Application Forms (RMETG)

RMETG Application Form

GENERAL INSTRUCTIONS
Type and page formatting: Please read all instructions thoroughly before preparing your proposal. Following all instructions will avoid delays and prevent application return without review. All information must contain clear and legible print. Only a 12 point font size in Helvetica or Ariel is acceptable. Use black ink to ensure clear copies. Page formatting requires one-half inch margins on all sides.  All pages should be single sided and single spaced. Conformity with the formatting criteria ensures equality across the applications.

All applications must be written in English. Avoid using jargon. For terms not universally known, please spell out the first time of usage and provide the abbreviation in parentheses. Subsequent references can then use the abbreviation.

Non-compliance with instructions including type and page formatting will result in the return of the application without review. The Board of Directors of the International Mechanical Diagnosis and Therapy Research Foundation (IMDTRF) reserve the right to make the final determination of legibility of all submitted proposals and has the authority to return applications. Questions should be directed to the website at “Contact Us.”

The following information refers to the application form.

Cover page:
Project title: The title should succinctly describe the proposed project. Do not be too general. The title should be unique to this application. A total of 60 characters are allowed including spaces between words and punctuation.

Trainee: The trainee is the one person strictly responsible to the IMDTRF for the proposed project. IMDTRF will only conduct business with the trainee.

Degree(s): Indicate academic degrees and pertinent clinical certificates or specializations. Only list clinical considerations that are the result of an awarded certificate or diploma related to a testing mechanism. Do NOT list continuing education certificates.

Organization and department: Identify the trainee’s employer such as a hospital or university. Identify the organizational section such as physical therapy.

Mailing address: Provide complete postal information to allow delivery of mail. All written correspondence will use this address.

E-mail and telephone: Provide day-time contact information.

Total funding request: List the total monies requested for the performance of this project as identified on the “Budget” page.

Mentor information: Please provide the following information regarding your mentor: name, degrees, employment site, and e-mail address.

Signature of trainee: By signing the cover page of the application, the trainee certifies that the contained information is accurate and true to the best of his/her ability. The trainee also agrees to comply with the Grant Agreement as specified in the program announcement. Violation of the Grant Agreement or the deliberate falsification of information can result in punitive consequences including criminal penalties. Please include date.

Project Description:
The project description needs to include the following sections:

  1. Background. Critically evaluate the existing literature and identify existing short-comings. Only consider the most important literature. Do NOT simply give a list of all literature on the topic.
  2. Clinical relevance. Provide a brief statement of the clinical relevance of the proposed project. It is important that this section relates the project to the area of MDT.
  3. Statement of purpose. Provide a statement of your proposed project providing some detail on the direction for project development.

Below is a sample to assist you with your writing.

Background should emphasize existing and lack of current knowledge, leading to the statement of purposes. Background focus; Chronic mechanical low back pain is common, however, knowledge on effectiveness of different manual therapy techniques combined with exercise therapy is lacking. The background would then be expanded to include support for the given thesis sentence using published research. From this background purpose, the statement of purpose would be; Compare the effects of McKenzie extension exercises versus Maitland manual therapy for chronic mechanical low back pain.

Portions of this project description for funded projects will be published on the IMDTRF’s website. Abbreviated terms must be generally accepted or else defined within the text of the description.

Do not exceed the 2 pages limit.

Budget:
Requests can be up to $5,000 for each grant application. A detailed budget itemizing and justifying all costs is required. The budget may NOT cover salary for the trainee. In addition, this funding mechanism does not pay indirect costs. The budget may include fees associated you’re your mentor, project equipment such as software, consultants such as a statistician, travel, and other expenses. Indicate all costs in US currency. Although there is no page limit for your proposed budget, be complete and concise and do not deliberately over-budget.

Mentor: If your mentor requires an hourly fee or a flat rate fee, this cost should be identified here. Note the cost per time unit (hour, day, etc) as well as an estimate of the total expected time. Enter the total mentor time cost.

 

Equipment: Items in this area should relate to the development of the research project and not its implementation. Therefore, the expectation is that most equipment items would relate to software packages. Justify the purchase of each item listed. Enter the total equipment cost.

