Emergency Medicine Office of IDEaS Diversity Spark Grant

TITLE OF DIVERSITY SPARK GRANT PROPOSAL *

PROJECT LEAD (Current Brigham and Women’s Hospital Emergency Medicine Faculty/Resident/Physician Assistant member) *

COLLABORATORS (Co-leads, research assistants, statisticians, etc.) *

BACKGROUND (maximum one paragraph) *

Attach any supporting documents
(resume, CV, cover letter, LOI, LOR, etc.)

Total direct costs for the entire project period *

SPECIFIC OBJECTIVES (maximum ½ page)

PROPOSAL DETAILS (maximum one page) * 🛈

PROJECT TIMELINE (maximum ¼ page) *

BUDGET AND BUDGET JUSTIFICATION (use IDEaS spreadsheet) *

Preferred contact method *

Phone number

Email *

For additional information, regarding the Diversity Spark Grant please contact ideascore@partners.org