Please complete the following questions when applying for research funding and submit application to:

Lupus Society of Alberta Suite 200, 1301 – 8th St SW Calgary, AB  T2R 1B7

General Information

• Principal investigators
  
• Organizational affiliation
  
• Contact numbers (telephone, fax and e-mail)
  
• Biographical sketch of the principal investigator
  
• Anticipated start date of the research project
  
• Anticipated duration of project
  
• Type of research:  basic science, clinical trial, health research
  
• Other sources of funding being sought or already obtained
  

Research Protocal Summary

• Title of proposed research
  
• Hypothesis or research question
  
• Rationale and significance of this research
  
• Objectives
  
• Basic study design
  
• Methodology, including number of subjects, inclusion/exclusion criteria, procedures and primary variables (what will be studied and how)
  
• Data analysis
  
• Particulars of any related studies which have been completed or are underway
  

Ethics Approval
Please attach a copy of your ethics approval letter from either the university with which you are affiliated or the College of Physicians and Surgeons’ ethics committee.

Budget Summary
Please provide a detailed budget including the following information:

• List all support personnel to be used in this study (position, hours, wages, costs)
  
• List all services required to complete the study (lab tests, etc….)
  
• List all supply and equipment requirements for this study
  
• List any other project costs
  

Reporting Requirements
If your application is successful, the Lupus Society of Alberta requires you to provide an annual progress report in addition to a final report on the research and findings.