LymeNet |
Lyme Disease Association of NJ - Research Grant |
PO BOX 1438
JACKSON, NJ 08527
5019 MEGILL RD.
FARMINGDALE, NJ 07727
[email protected]
FALL 1998
Dear Grant Applicant:
The Lyme Disease Association
of New Jersey, Inc. (LDANJ) appreciates your interest and willingness to
conduct research that could potentially lead to a cure for chronic Lyme
disease. Currently, the LDANJ has funds available toward grants in
varying amounts up to $25,000. Future grants could possibly
be considered at a later
date. Enclosed you will find a grant application for you to complete.
Upon its receipt, the application and proposal information will be reviewed
by a committee composed of physicians and LDANJ members. Certain projects
will then be selected for consideration by the executive board of the LDANJ.
The LDANJ is an all-volunteer. non-profit, tax exempt corporation that has raised over $400,000 for Lyme research, prevention, and education. The most important objective of the LDANJ is to find a cure for chronic Lyme disease. Accomplishments include:
Sincerely
Pat Smith
President
LYME DISEASE ASSOCIATION
OF NEW JERSEY, INC.
GRANT APPLICATION FORM
5019 MEGILL RD.
FARMINGDALE, NJ 07727
[email protected]
PART I
1. Contact Person:
Name
Address
Telephone Number (Day)
Evening,
Fax Number
E-Mail address
2. Title of Research Project
3. Name of Principal Investigator
4. Name and address of institution
where research will be conducted
5. Goals and objectives of
the research pertaining to chronic Lyme disease
6. Timetable for the entire
project
7. Timetable for the portion
of the project to be funded
8. Annual cost of the project
and the amount of funding requested
9. Other sources of funding
and ways in which any financial shortfall will be funded
10. Discuss the following items on separate attachments:
1. Please attach the following:
This letter must be on the official letterhead of the research institution and must.be supplied to the LDANJ in numerous copies so it can be distributed for fund raising purposes. Copies of this letter need to be provided shortly after the project is approved for funding. If the project is continued over a series of years, similar letters must be provided in the first quarter of each year. These letters must contain a summary of what has been accomplished in the past year and what will be attempted in the upcoming year.
C. Budgets on an annual basis
for continuing projects.
D. A detailed financial
accounting of all money expended at the end of each monetary disbursement.
E. Permission for the LDANJ
to distribute copies of any published articles resulting from the funded
project.
F. Acknowledgment of LDANJ
support must accompany any article resulting from the funded project.
G. At year end an annual
project summary must be supplied on official letterhead of the research
institution.
Printed name of Applicant
Signature of Grant Applicant
Date