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  1. 1. RE02 Research Fellowship Program Application and Instructions Supported by: Genentech BioOncology Application Due: June 1, 2010
  2. 2. ONS Foundation • Research Team • 125 Enterprise Drive Pittsburgh, PA 15275-1214 • Ph: 412/859-6298 • Fax: 412/859-6160 Email:
  3. 3. ONS FOUNDATION 125 Enterprise Drive, Pittsburgh, PA 15275-1214 RESEARCH FELLOWSHIP AWARD APPLICATION (RE02) Supported by Genentech BioOncology GENERAL INSTRUCTIONS TO APPLICANTS DEADLINE DATES AND IRB ♦ Application Due By: June 1, 2010 ♦ IRB/Animal Welfare Approval: June 1, 2010 PURPOSE AND DESCRIPTION OF AWARDS The purpose of the ONS Foundation Research Fellowship Program is to support short-term oncology research training and mentorship. A research project may be a component of the fellowship, but is not the intent of this funding. The ONS Foundation Research Fellowship Program funds activities to increase the recipient’s knowledge and experience related to further developing his/her program of research. The Fellowship provides funding for Individuals with a doctorate degree in nursing or a related discipline to work with an investigator who has an existing program of research that is relevant to oncology nursing and the proposed activities of the fellowship. Fellows may study with a mentor residing at their present/home institution or travel to the mentor’s institution. The program of activities may involve 2-3 months of intensive study in one continuous block of time or several shorter visits spread out over a maximum of 12 months. Funding preference is given to fellowship programs of activities that address the ONS Research Priorities and Research Agenda. Fellowships are available for both beginning and experienced researchers. A beginning researcher is within eight years of completing a terminal degree, or within five years of initiating independent research within a field of inquiry and has not received independent extramural funding in the area of interest. An established researcher has an established track record of independent (extramural) research funding and publications. Established researchers may apply for support to gain knowledge and experience in a research methodology, data collection technique, or analytic procedure that is new to them and which is a critical piece of a planned change in direction or expansion of their existing program of research. Activities Supported by the Fellowships: The fellowships may be used to support a variety of activities including, but not limited to the following: ♦ Learn a new methodology or laboratory procedure ♦ Strategies to develop a program of research or refine an existing program ♦ Switch to a new area of research or enter oncology for the first time ♦ Develop a relationship with a mentor as a springboard to research funding ♦ Attend an advanced or specialized research training program ♦ Work with a multicultural expert to translate a research tool into another language ELIGIBILITY The applicant must be a registered nurse with an interest in oncology and with a completed doctoral degree in nursing or a related discipline. Current or previous post-doctorate fellows, funded by another agency, are eligible for these awards. Foundation fellows may receive funding for two fellowships throughout their career; one as a beginning researcher and one as an established researcher. ONS Foundation Board of Trustees members are not eligible for a fellowship award. AVAILABLE FUNDING The total award is for $20,000. The fellow receives up to $18,000 to cover transportation, lodging, tuition, salary support, and other research-related expenses. A maximum of $15,000 may be used for salary support including any fringe benefits paid by the institution (the total direct costs and fringe benefits cannot exceed the maximum of $15,000). The mentor or the mentor’s institution will receive a $2,000 award in the form of an unrestricted honorarium to cover the mentor’s consultative or research-related expenses and/or other institutional costs. No additional indirect costs will be awarded to either the fellow’s or mentor’s institution. The award is not renewable and must be used within 12 months after receipt. Unexpended funds revert back to the ONS Foundation. FUNDING PERIOD The maximum funding period is for one year from the receipt of the award. Earliest possible notification of funding is early September. GRANT RE-SUBMISSIONS 2
