Office of Research and Sponsored Program Development (ORSPD)

advertisement
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
Download