Resident Research Grant Application Insert full title of your research project here Insert your name and email here List your Family Medicine Residency Program here Date application is submitted Insert a picture of yourself: Name and email of your family physician research mentor: What is your research question/hypothesis and rationale for the project? Address IRB/HIPPA compliance: Description of research project: Methodology (consult with your family physician research mentor before completing the sections noted below): Research design – Setting – Sample size – Justification – Data collection process – Analysis – Limitations – Difficulties – Budget (line item budget that details how the funds will be spent): Why is this research important to family physicians? Timeline from start to end: Project Collaborators (if any):