INSTITUTIONAL APPROVAL OF EXTERNAL GRANT APPLICATION Project Director(s) Department Other Faculty Participants Department [for Projects with Other Institutions:] Name of Collaborator Department Institution Project Title: Grant Activity/Type of Support: Research Conference Curriculum Training Equipment Arts Perform. Other Public Service Type of Proposal: New Renewal Project Period: Preproposal Supplement From (mm/dd/yy): Other To (mm/dd/yy): Funding Request: A: Funding Agency Request B: College Funds Requested (e.g., cost-sharing, cash match) A + B: Total Budget Request Funding Agency: Program or Division: Contact Name/Phone: Deadline: Certification: The following have reviewed this proposal and certify its feasibility. The Project Director certifies compliance with all relevant federal regulations and College standards. (See Project Checklist on next page for details.) Project Director __________________________________________________ Date ________ Department Chair ________________________________________________ Date ________ Director of Faculty Grants _________________________________________ Date ________ Comptroller_____________________________________________________ Date ________ Dean of Academic Affairs_________________________________________ Date ________ Dean of Faculty _________________________________________________ Date ________ TC Proposal Transmittal Form Revised 9/2015 PROJECT CHECKLIST (page 2) Yes No MATCHING FUNDS: Are matching funds required as a formal condition of application by the grant maker? If so, what is the amount and what College resource will be used? Yes No FACULTY TIME RELEASE: Is release time requested as part of this application? If so, the request should be discussed with the department chair and the Dean of the Faculty before the proposal is submitted. A letter from the department/program chair in support of release time must accompany the request. How much release time, and which semester(s)? Yes No QUADRENNIAL LEAVE: Will you be on quadrennial leave during the period of this grant? Yes No If so, are you extending your quadrennial leave and plan to request matching funds from the College to supplement salary? Yes No NEW PERSONNEL: Will this application commit the College to new personnel or increased effort by existing staff? The grant budget must provide all salary and benefits in accordance with standard College personnel and benefit policies for comparable positions in the employee category. N.A. Yes No EQUIPMENT: Will the grant or contract cover all expenses for purchase, installation and maintenance of the equipment? If not, please identify the College source and amount required in each category. Yes No SPACE: Will the project require alteration of existing space or new facilities? If so, provide a concise description of the plan and the cost estimate and provide the name of a contact person for further details. Yes No COMPUTER SERVICES: Have hardware, software and/or computing time been requested from the sponsor? Feasibility of technical support must be discussed with the director of computing services before the proposal is submitted. Yes No COMPLIANCE CHECKLIST The following assurances are required under federal regulations; please complete this section even if the application is to a non-federal funding agency. HUMAN SUBJECTS (Institutional Review Board): Date of IRB approval and assurance number: Yes No ANIMAL SUBJECTS (Institutional Animal Care and Use Committee): Date of IACUC approval and assurance number: Agree Agree RESPONSIBLE CONDUCT OF RESEARCH (RCR): The principal investigator/project director agrees to ensure that all persons engaged in this external funded research project are in compliance with appropriate ethics training as mandated by the College and/or funding agency. FINANCIAL CONFLICT OF INTEREST (FCOI): If required by the funding agency, a FCOI disclosure form will be completed and placed on file with the College at the time of submission. Changes in responses on disclosures should be updated regularly with the Director of Faculty Grants once a form is on file. TC Proposal Transmittal Form Revised 9/2015