Reset
SPONSORED PROGRAMS COST SHARE / MATCHING SUPPORT AUTHORIZATION FORM
PI:
DEPT:
N
N
Is Direct Dollar Cost Share Required by the Sponsor?
Does this Project Contain External Cost Share?
Michigan Tech #:
Y If Yes, explain:
Y
____________________
____________________
(If so, attach a letter of commitment from your external source. If indirect costs are included in the contribution, external party is required to supply a
copy of their approved indirect cost rate agreement or justification of calculation.)
DIRECT DOLLAR COST SHARE
1st Year Direct Dollar Cost Share
Description*
VU
VC
M
VU
VC
M
VU
VC
M
VU
VC
M
VU
VC
1st Yr Total:
2nd Year Direct Dollar Cost Share
Description*
VU
VC
M
VU
VC
M
VU
VC
M
VU
VC
M
VU
VC
Index #
(required)
0
2nd Yr Total:
* Cost Share Categories:
Authorized Signature(s)
Amount
ot
M
Date
If cost share conditions are not met, the dept.
chair & dean are responsible for shortfall.
Date
If cost share conditions are not met, the dept.
chair & dean are responsible for shortfall.
C
Mandatory
Voluntary Uncommitted
Voluntary Committed
Dept.
Code
Authorized Signature(s)
Amount
op
M
Index #
(required)
y
Mandatory
Voluntary Uncommitted
Voluntary Committed
Dept.
Code
0 See reverse for cost share over 2 yrs
E = Equipment / EXT = External Cost Share / G = Graduate Student Stipend** / O = Other /
S = Salary & Fringe Benefits / T = Tuition & Fees**
N
**If the department does not fulfill the requirements of the graduate school, the department is responsible for necessary funding to meet the
obligatory match.
F&A on Michigan Tech
F&A COST SHARE
F&A on Sponsor
MW
VUW
Total
VCW
1st Year
T
o
0
nd
2 Year
0
D
3rd Year
0
4th Year
0
5th Year
0
Total:
0
0
0
Authorized Signature:
Research
Senior Design
(Applicable 69% Collected – 15%)
DOD & Industry
Contracts
Other Sponsored
Programs
Instruction
MTRI
MTRI (DOD Uncapped)
On-Campus
(56%)
(69%)
(30%)
(57%)
(47.5%)
(86.5%)(contract only)
Off-Campus
(26%)
(40%)
(26%)
(26%)
(26%)
(65%) (contract only)
N/A
Note: ______________________________________________________________________________________________________________
Updated 05.17.2011
Dept.
Code
Mandatory
Voluntary Uncommitted
Voluntary Committed
M
VU
VC
M
VU
VC
M
VU
VC
M
VU
VC
M
VU
VC
Index #
(required)
3rd Year Direct Dollar Cost Share
Description*
Authorized Signature(s)
Amount If cost share conditions are not met, the dept.
chair & dean are responsible for shortfall.
3rd Yr Total:
M
VU
VC
M
VU
VC
M
VU
VC
M
VU
VC
M
VU
VC
4th Year Direct Dollar Cost Share
Description*
Index #
(required)
Authorized Signature(s)
Amount If cost share conditions are not met, the dept.
chair & dean are responsible for shortfall.
4th Yr Total:
M
VU
VC
M
VU
VC
M
VU
VC
M
VU
VC
M
VU
VC
5th Year Direct Dollar Cost Share
Description*
Index #
(required)
Authorized Signature(s)
Amount If cost share conditions are not met, the dept.
chair & dean are responsible for shortfall.
Date
C
Mandatory
Voluntary Uncommitted
Voluntary Committed
0
DIRECT DOLLAR COST SHARE
ot
Dept.
Code
Date
y
Mandatory
Voluntary Uncommitted
Voluntary Committed
0
op
Dept.
Code
Date
5th Yr Total:
0
TOTAL:
0
N
* Cost Share Categories: E = Equipment / EXT = External Cost Share / G = Graduate Student Stipend** / O = Other / S = Salary & Fringe Benefits / T = Tuition & Fees**
**If the department does not fulfill the requirements of the graduate school, the department is responsible for necessary funding to meet the
obligatory match.
Dept. Codes:
COE
EBE
ECM
ECEE
EECE
EEF
EGM
EMSE
EME
OTHER
Center for International Education
Chief Financial Officer
Enrollment Services
Graduate School
Information Technology
President
Provost
Seaman Mineral Museum
Student Affairs
VP for Research
CIE
CFO
ENROLL
GRAD
IT
PRES
PROV
SMM
SA
VPR
D
o
College of Engineering
Biomedical Engr
Chemical Engineering
Civil & Env Engineering
Electrical & Computer Engrg
Engineering Fundamentals
Geological & Mining Engrg & Sciences
Materials Science & Engrg
Mechanical Engineering
School of Technology
TTEC
School of Business & Economics
BBE
Sch of Forest Res & Env Science
Ford Forestry Center
FFRE
FFFC
College of Sciences & Arts
Biological Sciences
Chemistry
Cognitive & Learning Sciences
Computer Science
Kinesiology & Integrative Physiology
Humanities
Mathematical Sciences
Physics
Social Sciences
Visual & Performing Arts
CSA
SBL
SCH
SCLS
SCS
SKIP
SHU
SMS
SPH
SSS
SVPA
CENTERS/INSTITUTES
Applied Power Systems Research Center .... APSRC
Advanced Sustainable Iron & Steel Making . ASISC
Biotechnology Research Center................... BRC
Center for Computer Systems Research ...... CCSR
Center for Environmentally Benign
Functional Materials ............................... CEBFM
Center for Integrated Systems in Sensing,
Imaging, and Communication ................. CISSIC
Center for Fundamental & Applied Rsch in
Nanostructured & Lightweight Materials CNLM
Computational Science & Engineering
Research Institute................................... CSERI
Center for Water & Society ......................... CWS
Earth, Planetary, and Space Sciences
Institute (Formerly RSI) ........................... EPSSI
Ecosystem Science Center ........................... ESC
Institute for Leadership & Innovation ......... ILI
Institute of Materials Proc .......................... IMP
Keweenaw Research Center ........................ KRC
Lake Superior Ecosystem Research
Center ..................................................... LaSER
Michigan Tech Research Institute ............... MTRI
Michigan Tech Transportation Institute ...... MTTI
Multi-Scale Technologies Institute .............. MuSTI
Power and Energy Research Center............. PERC
Sustainable Futures Institute....................... SFI
Updated 08.05.2011