  4. 4. A proposal may only be resubmitted two times to the ONS Foundation for funding. A cover letter is required if this application is a re-submission from any previous ONS Foundation grant cycle (small grants, major grants, and fellowship programs). The letter is limited to three pages and must be included with each copy of the application that is submitted. The letter should identify the type of previous award the investigator applied for, year of application, the major points described in the critique provided by the previous reviewers, and a description of how the current application was modified to address these points. All modifications to the study must be italicized within the body of the proposal. FINAL REPORTS A final report of expenditures and a final scientific report must be submitted to the ONS Research Team 60 days following the original or amended project funding period. Guidelines for submitting these reports are sent to all fellowship recipients. Unexpended funds revert to the ONS Foundation. Please note, the final report guidelines request a summary of results and abstract suitable for posting online to promote dissemination of findings to practicing nurses and the lay public. Recipients also agree to complete a follow-up survey at one, three, and five years after the completion of the funding project. The purpose of the survey is to track dissemination activities and additional funding which have occurred related to the ONS Foundation funded project. ACKNOWLEDGEMENT OF FUNDING Investigators must acknowledge that this research was funded by the ONS Foundation through an unrestricted grant from Genentech BioOncology in all publications and presentations regarding their research. DISSEMINATION OF RESULTS The ONS Foundation is committed to the dissemination of research findings to support practice changes. A summary of results and final abstract will be posted online and shared with the ONS Public Relations Manager to promote dissemination. The publication of project results in peer-reviewed scientific or professional journals is expected. Funded recipients are encouraged to submit Congress abstracts and to publish their final results in the Oncology Nursing Forum or Clinical Journal of Oncology Nursing. PUBLICITY Fellowship recipients are announced in the booklet, Recognition of Achievement: Awards, Honors & Scholarships, published by ONS and the ONS Foundation; in the ONS Connect, ONS Foundation Newsletter, and via press releases. The press releases are sent to appropriate publications, education and practice institutions and to other professional societies. GENERAL INSTRUCTIONS 1. The application due date is June 1. Applications must be received at the ONS Foundation before or on June 1. No extensions for submission will be granted. If June 1 is a Saturday or Sunday, applications are due on the following business day. 2. A non-refundable fee of $25.00 is required at the time the application is submitted. This fee is used to offset the costs of processing the applications. A check or money order made payable to the ONS Foundation is to be stapled to the front page of the application. 3. Applications that are incomplete or not prepared according to the instructions will not be reviewed. 4. If IRB approval is pending, evidence of submission to the IRB must be provided at the time of application. 5. Seven (7) total applications (one original and 6 photocopies) must be submitted. Applications should be photocopied one- sided 6. The original copy of the application should be marked as such. The original copy should include the title page and support letters with original signatures. 7. The narrative is not to exceed 8 double-spaced typewritten pages using a 12-point font (preferably Times New Roman, Arial, or Courier), ½ inch margins top/bottom, right, and a left margin of ¾ inch on a laser quality printer. The consistent use of one format (APA, AMA, etc.) for the in-text citations and reference list is required. 8. One metal binder clip or rubber band should be used for each copy of the entire application. Do not bind the application in a spiral binder or use staples or paper clips. 9. Investigators are encouraged to submit all materials by certified mail or a courier service, i.e. FedEx, UPS, to: Oncology Nursing Society ATTN: Research Team 125 Enterprise Drive Pittsburgh, PA 15275-1214 10. Receipt of application will be confirmed by e-mail. If no response has been received within one week after the application deadline, contact the ONS Research Team at: Ph: 412/859-6298. FAX: 412/859-6160 Email: APPLICATION INSTRUCTIONS AND FORMAT Applicants are required to work with their research mentor to prepare the proposal. INSTRUCTIONS FOR COMPLETION OF THE APPLICATION SUBMISSION CHECKLIST: All applications must be submitted with a completed Submission Checklist attached to the original copy of the application. In the first column the investigator needs to mark a check to note that the item is in the packet or NA for not applicable. TITLE PAGE: Complete the appended title page
