Building Trust Through Diversity, Health Care Equity, and Inclusion in Internal Medicine Training


Letter of Intent Submission Form

Applicant Information

*Please note that this application will need to be submitted in one session.
As a PI, are you (check all that apply)

Proposal Information

0/300 words
0/150 words
0/150 words
Type of Grant Application Seeking *
If you are accepted to submit a full proposal, would you like coaching as you develop your project proposal? *
Do you commit to particpating in a learning network with other grantees? *
Do you commit to submitting a final report once the project is completed? *
The following demographic questions are used to understand the diversity of submitters. If you do not wish to disclose this information, please select “Prefer not to answer” from the list of options. Selecting “Prefer not to answer” will not affect the evaluation of your proposed project.

I identify my race/ethnicity as (select all that apply):


I identify my gender as: *

This grant program is sponsored by the American Board of Internal Medicine, ABIM Foundation, Alliance for Academic Internal Medicine, American College of Physicians, and the Josiah Macy Jr. Foundation.