(USE THIS FORM FOR ALL EXTERNAL FUNDING PROPOSALS)
1) ☐Earmark
☐Competitive
Proposal
☐Noncompetitive
Proposal
☐Fellowship
☐Appendix Attached (e.g. Matching Funds &
Cost Share Form, Univ. Commitment, IRB, MOU)
Valley City State University
Proposal Transmittal Form
Submit this signed proposal in final form no fewer than 3 working days prior to proposal deadline to Valley City State University,
Grants Office 101 College Street SW, McFarland 211B.
2) TITLE: (30 Characters or Less):
3) FUNDING AGENCY/RFP:
4) PRINCIPAL INVESTIGATOR(S):
PHONE:
(Name, Department/Division/School)
PRINCIPAL INVESTIGATOR(S):
PHONE:
(Name, Department/Division/School)
5) PROPOSAL DEADLINE DATE:
6)PROPOSED PROJECT PERIOD:
7) TOTAL FUNDS REQUESTED:
TOTAL DIRECT COSTS:
$
$
TOTAL INDIRECT COSTS:
To:
$
Complete Matching Funds & Cost Share Request Form if included in grant.
8) Check if your project involves research on human subjects: ☐Institutional Review Board Approval (IRB) Required
☐Faculty Release Time beyond
Current Allocation
9) ☐UNIVERSITY COMMITMENTS
If University Commitments is checked, check
corresponding commitment on right and
please include an explanation as an appendix.
☐Matching Funds or Cost Share
☐Office/Lab Space beyond
Current Allocation
☐Support Staff
☐Other
(Use form with same name and
include as an appendix)
10)
If the response to any of the following is “Yes,” please attach documentation.
Has lobbying occurred with respect to this proposal? (Required for Federal projects only)
☐Yes
☐No
Does this proposal require modification to existing building utilities, construction of new space, or impact the existing operation of
building components?
☐Yes
☐No
Was faculty research mini-grant funding used to develop preliminary data and idea or prepare this proposal?
☐Yes
☐No
11)
Notification of Business Interest: I have filed with Employee Services – Human Resources Office appropriate, up-to-date business interest of disclosure forms
that relate to Valley City State University. I understand that, if a conflict of interest or potential conflict of interest is found to exist that relates to this
proposal, I must comply with any conditions or restrictions imposed by the University to manage, reduce, or eliminate actual or potential conflicts of interest
or forfeit the award.
Principal Investigator(s)
Date
Principal Investigator(s)
Date
APPROVALS (Please route to next signatory for approval.)
12)
Department Chair
Date
Vice President of Business Affairs
Division Dean/Chair/Unit Supervisor
Date
Vice President for Academic Affairs
Final Approval prior to submission
Grants Manager
Date
Date
Date