  5. 5. Grant Re-Submissions from a Previous Funding Cycle: Check the appropriate response. If “yes”, see the section entitled Grant Re-submissions. Title of Project: Limit to 60 characters. Human or Animal Investigation: The fellow and/or mentor must obtain approval from an Institutional Review Board (IRB) or Animal Welfare Committee if the proposed project pertains to human or animal research. The IRB must be registered with the office for Human Research Protection, DHHS and the assurance identification number must be provided on the face sheet. If approval has been received, list the approval date and include the approval letter. If approval is pending, indicate this on the checklist and title page and attach proof of submission to the IRB. IRB approval must extend for the full period of the fellowship. If the proposed activity falls under the mentor’s research program, evidence of current IRB approval for the mentor’s research project is sufficient and should be provided at the time the application is submitted. No funds will be released until IRB approval has been confirmed. Signatures: The following signatures must be obtained: Immediate Supervisor/Chairperson; Institutional Official; and the Research Mentor. Beginning or Established Researcher: Indicate if the application is being submitted by a beginning or established researcher. ABSTRACT Place the abstract on a separate sheet of paper with the title of the project, name of the fellow and institution, and name of the mentor and institution at the top of the page. Abstracts must be no more than 500 words and contain the following headings: Purpose/Specific Aims of Fellowship, Expected Outcomes, Background and Future Directions, Significance, and Role of Mentor. An electronic copy of the abstract must be submitted to the ONS Research Team at the time of the application submission. The abstract is to be emailed as a PDF file to the ONS Research Team at The application is not considered complete until the electronic abstract copy is received. PROJECT NARRATIVE The narrative is not to exceed EIGHT DOUBLE-spaced typewritten pages using a 12- point, vertical height font (preferably Times New Roman, Arial, or Courier), ½ inch top/bottom, right, and a left margin of ¾ inch on a laser quality printer. The consistent use of one format (APA, AMA, Chicago, etc.) for the text, citations and reference list is required. All pages of the narrative are to be numbered. PRESENT THE INFORMATION IN THE FOLLOWING ORDER: Purpose, Specific Aims and Timeline . Describe the purpose of the fellowship. Underline 10-12 key words. List specific aims in numerical sequence. Aims must reflect the purpose of the fellowship. Provide a timeline for the proposed activity that identifies when each specific activity will be implemented and finished, and the duration of each activity. Outcomes. Identify the outcomes of each specific aim and how the outcomes will be evaluated. Background and Future Directions. Explain how the proposed fellowship will build on previous training, past accomplishments, current research program, and the anticipated future of your research program. Significance. Address the importance of the fellowship to oncology nursing, including the benefits to nursing science and clinical practice. Animal studies must address how the research will contribute to the understanding of human responses and to advances in nursing science and clinical practice. Methods and Design. If the proposed fellowship includes a research project, describe the research design; sample and settings; experimental variables, if applicable; instruments; data collection schedule and procedures; data analysis and interpretation; and protection of human participants or animals used for research. Facilities and Resources. Describe the facilities and resources available to carry out the project at both the mentor’s and your institution. Time & Effort. What percentage of time will be devoted to this fellowship? This percentage should reflect the amount of salary support requested in the budget. Role of Research Mentor Instructions to Mentor: The mentor should write the section in the first person describing his/her contributions to the fellowship and how the mentor will help the fellow accomplish the specific aims of the fellowship. The mentor’s areas of expertise, e.g., instrument development and/or conceptual/theoretical expertise, should be described plus any additional opportunities available to the fellow, such as access to the mentor’s laboratory, to a research sample, or existing database. Mentor’s Signature on Title Page. The mentor’s signature signifies that approval has been given for submission of this application; the mentor has personally written the mentor’s section; and he/she agrees to serve as the research mentor. ADDITIONAL SECTIONS Not included as part of the 8 page project narrative Reference List: The reference list should follow the format chosen for the project narrative, APA, AMA, Chicago, etc.
