Transmittal Form

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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
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