<p>Joint UNC-Duke CFAR PrEP Application Coversheet</p><p>Duke University co-Principal Investigator: </p><p>UNC CFAR co-Principal Investigator (including middle initial):</p><p>Title of Project:</p><p>Funded Period: 3/15/2017-3/14/2018</p><p>Budget: (total Direct Costs) $100,000</p><p>Proposal Contains: YES NO Human Subjects research ☐ ☐ Research exempt ☐ ☐ Vertebrate animals research ☐ ☐</p><p>Date Submitted (due date: February 15, 2018):</p><p>Duke University co-PI’s Address and Contact Information: PI Name: Position (faculty rank): Address: Phone: Email: </p><p>UNC CFAR co-PI’s Address and Contact Information: PI Name: Position (faculty rank or equivalent): Address: Phone: Email: </p><p>Departmental Grants Manager (Duke applicants only, MUST SIGN THIS FORM!): Name: Phone: Email: </p><p>Duke and UNC CFAR PrEP RFA Coversheet </p><p>Please indicate your faculty rank below</p><p>Duke University co-PI ☐ Post-doc or Fellow with Faculty offer (if funded, requires a CFAR Mentoring Plan)</p><p>☐ Assistant Professor (if funded, requires a CFAR Mentoring Plan)</p><p>☐ Associate or Full Professor</p><p>Previous CFAR Funding? ☐ Yes ☐ No</p><p>If yes, please answer the following questions about the previous Award: Title: Date of Award: Publications resulting from Award: Funding resulting from Award: How is this proposed research different from the previous Award?</p><p>UNC CFAR co-PI ☐ Post-doc or Fellow with Faculty offer (if funded, requires a CFAR Mentoring Plan)</p><p>☐ Assistant Professor (if funded, requires a CFAR Mentoring Plan)</p><p>☐ Associate or Full Professor</p><p>☐ FHI 360 or RTI PI (not UNC-based, if funded, requires a CFAR Mentoring Plan) </p><p>Please specify: ______</p><p>Previous CFAR Funding? ☐ Yes ☐ No</p><p>If yes, please answer the following questions about the previous Award: Title: Date of Award: Publications resulting from Award: Funding resulting from Award: How is this proposed research different from the previous Award?</p><p>2</p><p>Self-reporting of CFAR user Category for the NIH Required by the NIH</p><p>Duke University co-PI Indicate the user category that applies, below. *All CFAR users will fall into one of these four categories.</p><p>1-NIH AIDS PI Individuals who have ever been the PI on an R01 equivalent grant in HIV/AIDS (R01 equivalents include R01, R23, R29, R37 and, after 2008, DP2) 2-NIH PIs being brought into AIDS research: Individuals who are or have ever been the PI on an R01 equivalent grant, but never in HIV/AIDS 3-AIDS-research Pipeline: NIH “New Investigators,” An NIH definition that encompasses individuals who have received funding as a PI directly from NIH*, but not yet at the R01 equivalent level. 4-AIDS-research Pipeline: CFAR Users who have not yet received direct funding from NIH** as PI or Co-PI funding on any NIH grant mechanism. **Individuals whose only NIH funding at the PI or PD level has come indirectly from NIH, for example via an NIH CFAR Administrative Supplement, fall into Category 4.</p><p>*Some CFAR users will also fall into one of these categories. Please check all that apply. Developmental Core Special Emphasis. Recipients of Developmental Core research funding, mentoring, and/or other services Developmental Core Special Emphasis. Recipients of NIH CFAR administrative supplements NIH Special Emphasis: Members of underrepresented groups in AIDS research. These include African-Americans, Hispanics, American Indians, Alaska natives, native Hawaiians, and Pacific Islanders NIH Special Emphasis. Women</p><p>UNC CFAR co-PI Indicate the user category that applies, below. *All CFAR users will fall into one of these four categories.</p><p>1-NIH AIDS PI Individuals who have ever been the PI on an R01 equivalent grant in HIV/AIDS (R01 equivalents include R01, R23, R29, R37 and, after 2008, DP2) 2-NIH PIs being brought into AIDS research: Individuals who are or have ever been the PI on an R01 equivalent grant, but never in HIV/AIDS 3-AIDS-research Pipeline: NIH “New Investigators,” An NIH definition that encompasses individuals who have received funding as a PI directly from NIH*, but not yet at the R01 equivalent level. 4-AIDS-research Pipeline: CFAR Users who have not yet received direct funding from NIH** as PI or Co-PI funding on any NIH grant mechanism.</p><p>Duke and UNC CFAR PrEP RFA Coversheet </p><p>**Individuals whose only NIH funding at the PI or PD level has come indirectly from NIH, for example via an NIH CFAR Administrative Supplement, fall into Category 4.</p><p>*Some CFAR users will also fall into one of these categories. Please check all that apply. Developmental Core Special Emphasis. Recipients of Developmental Core research funding, mentoring, and/or other services Developmental Core Special Emphasis. Recipients of NIH CFAR administrative supplements NIH Special Emphasis: Members of underrepresented groups in AIDS research. These include African-Americans, Hispanics, American Indians, Alaska natives, native Hawaiians, and Pacific Islanders NIH Special Emphasis. Women</p><p>4</p><p>Project Summary type here</p><p>Plan for future funding type here</p><p>Duplication of Funding If the Duke and/or UNC CFAR PI is awarded funding under this opportunity and a similar proposal is funded by NIH during the same funding year, the PI receiving the NIH funding must meet with their institutional CFAR leadership to either 1- make sure the research proposal from the CFAR does not overlap with the NIH proposal or 2- return funds to the CFAR or refuse funds from NIH</p><p>CFAR Mentoring Plan</p><p>As a condition of award, new and early stage investigators and established researchers new to HIV/AIDS are required to have a mentoring agreement and plan that includes a CFAR member as a constituent. The CFAR member must be a Core Leader/Director or an experienced researcher with a faculty rank of at least Associate Professor.</p><p>Career development resources available </p><p>Grant writing at Duke: Gopen Writing Seminars Registration is on a first-come, first-served basis. Faculty are given priority. There are limited seats available for fellows, postdocs, students, and staff.</p><p>Duke Path to Independence Program/K Club o The Path to Independence is designed to help Assistant Professors secure NIH R01 or DOD funding. o The K Club is a program designed to help junior faculty prepare career development (K) grant applications</p><p>On-line grant writing resources can be found at https://ors.duke.edu/orsmanual/proposal-writing- guides and http://deainfo.nci.nih.gov/extra/extdocs/gntapp.pdf. </p><p>UNC Awardees are members of the annual UNC CFAR Developmental Cohort, which provides resources and support in monthly meetings, special events and opportunities, and email communications.</p><p>Duke and UNC CFAR PrEP RFA Coversheet </p><p>Signatures </p><p>______(Duke University co-PI)</p><p>______(UNC CFAR co-PI)</p><p>______(Duke Departmental Manager)</p><p>6</p>