  6. 6. Scientific Integrity: It is an expectation of the ONS Foundation that the researcher will incorporate into the study proposal, key ethical principles and federal regulations to protect human participants or animals throughout the research process. As documentation that the PI has knowledge of his/her roles and responsibilities, proof of completion of either the NIH Human Participant Protections Education for Research Course or a similar course available at a University is required. A copy of the certificate of completion issued by the course is to be included in the appendices. The NIH course is available at <>. If animal subjects are involved, documentation of animal protections education must be submitted. Support Letters: Attach letters of support from key administrators, agency personnel, consultant(s) and others, as necessary. If access to subjects is required, the person who has the authority to give approval should provide a letter of support. A etter must be provided from the applicant’s departmental chair, dean or direct supervisor that gives an assurance that the applicant will receive the designated release time from existing job responsibilities. The percentage of release time must reflect the percentage of salary support requested in the budget. Biographical Sketches: Use the attached USPHS 398 (5/01) biographical sketch form. Biosketches need to be submitted for the applicant, the research mentor, co-investigator(s), consultant(s), and clinician collaborators, if any. Each biosketch is limited to 4 pages. BUDGET ISSUES A line item budget and budget narrative are required. The ONS Foundation does not fund the following: ♦ Projects that are already completed or nearing completion. ♦ Post graduate course work not directly related to the specific aims of the fellowship.* ♦ Institutional indirect costs. *The payment of tuition fees and travel expenses for an advanced research training course is permitted when the course is integral to the specific aims of the fellowship. Line Item Budget: Fellowship-related expenses may be itemized using the PHS 398 Budget Form or the budget format from the applicant’s institution. Items labeled as miscellaneous will not be funded. All non-ONS Foundation sources of funding for the proposed activity should be listed on a line item titled “Other Support” and described in the budget narrative in the section “Other Support.” If no other funding is available, write “Not Applicable” for this line item. The line item budget should include the following items: ♦ Personnel: A personnel sheet that lists the name, position title, % time devoted to project, fringe benefit amount and %, total fringe requested, and total salary requested for the fellow, consultants, clerical support, etc. USPHS Form 398 may be used for the personnel sheet. The mentor’s honorarium does not need to be included. ♦ Supplies: Supplies are defined as items with a unit cost of $500 or less. Examples include: photocopying, telephone, postage, computer time, paper, envelopes, transcription machines, cassette tapes, floppy disks, etc. ♦ Equipment: Equipment is defined as items with a unit cost greater than $500. ♦ Travel: Meeting/travel expenses for working sessions with the mentor. ♦ Software: Include the name, version number, and unit cost. ♦ Other Expenses: Do not list as miscellaneous. Other expenses must be specifically listed, i.e., lab fees or supplies, assays, standardized testing, reimbursement of study participants. ♦ Other Support: Identify amount of non-ONS Foundation support that pertains to the fellowship. ♦ Total Funds Requested Budget Narrative: The narrative is a description that includes a justification for all itemized expenses including personnel. Each section of the narrative should (1) list the specific items or project personnel, (2) describe why the items or personnel are essential to the conduct of the fellowship, and (3) include any cost calculations. The lack of institutional resources for specificr items should be described. Personnel. A description of the activities and role of each person involved in the project including the fellow, consultants, clerical support, etc. Include the % time devoted to the project by each person. Equipment. Equipment requests should not represent a major portion of the budget or the only budget item. The narrative for equipment requests should (1) identify the availability of matching funds, if any, or other funds that will contribute to the purchase of the item, (2) explain why the item is absolutely essential to the study, (3) identify where the equipment will be housed during and after the completion of the study, and (4) list the expected depreciation of the item over a 1 year period and estimated value of the item 1 year after purchase. Ownership of the item at the completion of the fellowship will be individually assessed. Travel. Only meeting/travel expenses for working sessions with mentor or reasonable travel for data collection will be considered. Specify the purpose, personnel