1 Start 2 page 2 3 Complete Tulane Supporting Impactful Publications (SIP) Application Please review the SIP Guidelines and Procedures on applicant eligibility, amounts covered, and publication criteria BEFORE submitting your application. Effective September 1, 2021, this program is no longer supporting open access-only journals. *If awarded, it is expected that the open access fee will be processed within 4 weeks of notification of your SIPS award.* Please confirm that the applicant meets all SIP eligibility criteria listed below. * YESNO 1. Applicant is listed as the corresponding author * 1. Applicant is listed as the corresponding author - YES 1. Applicant is listed as the corresponding author - NO 2. The primary institution of record for the article is Tulane University. * 2. The primary institution of record for the article is Tulane University. - YES 2. The primary institution of record for the article is Tulane University. - NO 3. The article is accepted, but not yet published. * 3. The article is accepted, but not yet published. - YES 3. The article is accepted, but not yet published. - NO 4. The applicant has read the guidelines and procedures linked above and confirms that their application meets all criteria. * 4. The applicant has read the guidelines and procedures linked above and confirms that their application meets all criteria. - YES 4. The applicant has read the guidelines and procedures linked above and confirms that their application meets all criteria. - NO 5. Is this an open access-only journal? * 5. Is this an open access-only journal? - YES 5. Is this an open access-only journal? - NO 6. If you answered no to question 5, does this journal have an open access option? * 6. If you answered no to question 5, does this journal have an open access option? - YES 6. If you answered no to question 5, does this journal have an open access option? - NO 7. Will the journal or publisher impose an embargo on the article once open access fees are paid? * 7. Will the journal or publisher impose an embargo on the article once open access fees are paid? - YES 7. Will the journal or publisher impose an embargo on the article once open access fees are paid? - NO Applicant Information Corresponding Author Name: * Corresponding Author Title: * Corresponding Author Department: * Corresponding Author Institution: * Corresponding Author Email Address: * First Name: * Last Name: * Email Address: * Rank * - Select -ProfessorAssociate ProfessorAssistant ProfessorAdjunctInstructorPostdoctoral FellowGraduate StudentOther Primary Campus: - None -UptownDowntownTulane National Primate Research Center School: * - Select -ArchitectureBusinessLawSLASOMSOPASPHSSESSWOther If "Other" selected, please provide School or Center name: Department: * Track: * - Select -TenureClinicalResearchEducation/InstructionOther Other Authors: Additional contact for this request (if applicable): Additional contact name: Additional contact email address: Publication Title * Journal Title * Journal Impact Factor * please enter as numeric value If less than an impact factor of 8, make the case for your request below. Manuscript Status - None -AcceptedConditionally AcceptedOther Other: Date accepted: Please upload a PDF copy of your publication acceptance letter. Files must be less than 2 MB.Allowed file types: gif jpg jpeg png pdf doc docx. Did grant funding support the research this publication is based on? - None -YesNo If grant funding supported the research, please indicate your primary reason for requesting funding (select 'Not Applicable' if no grant funding): - None -Grant has expiredInsufficient grant funds to cover publication costsFunder does not pay for OA publication costsOtherNot applicable Other: Do you have an alternate funding source to cover the open access publication fee? - None -YesNoPartial Total publishing charge: * Amount of funding requested ($3000 maximum for the open access fee in a peer-reviewed journal): * Comments/Additional Notes: