Grant Preliminary Approval Form

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Monroe Community College
Preliminary Grant Approval Form
Date:
Project Director:
Department:
E-mail:
Phone:
Relates to Strategic Direction (check as appropriate):
___ 1 Learning First
___ 2 Workforce Education & Career Pathways
___ 3 Partnerships
___4 Effectiveness, Efficiency, & Accountability
Is there an identified funding source? ____ If yes, please identify the source (agency and grant title) and submission
deadline: ___________________________________________________________________________________________
Working Title of Project:
Is this project a collaborative? _________ If so, is MCC the lead? __
If not, who is the lead? ______________________
Who is the external contact person? _________________ Contact Info: _________________________________________
Are letters of support required? ___________ If so, how many and from whom?
If letter of support is needed by MCC,
who is required signature? _________________
I have discussed and received approval to move the project forward from my:
Director/Department Chair ________________________
Name
_____________________________
Signature
___________________
Date
Dean (if applicable)
________________________ ______________________________
Name
Signature
___________________
Date
Asst. and/or Asso. VP
(if applicable)
________________________ _______________________________
Name
Signature
___________________
Date
Will release time or direct funds be requested for you? _______ Summer Salary? ______ If “yes”, please describe:
Will release time and/or summer salary be requested for other faculty/staff? ________ If “yes”, please describe and indicate
how many faculty/staff, number of hours, and identify (if known), or titles.
Projected number and types of grant funded positions:
Estimated Total Budget:
(budget and staffing to be detailed in budget section below)
If known, is there a cost-sharing or endowment requirement? If so, how will this be addressed?
Describe what new or existing space will be required.
Are new computers/technology/software needed? Yes
No
Explain:
Number of Students Impacted:
PROJECT NARRATIVE:
Please provide an overview of the proposed project and its relationship to the strategic plan, the project goals and objectives,
proposed activities, proposed outcomes/sustainability of project, and a projected budget.
Brief Project Overview (3-6 pages describing the project to include the need (to the College, the community, the field of
study, and/or students), how will the project address the need, how does this project relate to the strategic plan, indicate all
departments that will be involved – both directly and indirectly, list the project goals and objectives, projected activities,
and timeline for the project. If the project is a collaborative, describe the partnership.
Projected Outcomes/Sustainability Plan: What will be the results from the project? How will the project be sustained by
the college after the grant funding expires?
Budget Overview: Understanding this is not the final budget, please provide general information for the projected budget
within the following categories:
Personnel (include full-time, part-time, and summer salary for MCC employees, number and types of proposed grant
positions – including coverage for release time - with projected salary, months of employment, and cost).
Fringe Benefits – 43% for full-time and college positions, 17% for part-time positions
Travel – include cost for mileage, meals, conference fees, and purpose of travel.
Equipment – Items valued at $5,000 or more for each item. (grant definition)
Supplies – items valued at $4,999 and less for each item. (grant definition)
Contractual – expenses for services that will be contracted for by an external vendor; these may include an evaluator,
minor remodeling, installation, etc.
NOTE: Insert
Category
Personnel
General Item Description
Sub-Totals
Category Totals
Fringe Benefits
Travel
Equipment
Supplies
Contractual
Totals
I acknowledge I will work with grants staff in the development of a full proposal upon approval of the Vice President Team.
Applicant
Date
The Divisional Vice President has reviewed and hereby approves this project for development of a full proposal.
__________
Divisional Vice President
VICE PRESIDENT TEAM:
______________.
Date
Approved
Disapproved
If applicable, recommendations from the Vice President Team are attached.
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