Research Grant Application Form

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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)
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