Is this study as a whole part of an NIH Grant, Y Cooperative Agreement or Contract? If yes, provide the Award Number: 5U01 CA081457 Will this trial as a whole receive support from [Click and enter Y or N] non-NCI sources (i.e., industry, foundations)? If yes, indicate the source of the funding: [Click and enter source of non-NCI funding] If no, will non-NCI funding be sought? [Click and enter Y or N] Is this a Career Development LOI (CrDL)? [Click and enter Y or N] Further information and instructions regarding the submission of a Career Development LOI (CrDL) may be found at Note: If provide the mentor’s name below. The CrDL PI and mentor must “Y,” schedule a call with the IDB agent monitor(s) prior to LOI submission. PI curriculum vitae [[ ]] If yes, please attach and check off the following: Institutional letter of commitment [[ ]] Mentor letter of commitment [[ ]] CrDL Mentor Name: [Click and type Your Full Name to certify the Date: [Click and enter Date] submission] CrDL Mentor Street Address: [Click and enter Room/Suite/Dept.] [Click and enter Street Address] [Click and enter City, State, Postal Code] CrDL Mentor Phone: [Click and enter Phone No.] CrDL Mentor Fax: [Click and enter Fax No.] CrDL Mentor E-mail: [Click and enter E-mail Address]
Is this study as a whole part of an NIH Grant, Cooperative Agreement or Contract? Y If yes, provide the Award Number: 5U01 CA081457 Will this as a whole receive support from non-NCI sources (i.e., industry, foundations)? [Click and enter Y or N] If yes, indicate the source of the funding: [Click and enter source of non-NCI funding] If no, will non-NCI funding be sought? [Click and enter Y or N] Is this a Career Development LOI (CrDL)? [Click and enter Y or N] Further information and instructions regarding the submission of a Career Development LOI (CrDL) may be found at Note: If “Y,” provide the mentor’s name below. The CrDL PI and mentor must schedule a call with the IDB agent monitor(s) prior to LOI submission. If yes, please attach and check off the following: PI curriculum vitae [[ ]] Institutional letter of commitment [[ ]] Mentor letter of commitment [[ ]] CrDL Mentor Name: [Click and type Your Full Name to certify the submission] Date: [Click and enter Date] CrDL Mentor Street Address: [Click and enter Room/Suite/Dept.] [Click and enter Street Address] [Click and enter City, State, Postal Code] CrDL Mentor Phone: [Click and enter Phone No.] CrDL Mentor Fax: [Click and enter Fax No.] CrDL Mentor E-mail: [Click and enter E-mail Address] trial
Current%20LOI%20v8.1%20041317%20with%20PBTC%20standard%20language.docx