219 N.
Broad Street 10FL – Philadelphia, PA 19107
Telephone: (215) 735-7999 Fax: (215) 762-5572
Email: office@voicefoundation.org
Application Form for Institutional Grants: Educational and Research
Projects
[Revised – October 2014]
PLEASE TYPE ALL INFORMATION
Office Use Only
______ Educational Proposal
Date Received: ___________
Project Number: ___________
______ Research Proposal
Disposition: ______________
Title of Project:
Total Grant Amount Requested: $ ___________ Total Project Budget: $___________
Project Dates: Beginning Ending
Project Director:
Title & Department:
Institution:
Mailing Address:
Telephone: Fax:
Type of Institution: (Enclose all pertinent IRS determination letters if non-profit)
Public Charity _____ Private Operating Foundation ______
Educational Institution ______ Other (specify) ______
Performance Site/s: Will this research involve human subjects?
YES _____ NO _____
(If YES, enclose authorized approval)
1
219 N. Broad Street 10FL – Philadelphia, PA 19107
Telephone: (215) 735-7999 Fax: (215) 762-5572
Email: office@voicefoundation.org
If other than the Project Director, who is the If applicable, who in the Institution’s
Authorized Official signing for the Business Office should be notified if an
Institution? award is made?
Name: Name:
Title: Title:
Institution: Institution:
Mailing Address: Mailing Address:
Telephone: Telephone:
Manner in which the Foundation’s grant award check should be made payable:
Certificate and Acceptance
We, the undersigned, certify that we are authorized to enter into the following grant
application procedure, and certify that the statements herein are true to the best of our
knowledge. We accept, as to any grant awarded, the obligation to comply with The Voice
Foundation’s policies and procedures (attached and dated August 1992) which are in effect
at the time of the award.
Project Director (signature) : Date:
(Please Type Full Name)
Authorized Official of Institution (signature): Date:
(Please Type Full Name)
Application Form for Institutional Grants: Educational and Research
Projects
2
219 N. Broad Street 10FL – Philadelphia, PA 19107
Telephone: (215) 735-7999 Fax: (215) 762-5572
Email: office@voicefoundation.org
[Revised – October 2014]
PLEASE TYPE ALL INFORMATION
Names, Official Titles, Departments and Social Security Numbers of all Professional
Personnel who will be engaged on the project. List in order of seniority, beginning with the
Project Director. Enclose brief biographies of each person listed. (Use additional sheets if
necessary.)
ABSTRACT (Attach full proposal to these cover forms.)
BUDGET Form for Institutional Grants: Educational and
Research Projects
[Revised – October 2014]
3
219 N. Broad Street 10FL – Philadelphia, PA 19107
Telephone: (215) 735-7999 Fax: (215) 762-5572
Email: office@voicefoundation.org
PLEASE TYPE ALL INFORMATION
Project Title: ______ Educational Project
_______ Research Project
Project Duration: Beginning
Ending
Institution:
Project Number _________
Project Director: (Assigned by V.F.
office)
Personnel: Name Title or Time Amount Requested
Position %/Hrs
Salary Benefits Total $
Pro. Dir.
Consultant Costs $
Equipment $
Supplies $
Patient Costs $
Alterations and Renovations $
Printing Costs $
Public Information Costs $
Other Expenses (itemize, use separate sheet if necessary) $
Total Direct Project Costs $ _______
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219 N. Broad Street 10FL – Philadelphia, PA 19107
Telephone: (215) 735-7999 Fax: (215) 762-5572
Email: office@voicefoundation.org
PLAN FOR RESEARCH
[Revised – October 2014]
Your Research Plan should not exceed six (6) typewritten pages. It should include
the following:
1] Statement of Problem (please be brief)
2] Background Materials – This section should include a review of only the
most significant work/research relating to the project. Include both relevant
work you have carried out, and that by others. A reference list should be
included as documentation.
3] Objectives – A statement of the long-term goals of the project should be
included, as should the specific goals.
4] Method – The procedures used in the conduct of the research should be
reviewed briefly. Moreover, a sample investigation should be described in
detail (subjects, data base, apparatus, specific procedures, analysis
techniques, etc.).
5] Significance – A short review of the contributions expected from the
research should be included.
6] Facilities – Where appropriate, the available facilities should be described,
especially if unusual techniques and resources are to be utilized.
NOTE about the BUDGET cover page: You may use your own detailed budget page
should our format not readily coincide with yours. Be as specific as possible,
listing all of the topics specified on our budget sheet.
COMMENTS: Voice Foundation institutional research and educational grants are
generally modest in size. Maximum levels of support rarely exceed $15,000, and the
majority of grants are under $10,000. Upon receipt, proposals are promptly sent to
the Chairman of the Scientific Advisory Board, who in turn selects an anonymous
peer review panel. Each reviewer independently assigns a numerical grade to the
proposal. Pending the schedules of the reviewers, the Foundation hopes to have
completed, graded reviews within six weeks. The Project Director of a proposal
which fails to gain the support of the review panel, as based upon a numerical
grade average, will be promptly notified. A proposal which receives the necessary
grade point is generally recommended to the Foundation’s Board of Directors for
funding. The Board of Directors has final authority to vote to fund a proposal. This
Board meets four times annually. The Project Director will be notified promptly
pending the decision of the Board of Directors.
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219 N. Broad Street 10FL – Philadelphia, PA 19107
Telephone: (215) 735-7999 Fax: (215) 762-5572
Email: office@voicefoundation.org
If you have any questions, feel free to contact The Voice Foundation staff for
assistance.
