BRI/ORC Microgrant Pilot Program

Applications will be accepted ona rolling basis. All applications will be reviewed by the BRI and ORC staff and applicants will be notified within three months on the status of their application.

Applicant Information

Title of Request*
Date of Request*
First Name*
Middle Initial
Last Name*
Email Address*
Laboratory Address*
Phone Number*
HMS Rank*
BWH Title*
9 Digit Employee ID (Located on the back of your BWH badge above your signature.)*
If applicable, if ranked Assistant Professor or below, please provide the name of the PI whose lab you work in.
Category of Request (Select one)*
Please describe your request (including any relevant event dates). Limit 500 words.*
Please provide a detailed budget of how the funds will be used. Typically, awards will not exceed $1,000 but requests for a maximum of $2,500 will be considered.*
Please upload your CV.

Demographic Information

Ethnicity (Mark all that Apply)*