Traditional Pilot Awards Pre-Submission Form | District of Columbia Center for AIDS Research

Investigator Information

Academic Investigator

Name *

Title *

Select the title that most closely describes you primary professional role.

Other Title

If you selected 'other' please indicate your preferred professional title or add an additional professional title if applicable.

School *

Institution *

Department *

Phone *

Email *

Co-Investigators

Provide the names and institutional affiliations of all co-investigators.

Eligibility Information

Please indicate if you belong to the following groups. For more information on new and early stage investigator status, please visit the NIH website.

New Investigator *

Applies to an investigator who has not previously competed successfully as a PD/PI for an NIH independent research award such as an R01 or equivalent. A complete list of excluded awards is available on the NIH website.

Early Stage Investigator *

Applies to New Investigators who are within ten years of completing their terminal research degree or medical residency.

Newly Hired Faculty *

Applies to investigators who began their appointment at a participating DC CFAR institution within the last two academic years.

Underrepresented Racial or Ethnic Minority Groups and/or Women *

If yes, please specify which group(s)

Black/African American

Hispanic/Latino

American Indians/Alaskan Natives

Native Hawaiians or other Pacific Islanders

Women

Established Investigators Newly Transitioning into HIV/AIDS Research *

Application Details

Request a Primary Mentor or HIV Collaborator *

New and early stage investigators are required to have a primary mentor. Established newly transitioning investigators are required to have a HIV collaborator.

If no, please provide the name and contact information of your self-identified Primary Mentor or HIV Collaborator.

Is your project in any of the DC CFAR Scientific Working Group (SWGs) or Scientific Interest Group (SIGs) focus areas? *

Yes

No

If yes, please specify all that apply.

Please visit the SWGs and SIGs site for more information.

Collaborating with the DC Cohort? *

Please review the Spring 2023 RFA to see the details for the co-sponsorship with the DC Cohort. Contact [email protected] as soon as possible.

Core Services

Learn more about the core services we provide to determine if you'd like to utilize any of them during the development of your research.

Request a consultation with a Biostatistician *

Request a consultation with the Community Partnership Council (CPC) *

Request additional Core Service(s) during application development phase *

If yes, please specify which services you would like to access.

Project Documents

Is this a resubmission of a previous DC CFAR application? *

If you are having difficulties submitting the electronic form, please complete the form above in Microsoft Word, and email it along with your project description and biosketch to Lorena Segarra.