Methods: (limit 2 pages) [supporting manuscripts, etc. may be attached as an appendix]

h. Project Timelines (outline specific steps):

i. Project Participants (individual departments, centers, etc.)

j. Background and Qualifications of Project Participants (attach NIH Biosketches)

Attachment 1: Current biographical sketch (NIH biosketch)

IV. Expected Outcomes a. Expected Outcomes and how each outcome will be measured:

b. Critical Success Factors:

V. Funding Request

a. Amount Requested: $

b. Description of Resource Need and Intended Use of Funding:

c. Additional Current and Pending Sources of Funding for this project:

Attachment 2: Detailed Project Budget [no indirect costs are provided]

Attachment 3: List of all current and pending funding

VI. Approvals

a. Does this project require an IRB approval?

b. Is this project being conducted under an FDA approved IND or IDE?

Attachment 4: Copy of IRB approval and FDA IND/IDE number (if applicable); if pending provide the date of submission.

Required Attachments

1. Current biographical sketch (NIH biosketch)

2. Detailed Project Budget

3. List of all current and pending funding 4. Copy of IRB approval and IND/IDE number (if applicable)