RIG Project Grant Application Resident Lead Contact InformationResident Lead Name(Required) First Last Degree (MD/DO)Lead PGY— Select an option —PGY1PGY2PGY3Resident Lead Email(Required) Enter Email Confirm Email Resident Lead Mobile Phone Country Phone Number Opt In for Text Messages(Required)We will only text you with questions/information related to your project. Yes No Resident Lead Location(Required) City State / Province / Region Residency Program Name(Required)Faculty Team Member Contact InfoFaculty Team Member Name(Required) First Last Degree (MD/DO)(Required)Faculty Team Member Email(Required) Enter Email Confirm Email Project DetailsProject Name(Required)Project Zip Code(Required)Location of intended impactProject Impact PopulationSpecial population of intended impactProject Impact Demographic(Required) Rural Urban Other Previous Project?(Required)Is this project a continuation of a previous RIG project? Yes No If yes, provide the name of the previous RIG project.Project AbstractProject Background(Required)Maximum 500 charactersProject Objective(s)(Required)Maximum 500 charactersProject Methods(Required)Maximum 500 charactersAnticipated Results(Required)Maximum 500 charactersCommunity PartnersMaximum 300 charactersIdentified Health Need(s)(Required)For example: Food Insecurity, Access to Health Services, Training Needs … Need Source(s)(Required)Cite source(s) documenting health need. For example: Community Health Needs Survey, ACGME Requirements … Research Day Attendance Required(Required)All RIG projects must be presented at the RIG Summit in Pittsburgh, PA, on Saturday, April 10, 2027. Funding will not be awarded for projects without confirmation of presentation. Yes, I agree to attend and present my project poster at the RIG Summit in Pittsburgh, PA, on Saturday, April 10, 2027.Program Requirements Attestation(Required)You may not submit your grant application without attesting that you have read and agree to all program requirements for participation, reporting and documentation. Yes, I attest that I have read and agree to the program requirements for participation, reporting and documentation.Additional Comments / OptionalProject BudgetUpload your well-researched project budget, including travel expenses for the Pittsburgh RIG Summit and Research Day event. NOTE: A budget template is available for download at the top of this page. YOU MUST USE THE PAFP BUDGET TEMPLATE TO SUBMIT YOUR PROJECT BUDGET.Upload Your Project Budget(Required)Max. file size: 128 MB. Additional Team MembersOther Team Member (1) First Last Team Member 1 Email Enter Email Confirm Email Team 1 — PGY— Select an option —PGY1PGY2PGY3Other Team Member (2) First Last Team Member 2 Email Enter Email Confirm Email Team 2 — PGY— Select an option —PGY1PGY2PGY3Other Teeam Member (3) First Last Team Member 3 Email Enter Email Confirm Email Team 3 — PGY— Select an option —PGY1PGY2PGY3Other Team Member (4) First Last Team Member 4 Email Enter Email Confirm Email Team 4 — PGY— Select an option —PGY1PGY2PGY3CAPTCHA