Instructions 1.Save form to your computer. 2.Fill out in Adobe Acrobat and save. 3.Email completed form and additional information to NGWREF@NGWA.org. Research Grant Application Applicant organization name ________________________________________________________________ Applicant’s primary contact information Name of lead investigator ____________________________________________________________________________ Affiliation of lead investigator_________________________________________________________________________ Phone number ___________________________________ Email address _____________________________________ Mailing address____________________________________________________________________________________ ____________________________________________________________________________________ List the names and affiliations of additional investigators __________________________________________________ _________________________________________________________________________________________________ Project information Project title _______________________________________________________________________________________ Proposed project start date _________________________ Expected project duration __________________________ Funding request (in USD) ____________________________________________________________________________ How does your project fulfill the research priority on groundwater sustainability? _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ References Name ____________________________________________________________________________________________ Email ___________________________________________ Phone ____________________________________________ Name ____________________________________________________________________________________________ Email ___________________________________________ Phone ____________________________________________ Be sure to also include the following required documents with your application: ❑ Project summary (guidelines below) ❑ CV or resume of each investigator Guidelines for project summary EXECUTIVE SUMMARY The executive summary of each proposal should contain statements on the critical groundwater research to be addressed, the relationship of the research to NGWREF’s current priorities, the research approach employed, anticipated outcome of the study, and benefits and/or information expected from the project. The maximum length for the executive summary is one page. BODY OF THE PROPOSAL Nature, scope, and objectives of the proposed research. This should include a brief introduction on the nature of the problem(s) to be addressed, justification of the proposed work, importance of the research to the advancement of groundwater science and technology, research objectives, and scope of work. Related research. This is to be a review of relevant literature; show by citations the similarities and dissimilarities of the proposed project to be completed or ongoing research on the same topic. Methods and procedures. Provide sufficient information to permit evaluation of the technical adequacy of the research approaches. Investigator’s overall research. Describe how the proposed work relates to prior related research by investigators or others, particularly relationships to completed projects and potential future funding. Describe how the proposed research is “new” and relevant to the goals of NGWREF. As applicable, describe the potential for future extension of the research and its potential for external funding. Indicate if this research is being supported by other sources of funds, and, if so, the source, amount, and duration. Regulatory issues. If research involves human subjects, animals, biohazards, or other regulatory issues, the application should identify those concerns and provide documentation that they have been addressed. This may require an environmental safety review and approval. It should be emphasized that full regulatory compliance applies to NGWREF grants. Regulatory documentation can be provided as an appendix to the body of the application and will not be included in the page count. Output. This should include the proposed production of research reports, digital publications, surveys, establishment of databases, etc. You should also describe who will make use of the research results and what form this use is likely to take. Schedule. Provide a timeline, including key research project milestones and estimated completion date. Student training. NGWREF encourages proposals that support student research training. For each student to be supported, list their name, academic background, degree program in which they are enrolled, and the expected completion date. If the student(s) to be supported has (have) not yet been identified, describe the training opportunity the proposed research offers. Budget. Provide a budget with justification for each item requested (see sample spreadsheet below). Examples of items that can be requested include faculty release time, summer stipends, research travel expenses, supplies, or minor equipment specifically designed for the proposed research. Items that are usually excluded include major equipment, computers, printers, and extension of projects that are already well funded. (a) Please give a detailed breakdown of costs using the format below. Expenses Estimated cost Equipment Materials Salaries/contract fees Travel expenses Other TOTAL (b) Specify amount requested. (c) Detail any financial support received or requested for this project from other organizations. (d) Specify the balance still required (please advise how you intend to obtain the further funds required). CONFLICT OF INTEREST The applicant should explicitly make a statement about whether or not the application involves any potential conflict of interest. Any such conflicts should be described. For instance, if the research could forward the interests of a company in which the applicant has a pecuniary interest, this should be disclosed. Conflict of interest documentation (if required) can be provided as an appendix to the body of the application and will not be included in the page count.