Dr. Elena M. O’Connell Memorial Fund Fund for Education and Outreach Complete the form below to submit your application. EM OC Fund Application Name First Last Email PhoneTitle of ProjectPrimary ObjectiveTertiary Objective(s)Proposed TimelineAdditional Team Members, Co-AuthorsPlease list additional names and their respective roles. Use a new line for each person and comma separate. Project LeadLetter of IntentPlease paste or upload a formal letter of intent describing the project in detail. There is a separate section for budget. Option to Upload Letter of IntentMax. file size: 64 MB.Please upload a formal letter of intent describing the project in detail Option to paste letter of intentProject BudgetPlease paste or upload an itemized project budget. Option to Upload Project BudgetMax. file size: 64 MB.Option to Paste Project BudgetEthics & DisclosuresHas ethics approval been obtained?(Required) Yes No Other Funding SourcesPlease disclose other funding sources for your project.
