Grant Proposal Clearance Form
To be completed by the Project Director and be accompanied by a copy of the proposal narrative and budget:
Macalester Project Director:
Macalester Co-Investigators:
Proposal title:
Funding source:
Project period:
Proposal Deadline:
Project description:
Total requested from Funding Source: $
Direct costs:
$
Matching funds included**?
Indirect costs:
Yes
No
Matching funds required?
$
Yes
No
**Macalester matching funds include, but are not limited to, paid on-campus housing for those summer research
students who are eligible.
Total matching funds included (excluding housing): $
Source(s) of matching funds:
Housing match (e.g. 2 students/summer, 2011 & 2012):
Does this proposal require hiring new staff?
Yes
No
Does this proposal involve collaborators from other institutions?
Yes
No
Does this proposal commit Macalester to additional funding beyond the grant period?
Yes
No
Have you included a Student Researcher(s) in the grant proposal?
Yes
No
Your signature indicates your agreement to participate in Macalester’s RCR training program. The Responsible
Conduct of Research Policy can be found on the GFCR website at www.macalester.edu/supportmac/grants/forms/.
Have you requested a Computer(s) in the grant proposal?
If yes, will the purchase make extra demands on ITS provision?
Yes
No
Yes
No
Have you requested Software in the grant proposal?
Yes
No
If yes, please be aware that requests with an estimated acquisition cost >$10,000 are subject to review and require
completion of the Software Acquisition Review Form.
The most recent version of the Proposal Preparation and Grant Management Guide (PPGMG; October 2014)
is available on the GFCR website.
Please check here to indicate that you have reviewed the most recent version:
Macalester College’s Policy on Conflict of Interest is available on the Provost’s website
(http://www.macalester.edu/provost/faculty/).
Macalester's Policy has two sections depending on where you are seeking external funds. Please review
this policy and indicate whether you have financial interests to disclose.
1)
You* do not have any significant financial interests to disclose with respect to this proposal submission
or
2)
You* do have significant financial interests to disclose. (If you select this option, please complete the
Financial Interest Declaration Form found on the GFCR website).
* includes the investigator's spouse or domestic partner and dependent children.
If you have co-investigators at Macalester, please have them fill out the Financial Interest Declaration Form and return it to GFCR.
Is this proposal being submitted to PHS/NIH?
Yes
No
If yes, please submit a PHS/NIH Assurance form located on the GFCR website for each PI and Co-PI.
Does your project involve Human Subjects?
If so, have you had it reviewed by Macalester College Institutional Review Board (IRB)?
(http://www.macalester.edu/committees/irb/index.html)
Please send copies of review results to Katie Aulwes Latham, 117 Weyerhaeuser
Does your project involve Vertebrate Animals?
If yes, have you had it reviewed by Macalester College Institutional Animal Care and Use
Committee (IACUC)? (http://www.macalester.edu/acs/index.html)
Please send copies of review results to Katie Aulwes Latham, 117 Weyerhaeuser
Would you be willing to share your proposal and/or talk with other faculty/staff on
campus about the proposal process?
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
If you choose to do so, GFCR will contact you in advance of sharing your name or proposal with
anyone else.
Signature
Date
Please complete and return this form along with a copy of your proposal narrative and budget to Michelle Epp
(mepp@macalester.edu), Abbey Showalter-Loch (showalterloch@macalester.edu), or Katie Aulwes Latham
(kaulwes@macalester.edu) a minimum of 7 working days before the submission deadline.
To be completed by Corporate and Foundation Relations:
All named parties have been cleared with supervisor
Vendors/Contractors/Services over $25,000 have been checked for debarment
Initials
Date
Initials
Date
Initials
Date
Initials
Date
Initials
Date
Initials
Date
Initials
Date
Initials
Date
Department or Line Officer
Employment Services
Provost/President
Advancement
Business Services
Administration and Finance
January 2014