involved, distance, number of trips, mode of travel, and cost of travel. Software. Request software only if it is not provided by the institution. Software purchases will be considered only if the unit price reflects the current discounted or retail rate. Other Support. The ONS Foundation does not fund overlap in funding unless it is explained how the present award is designed to support a portion of the project that is not covered by the other funds. If the applicant is currently funded as a post- doctorate fellow, identify the funding agency, type of fellowship, and the dates the funding began and is expected to end. All applicants must describe any additional funding that has been awarded for the proposed activity and how the work supported by other funding or fellowship(s) is different from the present
  7. 7. request. If there is other pending funding for the present project, the applicant should explain how the present award will be adjusted if funding is received from both funding sources, e.g., turn down one of the awards, add more performance sites, increase the sample size, hire additional staff, etc. Please notify the ONS Research Team of any additional funding that is awarded after the submission deadline. If no additional funding is available or pending for the project, “Not Applicable” should be written in this section of the narrative. The USPHS Form 398 page entitled, “Other Support” may be submitted. INCOME TAX CONSIDERATIONS In general, the check is made payable to the fellowship recipient’s employer/institution. The employer will receive the 1099-Misc from the ONS Foundation. If the recipient receives additional compensation from his/her employer/institution regarding this award/grant then it is the employer’s responsibility to issue the recipient a W-2 or Form 1099-Misc. The recipient will be asked to designate how the funds should be distributed at the time the award is made. If the check is made payable to the fellowship recipient, the award/grant is considered taxable income in the year of receipt. The ONS Foundation is required by the Internal Revenue Service to report grant awards on Form 1099-Misc. Therefore, the recipient will receive a 1099-Misc. no later than January 31. This information should be retained with the recipient’s tax records. APPLICATION SUBMISSION Applicants are encouraged to submit all materials by certified mail or a courier service, i.e. FedEx, UPS, etc. Submit the original and 6 photocopies of the ENTIRE application including title page, narrative, and all appendices in the following order: • Submission Checklist • Research Classification Form (required only if fellowship includes a research project) • $25.00 application fee. Make checks payable to the ONS Foundation. • If this is a re-submission of a previous application, attach a cover letter that addresses how the application was revised based on the previous review. • Title Page with all appropriate signatures • IRB or animal welfare committee approval letters or submission letter • Abstract (500 words), submit 10 extra copies in addition to an electronic copy (email to • Project Narrative (8 page limit) • Reference List • Current certificate of completion from a Human Participant Protections Education Course • Support Letters • Biographical Sketches (4 page limit/biosketch) • Itemized Budget and Budget Narrative One metal binder clip or rubber band should be used for each copy of the entire application. Do not bind the application in a spiral binder or use staples or paper clips. MAILING INSTRUCTIONS Applications must be received by June 1, 2010. Investigators are encouraged to submit all materials by certified mail or a courier service, i.e. FedEx, UPS, etc. to: Oncology Nursing Society ATTN: Research Team 125 Enterprise Drive Pittsburgh, PA 15275-1214 ADDITIONAL INFORMATION Receipt of application will be confirmed by e-mail. If you have not received a response within one week after the application deadline, contact the ONS Research Team. ONS Research Team Ph: 412/859-6298. FAX: 412/859-6160 E-mail:
  8. 8. ONS FOUNDATION RESEARCH REVIEW PROJECT TEAM TIPS FOR GRANT PREPARATION ♦ If you are early in your research career, i.e., this is your first or second grant submission; you are strongly encouraged to find a doctorally-prepared oncology nurse scientist who is an expert in your content area to work with you as a consultant or co-investigator. If you are having trouble finding a consultant, the ONS Research Team can assist you in finding one. ♦ If you are a junior investigator, a consultant should be selected to support content areas beyond your expertise. They also can be helpful in providing an objective overall critique of the proposal. ♦ Use your consultant to help you develop and critique the proposal. Incorporating their suggestions in the final grant can strengthen proposals. Choose a consultant wisely. They should be known, i.e., have publications or presentations in the content area of the grant. A useful strategy is to have them read and critique the proposal in the