This form must be completed to be considered for a Research grant.  Please provide the information requested below.  All fields must be completed to receive consideration.

1. Fill out the information below then hit the "Print" command in the upper right hand corner

2.  Email to

3. Proceed to the Application Cover Sheet if you have not done so already

The applicant hereby assures IAHPERD that:

  1. The applicant has the necessary legal authority to apply for and receive the proposed grant.
  2. The project will be administered in conformity with the provision of Title VI of the Civil Rights Act of 1964 and provisions of Title IX of the Education Amendments of 1972, and any regulations thereunder.
  3. No funds received under this grant shall be used to supplant funds normally budgeted to provided comparable services or programs.
  4. The project is in compliance with the National Research Act of 1974 (P.L. 93-348) and appropriate informed consent relative to health and privacy of human subject will be obtained.
  5. Should the project proposal not be completed, such funds as awarded will be returned to the association.


Applicant Name:
University, school or agency which assures professional responsibility
Zip Code:
Telephone Number:
Project Information
Project Title:
Grant to cover period from:
Application is for:  
  Program Development
Public Information
Application is:  
first year of grant
Is project being supported
by another agency?
Yes No
(if yes, attach an explanatory page)
Has funding been sought
from another external agency?
Yes No
(if yes, attach an explanatory page)
If yes, identify agency:
(and attach abstract of application)
Amount Requested for IAHPERD Grant
Total Budget:
Do Not Write Below This Line
Postmark / E-mail Date:  
Committee Recommendations:



IAHPERD Action:  

Grant Forms


Please fill ou the application forms to start the process