Consultants: Provide the name and organization of all consultants. Describe the services to be performed, include the number of consultant hours/days anticipated, and the expected rate of compensation per hour/day. A paid consultant cannot be your mentor. Justify the use of the consultant. Enter the total consultant cost. Provide a letter of support from the consultant.

Travel: Itemize all travel costs including airfare or automobile mileage and lodging. Per diem fees will not be reimbursed. Only travel expenses for trainee and mentor will be considered. Travel can occur when the trainee and mentor do not live in the same city. Indicate destination, itemization, and costs for all travel. Justify all travel. Enter the total travel cost.

Other expenses: Itemize any other expenses not listed above. Detailed justification for each expense listed is required. Enter cost for total other expenses.

Disclosure and Conflict of Interest Statement: Please fill out this page indicating any conflicts of interest. If none exist, be sure to check the third circle. The trainee must sign and date this page.

Mentor Agreement: It is the trainee’s responsibility to identify a mentor for this proposed project. The trainee should be looking for an experienced researcher who can provide guidance in the development of a feasible research proposal that includes specific aims, hypothesis, population description, research design, and statistical analysis. The expectation is that the trainee and the mentor have discussed the project and agreed on a procedure for meeting and developing the proposed idea within a 12 month period of time. Mentoring meetings should be scheduled in a method that works for both parties, i.e. face-to-face, via Skype, phone calls, etc. Regularly scheduled appointments should be a part of the agreement in order to move the project continually forward.

Biographical sketch: Attach one biographical sketch for the trainee and one for the mentor. No more than 2 pages per person are allowed. Keep information in a list format rather than a narrative. Focus on experience pertinent to the proposed project. Where appropriate, list information in reverse chronological order. Any content areas can be expanded if directly relevant to this project.

  1. Education: List academic preparation and degrees when obtained. Clinical certificates/diplomas can be listed if they are the result of a testing mechanism. Do NOT list continuing education certificates.
  2. Work experience: List relevant work experience in the following order: years of service, title of position, institute/organization, location.
  3. Honors/professional memberships/licenses: List relevant information in the following order: year of honor or years of membership/licensing, title of award, awarding agency, location
  4. Publications: List publications in the following order:
    1. published, peer-reviewed articles including those in print
    2. published, peer-reviewed abstracts including those in print
    3. books or book chapters
    4. peer-reviewed articles currently in review
    5. relevant invited presentations
  5. Funding: List intra- and extra-murally obtained funding. Provide active grant years, project title, granting agency, and individual’s role on the project. List in the following order: completed projects – funding years are completed in progress projects – those studies that are currently receiving funding for completion pending projects – grant applications have been submitted but outcome is unknown at this time

Timeline: Working together, the trainee and mentor should create a timeline for the successful completion of the proposed project. A rough estimate of meeting days with associated goals should be presented in this section. The Board recognizes that modifications will need to be made as the project progresses but we are asking for a “good faith” estimate. The maximum duration of the timeline should be 12 months.

Literature cited: List all references discussed in the Project Description section of the proposal. All citations should be relevant, concise, and pertinent to the proposed project. Do not exceed one page for this section.

Letters of support: Attach appropriate letters of support from any consultants (not your mentor) who will be involved in the project confirming their participation.

Submission: The entire application should be submitted electronically to info@imdtrf.org

To be considered for review, IMDTRF must receive the complete application by September 1st, no later than 17:00 Greenwich Mean Time.

Contact information: Any questions can be addressed to: info@imdtrf.org

CHECKLIST
Please review the list below to make sure that you have included all items. Failure to submit a completed application on time can result in the proposal not being considered for funding.

  • Cover page.
  • Project Description – limited to two pages.
  • Budget page – including justification for all items.
  • Disclosure page – signed and dated.
  • Mentor Agreement page – including original signature of mentor.
  • Biographical Sketch for the trainee – limited to two pages.
  • Biographical Sketch for the mentor – limited to two pages.
  • Literature Cited page – be consistent in formatting.
  • Letter(s) of agreement from all consultants, if applicable.

When all materials are completed, please submit electronically to info@imdtrf.org

RMETG Application Form