early, formative stages. ♦ Use the grant application and instructions as your road map. Read and follow them carefully--in the beginning, in the middle, and at the very end--to be sure that you have followed the rules and have not forgotten anything that pertains to your particular study. ♦ A full-scale study is often proposed when a pilot study would be far more appropriate. A pilot study is useful to determine an effect size; assess the feasibility of a design, instrument, or method; as well as to assess the safety, acceptability, side effects and compliance with an intervention. If you are proposing a pilot study, keep your aims, method, and analysis consistent with the intent of a pilot study. For example, don’t propose statistical hypotheses testing when you really are trying to estimate variance and effect size. ♦ Be sure to make a compelling case regarding why the study is significant to oncology nursing even if the relevance may seem obvious to you. Animal studies must also address relevancy. ♦ Use the biosketches to highlight the expertise of the investigators and consultants. Include those studies and/or publications relevant to the area of the study itself. If there is still room, include oncology related material. Do not exceed the two-page limit by attaching resumes or curriculum vitae. ♦ Make your presentation pleasant to look at and to read. Use a clean style font no less than 12 characters per inch. Do not use a dot matrix printer. Use subheadings, tables, figures, and other creative approaches to present your work. Do not disregard the rules and put off the reviewers by adjusting the margins or decreasing the font to squeeeeeze in more content. ♦ Write clearly in an organized fashion using active voice and non-sexist language. Use an editor to help you with your writing and punctuation. Typographical errors and misspellings reflect poorly on your attention to detail. ♦ Use your appendices to support, not replace, the body of the proposal. Weight does not increase the value of your work, as your reviewer has to carry and read all of the appendices. Be as purposeful in developing your appendices as you are in preparing your narrative. ♦ Make sure your support letters are written specifically about your proposal and your work. Be cautious with generic letters that show that the writer has little knowledge of your proposal. Provide support letters that address specific types of support such as release time, space, equipment, statistical support, or access to a patient population. ♦ Only request allowable budget expenses. Justify your budget carefully. The reviewer should be able to comprehend why the expenditure is needed and how you reached each calculation. ♦ Check your own work looking for fatal flaws such as inadequate sample size, low significance to oncology nursing, or projects with too large of scope. Ask your colleagues to review it and offer constructive feedback. Your proposal must show that your research is significant; “do-able” with the resources, budget, and time frame allowed; as well as scientifically sound. ♦ Check the integrity of your proposal for your own purposes. Draw a diagram identifying the purpose, specific aims, concepts and interrelationships, design, sample, variables, instruments, and data analysis plan. Are the various components consistent and appropriate? Are there any holes or gaps in the project that may result in a fatal design flaw? Have you adequately developed a thread(s) to connect each specific aim to the other sections of the proposal? Have you lost anything or have you added something that is unrelated to your aims? Have you justified your choice of methods or measures where alternatives may be available? Stay focused. ♦ Make sure you differentiate between ethnicity and culture. Cross-culture research goes beyond the translation of tools. If you are planning a study in which you address such issues, seek consultation. If questions or concerns arise about the feasibility of the study ideas or the mechanics of preparing the application and budget, the ONS Research Team can provide assistance or referral. 7
  9. 9. APPENDICES ♦ Application Title Page ♦ Biographical Sketch Form ♦ Submission Checklist ♦ Research Classification Form
  10. 10. ONS FOUNDATION 125 ENTERPRISE DRIVE, PITTSBURGH, PA 15275-1214 RESEARCH FELLOWSHIP PROGRAM (RE02) Supported by Genentech BioOncology For Office Use Only: Proposal No.: ____________________ Is this application a re-submission from a previous ONS Foundation grant cycle? Yes No Year =      Type of previous grant? (small grant, post-doc fellowship, other) Title of Project (Limit to 60 Characters)       1a. Applicant’s Name (First, MI, Last, Credentials/Title/Institution/Address)       1b. Preferred Mailing Address Check: Is this a Home or Work Address ?       