Sponsored Projects Approval Form
To be used for both grant and contract applications
Sponsored Program Proposals may not be submitted to Sponsor without prior written approval of the University President, the University CFO and the UARSC
Executive Director or their designees (Fee-for-service Contracts do not require signature on Line K).
SECTION 1: To be completed by PI/PD
Project Title
PI/PD Name
Phone/Ext.
Submission Deadline
Federal Pass-Through?
If Yes, Agency:
Funding Agency
Sponsor’s Program Title
Email
Project Period
College/Dept./Center
No
Yes
From
To
SECTION 2: To be completed by UARSC
Cost Share
Project Costs
Sponsor Budget
(full project period)
Unfunded IDC
Attach signed: Pre-Award Request for Cost
Share Approval Form
Total – Year 1
Total – All Years
Direct Costs
Indirect Cost (IDC) Rate:
(On-Campus 49%; Off-Campus 28%)
Total Project Costs
SECTION 3: To be completed by PI/PD
CHECKLIST: If applicable, please check “yes” to the following questions and
please obtain signature(s):
Appropriate administrative signature:
A.
Yes
Dean OGS&R/ VPFAS:
B.
Will additional space be required for the proposed project or will available
space require alteration? (Requires 10-days for review.)
Will radiation, controlled drugs, diving, chemicals or biologicals be involved?
Yes
Director, RM&S:
C.
Will this research involve human subjects with or without risk? If yes:
Yes
Dean OGS&R:
Yes
Dean OGS&R:
Not yet submitted to IRB
D.
Submitted to IRB, pending review
Will animals as experimental subjects be involved? If yes:
Not yet submitted to IACUC
E.
Submitted to IACUC, pending review
Will security classifications, publications restrictions, or patents be involved?
Yes
Dean OGS&R/ VPFAS:
F.
Will IITS equipment and/or support over $1,000 be required?
Yes
Dean, IITS:
G.
Are resources, including personnel, required from the Kellogg Library to
accomplish this project?
Will faculty overload be involved? (Ref. CSU/CFA Agreement, Section 36.4)
Yes
Dean, Library:
Yes
Assoc. VP, Faculty Affairs:
Yes
Dean, Extended Learning:
J.
Will there be workshops, off-campus instruction, summer session courses, or
similar activities involving Office of Extended Learning?
Will international activities be involved?
Yes
Executive Director, Global Education:
K.
Is this proposal to a nongovernmental organization?
Yes
Vice President, University Advancement:
L.
I have read the Conflict of Interest on Grants and Contracts Policy and signed
the disclosure statement (http://www.csusm.edu/uarsc/policies.html)
Yes
PI/PD:
Yes
Co-PI:
H.
I.
Please obtain the following signatures IN THE ORDER LISTED: (Notice: To all personnel responsible for preparation of proposals and applications for
Sponsored Projects; if awarded, the Recipient of the Contract or Grant shall be UARSC or University and not an individual, department, or other constituent unit.)
1.
4.
Principal Investigator/Project Director
Date
Dept. Chair
Date
Dean/ Vice President Student Affairs
Date
2.
Dean OGS&R
Date
Vice President Finance & Administrative Services
Date
UARSC Executive Director
Date
5.
3.
6.
(Revised 08/21/14)
UARSC Assigned Proposal No.