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