1c. Home Phone (     )       -       Work Phone (     )       -       1d. FAX No. (      )       -       E-mail: 2. Budget Requested $      3. Dates of Entire Project From       Through       4. Human Subjects Yes No Pending Animal Subjects Yes No Pending Date Approved:       If Pending, date of review:      5a. Immediate Supervisor/Chairperson (Name, Title, Address, Signature, Date)       Signature Date 5b. Institutional Official to be Notified of Award (Name, Title, Address, Signature, Date)       Signature Date I am applying for this fellowship as a Beginning Researcher Established Researcher Research Mentor: (Name, Title, Address, Signature, Date)       Statement of Mentor: I have given my approval for the applicant to submit this application and have personally completed my section of the application. I agree to serve as the fellow’s research mentor. __________________________________________________________________________________________________ Signature of Mentor Date 6. I, the undersigned, certify that the statements herein are true and completed to the best of my knowledge. I agree, if awarded, (1) to use the granted funds as outlined in the approved budget and to return excess funds to the ONS Foundation, (2) to submit a final expenditure and scientific report including requested information for posting online, (3) to acknowledge the ONS Foundation and the specific donor in all reports and publications, and (4) participate in follow-up surveys to track dissemination and additional funding activities. I, the undersigned, agree to (1) accept responsibility for the scientific and ethical conduct of the proposed activity, (2) abide by my institution’s policies and procedures for dealing with issues of scientific misconduct, and (3) cooperate with the ONS Foundation regarding any inquiries of scientific misconduct or reports of adverse effects. 9
  11. 11. _________________________________________________________________________________________________ Signature of Applicant Date 12
  12. 12. BIOGRAPHICAL SKETCH Provide the following information for the key personnel and other significant contributors in the order listed on Form Page 2. Follow this format for each person. DO NOT EXCEED FOUR PAGES. NAME       POSITION TITLE       eRA COMMONS USER NAME EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, and include postdoctoral training.) INSTITUTION AND LOCATION DEGREE (if applicable) YEAR(s) FIELD OF STUDY                                                                                                                         NOTE: Items A and B (together) may not exceed two of the four-page limit. A. Positions and Honors. List in chronological order previous positions, concluding with your present position. List any honors. Include present membership on any Federal Government public advisory committee.       B. Selected peer-reviewed publications (in chronological order). Do not include publications submitted or in preparation.       C. Research Support. List selected ongoing or completed (during the last three years) research projects (federal and non-federal support). Begin with the projects that are most relevant to the research proposed in this application. Briefly indicate the overall goals of the projects and your role (e.g. PI, Co-Investigator, Consultant) in the research project. Do not list award amounts or percent effort in projects.      
  13. 13. ONS FOUNDATION Research Fellowship Program Supported by Genentech BioOncology SUBMISSION CHECKLIST Use the following checklist to document that all sections of the application are complete. Please check each box to identify that the item has been included. Be sure to read the detailed instructions for each section of the application as you prepare it. √ The √ ‘d items are complete: ONS Use Only $25.00 application fee made payable to “ONS Foundation” For re-submitted applications, cover letter that responds to initial critique (if “not applicable”, mark box with N/A) Section 1: Title Page with all appropriate signatures Section 2: IRB or animal welfare committee approval letter Section 3: Abstract (500 words). Includes title of project, name of fellow and institution, and name of the mentor and institution at the top of the page Section 4: Project Narrative: 8 typewritten, double-spaced pages Section 5: Reference list Section 6: IRB Certificate Section 7: Support letters Section 8: Biographical sketches: 4 page limit/biosketch (Be sure to include a biosketch for your mentor and each co-investigator or consultant, if applicable) List Co-Investigators, Consultants, & Mentors: _______________________ __________________________ _________________________________ _____________________________________ Section 9: Itemized Budget Section 10: Budget Narrative and Justification Research Classification Form (required only if fellowship includes a research project) Original and Six (6) copies of application and title page TEN (10) copies of the abstract I, the undersigned, certify that all application items are included. I recognize that the application will be returned to me if not complete
