Research and Creative Activities (RCA) Grant Application File Number: Amount Funded: Department Number:

advertisement
Research and Creative Activities (RCA) Grant Application
File Number:
Department Number:
OFFICE USE ONLY
Amount Funded:
Date Approved:
To apply, please complete the following form and UWSP budget worksheet. Obtain signatures, attached
supporting documentation and mail or deliver to the Office of Research and Sponsored Programs – Room
208 Old Main by the deadline noted in the General Grant Policies.
Title of Project:
Submitted by:
UWSP ID #:
Email address:
Dept./Discip. or Office:
College or Adm. Area:
Amount Requested:
ABSTRACT (limit to text box area)
Job Classification:
☐ Faculty
☐ Academic Staff
☐ University Staff
IRB/IACUC/WEPA Approval:
☐ Not Required
☐ Will Submit
Are you a first time grant writer:
☐ Submitted ☐ Approval Received
☐ YES
☐ NO
Is this grant a re-submission of a previous grant proposal?
☐ YES
(If yes, please attach a copy of the previous UPDC Summary Critique)
☐ NO
Signatures:
___________________________________
Applicant
_____________________________
Date
I have received a copy of this proposal and anticipate no problems of a fiscal or personnel
nature should this proposal be funded.
___________________________________
Dept./Discipline Chair or Director
______________________________
Date
1
NARRATIVE
The Narrative, excluding Supporting Documents, is limited to 5 pages. Page size 8-1/2 X 11; margins 1
inch on each side; font must be in Calibri type size 11; single-spaced.
RATIONALE:
Please insert introduction here and delete the instructions in this box from the final version of your
application.
Applicants should describe relevant background information, the need for the present investigation, and
the potential theoretical and/or practical implications of the project’s findings/finished project.
Applicants should cite relevant research in-text and in the reference page (see below).
OBJECTIVES:
Please list objectives here and delete the instructions in this box from the final version of your
application.
Applicants should list in bullet form what they expect to accomplish (e.g., “Delineate themes of
children-in-law uncertainty,” Identify synonyms for disability in the corpus of Old English Literature,”
“Determine how pit membranes of grapevines with different resistance to Pierce’s disease differ in
composition,” “Compose and record tracks for a jazz album”).
METHODS:
Please insert methods here and delete the instructions in this box from the final version of your
application.
Applicants should describe the methodology of their project, specifically:
i.
Participants/Subjects, if applicable: Outline who or what will serve as the sample for the
research project (e.g., soybeans, married couples, illustrations to Romance of the Three
Kingdoms, etc.)
ii.
Procedures: How (e.g., samples taken, individuals complete an online questionnaire, compare
the sonnets of Shakespeare to the poems of Wolfram von Eschenbach), when (timeframe for
the project), and where (e.g., laboratory, studio, participant’s home) the data will be collected
and/or objectives will be met.
Participants administering questionnaires or conducting focus groups and/or interviews should
provide a copy of the questionnaire and/or interview schedule.
iii. Data analysis, if applicable: Describe how the data will be analyzed, including tests run, methods
used, experimental design, etc. Also, applicants should provide a brief justification explaining
why these methods are appropriate for analyzing their data.
BUDGET JUSTIFICATION:
Provide a detailed budget justification and attach supporting documents. (1 pg. max., not including
supporting documentation.
EVALUATION:
Please insert evaluation here and delete the instructions in this box from the final version of your
application.
Applicants should explain how the success of their project will be assessed through independent review,
for example: peer-reviewed journal article, conference presentation, juried exhibit, or performance
critique. Applicants should delineate specific venues of evaluation, such as specific journal names,
conferences, or potential exhibitions. If applicable, indicate the likelihood of patentable results.
2
REFERENCE PAGE:
Please insert reference page here and delete the instructions in this box from the final version of your
application.
Information cited in-text should be properly referenced in accordance with the conventions of the
applicant’s discipline.
SUPPORTING DOCUMENTS:
Letter(s) of recommendation are required.
Applicants are required to solicit recommendation/support letters from Unit Supervisors, Department
Chairs, or Discipline Coordinators. If the project involves collaborate arrangement with outside entities,
the application should include letter of support from the partner institutions, organizations, or
individuals.
Additional Supporting materials, if applicable (limited to five pages)
 IRB approval: Prior to beginning any research involving human subjects at UWSP, or any other
location, the applicant must be approved by the University’s Institutional Review Board (IRB) for
the Protection of Human Subjects.
