77 Ill. Adm. Code 570.600
Application Requirements
Section 570.600Â Application Requirements
a)Â Â Â Â Â Â Â Â Applications
shall be submitted to the Department through the website established for this
purpose or at the following address:
Spinal Cord Injury Paralysis Cure
Research Trust Fund Grants
Illinois Department of Public
Health
Division of Emergency Medical
Systems & Highway Safety
422 South 5
th
Street, 3
th
Floor
Springfield ILÂ 62701
b)Â Â Â Â Â Â Â Â Faxed and e-mailed
applications will not be accepted.
c)Â Â Â Â Â Â Â Â Applications
shall be submitted on the form prescribed by the Department and shall include,
at a minimum, the following:
1)Â Â Â Â Â Â Â Â The legal name of the
applicant;
2)Â Â Â Â Â Â Â Â The
applicant's address, telephone number, fax number, and e-mail address;
3)Â Â Â Â Â Â Â Â The applicant's Federal
Employer Identification Number (FEIN);
4)Â Â Â Â Â Â Â Â The
name, title and address of the applicant's corporate officers and key managers;
5)Â Â Â Â Â Â Â Â The
name, address, e-mail and phone number of the principal investigator and the
secondary contact designated by the applicant to be responsible for administering
the grant funds;
6)Â Â Â Â Â Â Â Â A
detailed description of the spinal cord injury paralysis research for which
grant funding is requested, including:
A)Â Â Â Â Â Â Â A
statement of the research question or hypothesis or a description of
interventions or model programs on which the research will be based;
B)Â Â Â Â Â Â Â A
prioritized listing of measurable objectives for the research during the time
period of the grant;
C)Â Â Â Â Â Â Â Proposed
activities for experiments, scientific rationale, and relevant reference to
existing works;
D)Â Â Â Â Â Â Â The
evaluation methods to be used to measure progress in achieving objectives and a
plan for monitoring the overall project; and
E)Â Â Â Â Â Â Â The written guidelines
under which the research will proceed;
7)Â Â Â Â Â Â Â Â An
agreement by the applicant that, if awarded a grant, the grant will be used
to
conduct research to find a cure for spinal cord injury paralysis
(Section
6z-49 of the Act);
8)Â Â Â Â Â Â Â Â The
signature of the principal investigator and agency official authorized to
certify the application;
9)Â Â Â Â Â Â Â Â An approximate
timetable for research expenditures and completion;
10)Â Â Â Â Â Â Â Â Background
data and information justifying the project;
11)Â Â Â Â Â Â Â Â A
detailed budget for the period of the grant agreement, documenting sufficient
resources to carry out the research. The budget shall list the total
dollar amount needed for the project, including the amount to be provided by
the applicant and other funding sources and the amount of funding requested
through the grant. The applicant shall identify all revenue sources and amounts
and provide budget estimates, including expenditures for the duration of the
project. The budget shall include the following costs (if applicable):
A)Â Â Â Â Â Â Â Personal
services, including salaries and hourly compensation for officers, directors,
and key employees;
B)Â Â Â Â Â Â Â Benefits;
C)Â Â Â Â Â Â Â Travel;
D)Â Â Â Â Â Â Â Commodities/supplies;
E)Â Â Â Â Â Â Â Equipment costs;
F)Â Â Â Â Â Â Â Â Contractual services;
G)Â Â Â Â Â Â Â Printing;
H)Â Â Â Â Â Â Â Telecommunications;
I)Â Â Â Â Â Â Â Â Patient/client care;
and
J)Â Â Â Â Â Â Â Â Administrative costs;
12)Â Â Â Â Â Â Â Â Documentation
of approval from the IRB of the project and the written guidelines under which
the project will proceed.