RESEARCH GRANT APPLICATION University of St. Thomas Center for Faculty Development Submit electronically to the Faculty Development Center (facdevctr@stthomas.edu) by 4:00 pm on February 1. Name: UST ID number: Department: Email: College/School: Campus mailbox: Submission Date: Faculty status: _ Full Prof _ Assoc. Prof _ Asst. Prof Tenure status: _ Tenured _ On tenure track _ Clinical _ Not applicable _ Other: __________ Date of Initial Tenure-track appointment at UST (if applicable): Academic year of proposed work (Semester & Year): Level of funding sought: (1 or 2): Total amount requested ($): Course release requested ($): Expenses requested ($): Title of Proposed Project: Abstract of the project. Briefly describe project goals, methods, and anticipated outcomes. (150 word limit, 12 Times New Roman point font, single spaced): List sources of external and internal funding for scholarly activity over the past six years. List the grant type(s), year(s) of the awards, and project titles. Briefly describe the outcomes of that work or how it has contributed to your scholarly activity during this time. Include ALL Faculty Development grants received (except Distinguished Visitor grants) and ALL other Revised Form (1/11/16) sources of University or external support (including summer funding and course release). Expand the number of rows as needed. Funding source and Year Semester/Year of course release Project Title Outcomes of the work Grantee Agreements: ________ I do not have any Final Reports due for previous Faculty Development grants. ________ I understand that if my research will involve human subjects, I will be required to obtain approval from UST's Institutional Review Board (IRB) before beginning the project. See the IRB website for information: (http://www.stthomas.edu/irb). ________ I understand that if my research will involve animal subjects, I will be required to obtain approval from UST’s Institutional Animal Care and Use Committee before beginning the project. Contact Tony Lewno (awlewno@stthomas.edu) for more information. ________I agree to cover charges in excess of expenses provided by Faculty Development grants from my personal or departmental funds. ________I agree to submit to the Faculty Development Committee a Final Report, which includes a project evaluation and an accounting of funds spent, within three months of the date indicated for completion of the project. Type Name:____________________________________________ Date: ______________________ Revised Form (1/11/16) BUDGET Itemization of Budget. It is presumed that this grant does not duplicate release time or a stipend provided for this project under some other arrangement. List names and amounts of other grants for which you have applied to support this same project. Include both internal and external grants, those pending as well as those awarded. Provide information on which expenses associated with the project these other funds are expected to cover. Preference is given to applicants who have only one source of UST support. FD Fund Request FD Total Cost ($) Other Funding Source Request Other Total (list name of agency or fund) Cost ($) Stipend Course release Supplies Travel (from table below) Other TOTAL Travel Budget Lodging rate/night # nights Total Lodging $ Airfare Local transportation (taxi) $ Total Transportation $ Expected mileage using own car $ Mileage reimbursement @ $.54/mile = Meals per diem (approx cost) # days $ $ Total mileage $ Total Meals $ Justification of budget expenses Provide justification for the budget request for each category of support requested as it pertains to the proposed activities described in the narrative. Revised Form (1/11/16) NARRATIVE: Provide information for each of the following topics in 5 pages (level 1) or 6 pages (level 2) of double-spaced text using 12 point font. See instructions for more details. 1. Background and goals for the project 2. Plan of work for the project 3. If you are requesting release time from teaching, tell us why you cannot reach the goals stated in this proposal while teaching a regular load 4. Project’s value 5. Evaluation and dissemination of the project Please list appendices on separate pages APPENDIX 1 – TIMETABLE APPENDIX 2 – BIBLIOGRAPHY (works cited and general references) APPENDIX 3 – CURRICULUM VITAE (limit 4 pages, single spaced). Please organize the information as follows: o o o o o o Name, department and contact information (phone, email, mailbox) Education (years and degrees) Academic appointments (years and titles) Grants and other honors or awards (last 10 years); Publications (last 10 years); Other professional activity relevant to the project (e.g., consultancies, travel, organizational leadership, collaborations). Revised Form (1/11/16)