 IACUC approval: Prior to beginning any research involving animal experimentation at UWSP the
applicant must be approved by the University’s Institutional Animal Care and Use Committee
(IACUC).
 Wisconsin Environmental Policy Act (WEPA) Certification: WEPA is a state law (see current
s.1.11.Wisconsin Statutes and Chapter 274, Laws of 1971), which spells out the state’s
environmental policy and requires state agencies to consider the environmental effects of their
proposed actions. Research and development activities of state agencies are considered actions.
DNR procedures for implementing WEPA are outlined in Chapter NR 150, Wisconsin
Administrative Code.
 Environmental Health and Safety Hazards: If there are physical, chemical biological hazards, any
hazardous waste management, or radiation issues associated with your research, please contact
the Environmental Health and Safety Officer 346-2320.
3
CV Summary (limit 2 pages)
Name:
Department:
Rank or Title:
Date Hired:
Highest Academic
Degree:
Date Awarded:
BRIEF CV
Please insert response here and delete the instructions in this box from the final version of your
application.
Please focus on professional experience which will give evidence to the reader of your ability to
undertake the intended project. List related publications, exhibits, and performances in the past five
years. (Please, do not send a complete resume. Focus only on details pertinent to this project.)
LIST PREVIOUS GRANT REQUEST OF ANY TYPE (external or internal) IN THE PAST
FIVE YEARS, FUNDED OR NOT.
Please insert response here and delete the instructions in this box from the final version of your
application.
Include title of the grant, year of grant, source of funds, and amount of each grant received.
BRIEF CV Summary – UWSP Co-investigators (limit to half a page)
Please insert response here and delete the instructions in this box from the final version of your
application.
A brief CV summary is required for all UWSP co-investigators.
4
APPLICATION FOR SUMMER SALARY
IN SUPPORT OF RESEARCH OR DEVELOPMENT PROJECT
Name of Applicant:
Project Title:
Dates for which salary is
requested:
Dates of previous UPDC
salary award(s) (if any):
Amount Requested:
RATIONALE FOR SUMMER SALARY AWARD:
Please provide rational in this area and remove instructions in your final version.
OTHER SOURCES AND AMOUNTS OF SALARY ANTICIPATED DURING THE AWARD PERIOD:
Please provide response in this area and remove instructions in your final version.
Do you wish to be considered for the non-salary portion (if any) of your application should summer
salary funding not be available? ☐ YES ☐ NO
NOTE: DEPARTMENT MUST PROVIDE 1/3 OF REQUESTED SUMMER SALARY
_________________________________________________________________
Signature
I have reviewed this proposal and am willing to provide one-third of the requested summer salary.
______________________________
Dept. Chair or Director
_________________________
Date
5
GRANT APPLICATION CHECK-OFF SHEET
The grant application should include the following sections in order. This form is provided to insure
completeness of the grant application. DO NOT INCLUDE IT WITH THE APPLICATION AT THE TIME OF
SUBMISSION.
☐ Cover sheet completed and signed by the applicant(s) and Department Chair/Discipline Coordinator,
or if applicant is Chair, by the Dean or Director.
☐ Proposal narrative completed according to guidelines.
☐ Rationale
☐ Objectives
☐ Methods
☐Budget Justification
☐ Evaluation
☐ Reference Page
☐ CV summary completed including a list of previous grants received.
☐ Summer salary application completed (if applicable).
☐ Excel budget worksheet completed.
☐ Required Letter(s) of Support. If collaborative arrangements are an integral part of the research
proposal, letters of support from the appropriate institutions, organizations, or individuals are required.
*OTHER (limited to 5 pages)
☐ Certification of matching funds if they are to be included.
☐ IRB approval: Prior to beginning any research involving human subjects at UWSP, or any other
location, you must be approved or certified by the University’s Institutional Review Board (IRB) for the
Protection of Human Subjects. This includes any human subject research at other locations, if being
funded by UPDC. See General Grant Policies for details.
☐ IACUC approval: Prior to beginning any research involving animal experimentation at UWSP, or any
other location, you must be approved or certified by the University’s Institutional Animal Care and Use
Committee (IACUC). This includes any animal experimentation research at other locations, if being
funded by UPDC. See General Grant Policies for details.
☐ If required, certification for environmental impact (WEPA). See Appendix A in the RCA Guidelines for
details.
6
Download