Full Name Salutation: First: Last: Title Institution(s) Address Room/Building: Street Name: City: Province: Postal Code: Telephone E-mail Project Role % Time on Project Keywords to describe the proposed project (Max. 6) Is a model or therapeutic being developed as the main goal of the project? If so, please indicate. (Please select all that apply) Model/tool Therapeutic Animal model* Probiotic Biomarker Prebiotic Clinical assessment instruments Postbiotic Diagnostic Engineered Microbes New method of drug delivery Microbial Transplant Other (Please specify below) Other (Please specify below) Other: *NB Animal research that would be acceptable to the Trust is that in small mammals only, for example mice, rats and guinea pigs. Have you applied to other funding agencies with the same Yes Please specify: proposed work? No (This information will not be used to assess the application) Is this your first application for a research grant in Yes microbiome research? No (This information will not be used to assess the application)
Full Name Salutation: First: Last: Title Institution(s) Address Room/Building: Street Name: City: Province: Postal Code: Telephone E-mail Project Role % Time on Project Keywords to describe the proposed project (Max. 6) Is a model or therapeutic being developed as the main goal of the project? If so, please indicate. (Please select all that apply) Model/tool Animal model* Biomarker Clinical assessment instruments Diagnostic New method of drug delivery Other (Please specify below) Therapeutic Probiotic Prebiotic Postbiotic Engineered Microbes Microbial Transplant Other (Please specify below) Other: *NB Animal research that would be acceptable to the Trust is that in small mammals only, for example mice, rats and guinea pigs. Have you applied to other funding agencies with the same proposed work? (This information will not be used to assess the application) Yes Please specify: No Is this your first application for a research grant in microbiome research? (This information will not be used to assess the application) Yes No
WFMI-POP-2018-Winter-LOI-template-1-1.docx