  14. 14. Signature of Applicant Date Oncology Nursing Society Foundation Research Classification Form INSTRUCTIONS: Please check the boxes below which best describe the purpose and aims of your research proposal. This information is needed by the Oncology Nursing Society Foundation to share with other cancer research funders who classify their research portfolios in the same way. This information is provided to the public on the International Cancer Research Portfolio Website at Funded studies that have been classified using this unified classification system, the Common Scientific Outline, are available on the website. Additional information on this form is needed for the Oncology Nursing Society Foundation’s Grants Database. Cancer Control, Survivorship & Outcomes Research: Biology: Patient Care and Survivorship Issues (note: this includes symptom management and quality of life) Normal functioning Surveillance Cancer initiation: alterations in chromosomes Behavior Cancer initiation: oncogenes and tumor suppressor genes Cost analyses and health care delivery Cancer progression and metastasis Education and communication Resources and infrastructure End of life care Ethics and confidentiality in cancer research Scientific Model Systems: Complementary and alternative approaches for supportive care of patients and survivors Development and characterization of model systems Application of model systems Resources and infrastructure related to cancer control, survivorship and outcomes research Resources and infrastructure related to scientific model systems Early Detection, Diagnosis & Prognosis: Etiology: Technology development and/or marker discovery Exogenous factors in the origin and cause of cancer Technology and/or marker testing in a clinical setting Endogenous factors in the origin and cause of cancer Technology and/or marker evaluation with respect to fundamental parameters of method Interactions of genes and/or genetic polymorphisms with exogenous and/or endogenous factors Resources and infrastructure related to detection, diagnosis or prognosis Resources and infrastructure related to etiology Prevention: Treatment: Nutritional science in cancer prevention Localized therapies- discovery and development Chemoprevention Localized therapies - clinical applications Vaccines Systematic therapies - discovery and development Complementary and alternative prevention approaches Systematic therapies - clinical applications Resources and infrastructure related to prevention Combinations of localized and systemic therapies Interventions to prevent cancer: personal behaviors that affect cancer risk Complementary and alternative treatment approaches Resources and infrastructure related to treatment Other: Long-term Morbidity Psychological Impacts of Symptom Management Quality of Life Cancer Survivorship Pain Management Reproductive Issues None Prevention of Treatment Related Toxicities Rehabilitation Symptom Management: Difficulty Concentrating Nausea None Fatigue Pain Other Hair Loss Shortness of Breath Mucositis Sleep Disturbances
  15. 15. Oncology Nursing Society Foundation Research Classification Form Treatment Type: Biotherapy Surgery Other Chemotherapy Transplant None Radiation Therapy Cancer Type: Basic Research, not site specific Liver Cancer Salivary Gland Cancer Bladder Cancer Nasal Cavity & Paranasal Sinus Cancer Small Intestine Cancer Brain Tumor Neuroblastoma Soft Tissue Sarcoma Breast Cancer Non-Hodgkin’s Lymphoma Stomach Cancer Cervical Cancer Oral Cavity & Lip Cancer Testicular Cancer Endometrial Cancer Ovarian Cancer Thymoma, Malignant Esophageal Cancer Pancreatic Cancer Thyroid Cancer Gall Bladder Cancer Parathyroid Tumor Uterine Cancer Hodgkin’s Disease Penile Cancer Vascular Sarcoma Kaposi’s Sarcoma Pharyngeal Cancer Vaginal Cancer Kidney Cancer Pituitary Tumor Wilm’s Tumor Laryngeal Cancer Prostate Cancer None Age: Adult Children Elderly Combination None Gender Focus: Male Female Both None Type of Research: Qualitative Quantitative Both None Research Setting: Multisite NCI Cooperative Group Single Site Scope: International Local National None Subject: Animal Family/Caregiver Other Cancer Patient Nurses None Quantitative Cancer Survivor Other Healthcare Provider Ethnicity Focus: American Indian/Alaskan Native Black or African American Native Hawaiian or Other Pacific Islander Asian Hispanic or Latino White Research Design: Descriptive Interventional Research Utilization/Evidence-Based Practice Health Services Program Evaluation None ONS Research Priorities (2008): Quality of Life Coping Caregiving Pain End of life Cancer recurrence
  16. 16. Oncology Nursing Society Foundation Research Classification Form Late effects of treatment Stress management Continuum of care Access to care Diet/nutrition Family adjustment to cancer Palliative care Screening/early detection Functional Impairment Palliative care decision making Treatment decision making Mucositis Neuropathy Fatigue None ONS Research Agenda Priority Topics (2009-2013): Health Promotion Nursing-Sensitive Patient Outcomes Individual & Family Psychosocial Research Translational Research End of Life (EOL) Issues Late Effects of Treatment & Survivorship