Office of Research and Sponsored Program Development (ORSPD) Intent to Apply and Grant Notification Form Please use this form to notify the ORSPD that you intend to apply for a grant. Project Name: Date: Grant Due Dates: Letter of Intent Proposal Data Preliminary Proposal Full Proposal Department: Project Directors: Funding Agency (government, corporation, foundation, etc.): Type of Grant: Curriculum Research Equipment Programmatic Other Brief Proposal Description (include anticipated benefits): Partners FSC Partners: Non FSC - Non-profit organization(s) or corporate contractor(s): Non FSC - College or university partner(s) / contractor(s): Budget Information Total Direct Costs: Project Duration: Total Indirect Costs: Total Grant Request Indirect Costs: Not permitted Permitted, Indirect Cost Rate % ____________ Matching funds required: Not required Required, Estimated % ________ Sources of Matching Funds: This Grant Will Likely Require The Following College Resources. Check All That Apply Personnel—Faculty Reassigned Time or overload Existing full-time faculty paid via personal service agreements Stipend for non-teaching duties (administration, training, etc.) Personnel—Staff New Hires new full-time employees; new part-time employees Reassign-time for existing full-time or part-time staff Personnel from other institutions hired as part-time, temporary staff Student workers Contractor(s) paid through contract or P.O. Independent Contractors paid through Professional Service Agreement Continued on page 2 Page 1 of 2 Office of Research and Sponsored Program Development (ORSPD) Intent to Apply and Grant Notification Form This Grant Will Likely Require The Following College Resources. Check All That Apply (continued) Equipment Space for equipment Installation (electrical/gas hookups) Facilities modifications (new walls, ventilation, etc.) Other considerations (license fees, maintenance costs, service contracts, updates, etc.) Additional space requirements Office Lab Facilities modifications (space renovation . or modification, electrical, HVAC, etc.) Information Technology Resources Voice Video Data: Development Data: Installation Data: Programming Data: Production Data: Training Data: Project Management _____________________________________________________________ Project Director _________________ Date Upon completion, please submit this form to Dawn Grzan in the Office of Research and Sponsored Program Development (ORSPD) Horton Hall Room 110. Page 2 of 2