Dr. Lila's Blog
Research Award – Application
Research Award Application - 2017
Contact Person Info
Name of individual completing this application if different from Principal Investigator
Lead Principal Investigator
Medical Specialty (ob-gyn, reproductive oncology, internist, etc.)
Medical Institution & School Affiliation
Department / Institute within Medical Institution
Education & Training
List Institution & Location; Degree; Field of Study
Where will study take place (if different than above institution)?
This application meets FWW’s requirements
See FWW’s requirements for this award application
Your application will be reviewed by laypersons and medical professionals. Please be brief (no more than 1-2 pages total); use lay language as much as possible.
Research Proposal Title
Study Design & Aims
Relevance & Innovation
How will this impact patient care or advance translational research? How is this different than other approaches?
Principal Investigator Biosketch (include full publications list)
Accepted file types: pdf, doc, docx.