Research ToolsPre-Application Form

Pre-Application Form

This form is intended to be used for submission of pre-application
(short research proposal)

Eligibility criteria and conditions of award

  • Principal investigator of the proposed project should have a full-time position in academic research lab, hospital or clinical unit.

  • Proposed research should clearly contribute to development of novel treatment modalities of vitiligo or provide firm scientific basis for that.

  • Approved research project will be financed based on the VRF Research Grant Agreement between VRF and administering organization with which project Principal investigator is affiliated.

  • Grant award is subjected to obligation to submit final report on the work done in the frame of the project within 1 month after project completion.

  • If awarded, funding should be spent solely to conduct research described in the proposal at the Principal investigator's discretion.

Evaluation process

After primary evaluation of pre-applications, selected applicants will be asked to submit research proposals in full, which will be peer-reviewed to select a project for financial support.

Completing the form

  • This form should be filled out by a project Principal investigator (PI).

  • Use 12 pt font size, single-spaced text when filling the form. Do not alter page margins in the document.

  • When filling the Pre-Application Form below, please keep strictly within indicated page limits. Applications with violated page limits will not be considered.

  • The form is in Microsoft Word format (DOC file). After completing the form, convert the file to PDF format and save with a file name VRF_In_[PI Last Name].

Submission procedure

This form should be submitted to VRF as a single PDF file attached to e-mail and sent to Put "Pre-application Form" into message subject line.


There are no deadlines for Pre-Application submission.

Project description

Please confine this section to ONE page.

Project title: ____

Principal investigator title and name: _____

Grantee organization name: ______

Requested funds: $ ________

maximum amount of requested funds is $50,000 per year

Proposed project duration: __ months

maximum project duration is 24 months

Research project description

BackgroundProvide brief description of the field motivating project research goals. It is desirable to provide relevant information on prior contribution of Principal investigator to the field.

Research goalsBriefly and precisely state research goals of the projects. List specific research objectives.

Experimental approachesConcisely describe experimental approaches which will be used to reach research objectives.

Expected resultsSummaries expected results of the project. Focus on their contribution to understanding and/or solving vitiligo problem.

Implementation of project resultsClearly outline, how project results will contribute to development of novel vitiligo treatment modalities or improving existing ones.

Principal investigator (PI) informationProject title: ____
PI title and name: ____
Current position: ____
Current affiliation: ____
Grantee organization: ____
Address: ____
Phone: ____
Fax: ____
E-mail: ____

Degrees earnedList all degrees earned with year, speciality and awarding entity

Professional experienceList all affiliations with dates, positions held and affiliations

Publicationsreference in PubMed format; underline PI name in author listList up to 5 key publication in vitiligo field

List up to 10 key publication regardless their relations to vitiligo

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