Contract or Grant Application Approval
After completing section I. Proposal Information, return this form with the complete proposal to Planning, Budget & Institutional Research
(PBIR) for routing through the approval process. Details can be found at http://www.cnm.edu/depts/pbir/index.php, or contact PBIR at x3450.
I. Proposal Information
Primary Investigator
Project Information
Name:
Ext:
Division/School:
Project Title:
Proposal Due Date:
e-mail:
As Primary for the proposed grant, I certify that the attached proposal is
complete and accurate.
Funder Type
___Public Grant ___Private Grant*
___Renewal Grant
Funding Agency:
Secondary Contact, if available:
e-mail:
*Grants through private funders may require sub-award agreements.
II. Budget Information
Matching Funds or Cost Sharing
Funding
Funding Agency:
Amount:
Amount Requested:
Control Agent Signature: __________________________________
Anticipated Start Date:
End Date:
Cost Account Number:
Dean/Director Signature: __________________________________
Indirect Cost
Indirect Cost Rate:
%
No indirect costs:
Indirect costs is < 32.9% of MTDC Base
_______________________________________
Presidential Initials
Date
CNM Foundation Grant Signatures
The CNM Foundation agrees to 1) involve a CNM authorized representative in negotiations with the funding agency when the scope of work and/or budget is
modified and 2) reimburse CNM for all project costs as specified in the proposal budget.
____________________________________________________________________________________________________________________________
Executive Director/Development Office
Date
____________________________________________________________________________________________________________________________
Budget / Development Office
Date
Approval Signatures
CNM agrees to perform the work as outlined in the proposal. Proposal modifications must be mutually agreed upon by CNM and the funding agency.
The Executive Team has reviewed this proposal and approves of its contents as submitted.
___________________________________________________________________________________________________________________________
PBIR: Grants Office
Date
Budget Office
Date
____________________________________________________________________________________________________________________________
Vice President for Planning and Budget
Date
____________________________________________________________________________________________________________________________
Dean/Director
Date
____________________________________________________________________________________________________________________________
Vice President
Date
____________________________________________________________________________________________________________________________
President
Date
____________________________________________________________________________________________________________________________
Business Office
Date