Chabot College Internal Grant Proposal Approval Form Instructions: Please complete this form and submit a photocopy with preliminary signatures to the Office of Grant Development in Rm. 218 early in your grant preparation process. As you complete your final application, submit the original of this form with both preliminary and final approvals along with one unstapled copy of your complete application to the Office of Grant Development. If you have questions regarding how to use this form, please contact Yvonne Wu Craig at x6810. Thank you and good luck! Proposal Data Date _________________________ Grant Writer/Initiator _________________________________________________ Department/Division _________________________________________ Telephone _____________________________ Proposed Project Title_______________________________________________________________________________ Funding Agency ___________________________________________________________________________________ Grant Announcement Title/RFA # _____________________________________________________________________ Grant Type New Renewal/Continuation Supplement Proposal Deadline ___________________________ Start/End Dates of Grant __________________________________ Budget Data/ Fiscal Impact Amount Requested __________________ Allowed Indirect % _______________ Required Match % _______________ Proposed Match Sources ____________________________________________________________________________ _________________________________________________________________________________________________ Grant personnel workload will be covered by: New Hires: Faculty # of positions ____________ Classified staff # of positions ____________ Reassigning existing employee(s) to the project; employee(s)' current workload will be: Covered by overload or part-time employee(s) Covered by hiring temporary replacement(s) Other, explain __________________________________________________________________ At the end of the grant period, the proposed project will: Be completed (onetime only effort) Require additional funding to continue and/or institutionalize the project (obtained by/from): _________________________________________________________________________________ Will the proposed project require facility modifications, additional space, or program relocation? No Yes, explain: ___________________________________________________________________________ _________________________________________________________________________________________________ Will the proposed project involve subcontractors, collaborative partners, or cooperative agreements? No Yes, explain and attach supporting documentation: _____________________________________________ _________________________________________________________________________________________________ Page 1 of 2 Proposal Abstract Project Description/Objectives: Strategic Plan Priorities to be Addressed: Approvals Preliminary: I certify that the proposed project is consistent with the institutional mission, goals, and priorities of Chabot College and authorize the Grant Writer/Initiator to further develop a proposal to be submitted internally for final approval before submission to the designated funding source. _________________________________________________________________________________________________ Division Dean Date _________________________________________________________________________________________________ Vice President Date Final: I have reviewed the appropriate proposal documents and certify that the information provided is accurate and complete to the best of my knowledge. In the event that this proposal results in a grant, the College agrees to accept responsibility for the implementation and management of this project. _________________________________________________________________________________________________ Division Dean Date _________________________________________________________________________________________________ Vice President Date _________________________________________________________________________________________________ Vice President, Business Services Date _________________________________________________________________________________________________ College President Date Page 2 of 2