COVER SHEET
Faculty Research and Creative Activities Award (FRACAA)
Deadline: January 22, 2016 for FY 2016-2017 Awards
Complete both pages and attach to the front of the proposal.
1. Name ___________________________________________________________
2. Form of address
3. Rank
___ Dr.
___ Professor
___ Associate Professor
___ Assistant Professor
___ Mr. ___ Ms.
___ Faculty Specialist I
___ Faculty Specialist II
___ Master Faculty Specialist
OVPR Use Only
Proposal No. ___________
4. Department_______________________________________________________ Mail Stop ____________________
5. College _________________________________________________________________________________________
6. Campus phone___________________________ e-mail address_________________________________________
7. Title of project (Limit to 63 characters, including spaces)
8.
Abstract of project (including objectives and significance). Limit to the space below.
9.
Amount requested: ______________________
FRACAA applicants can apply for up to $10,000. Acceptance of a FRACAA, regardless of amount, requires submission of an external funding proposal of equal or greater value to the FRACAA, within 18 months of the project end date.
10.
Review Category: Indicate the category in which the proposal should be reviewed
___Quantitative Sciences ___Qualitative Scholarly ___Creative Arts
11. Is this project currently supported by other sources, such as departmental resources or external funding?
____ No
____ Yes (Please identify all sources, amounts, and purposes of support.) ___________________________________
__________________________________________________________________________________________
12.
Human subjects, animal use, radioactive materials, biosafety, and/or export control information:
This project __ does __ does not involve human subjects.
This project
This project
This project
This project
__ does
__ does
__ does
__ is
__ does not
__ does not
__ does not
__ is not involve animal use. involve radioactive materials. involve recombinant DNA biosafety hazardous materials. subject to export control regulations.
If human subjects, animals, radioactive materials, or recombinant DNA or other biosafety hazardous materials are involved, or if the work is subject to export control regulations, adherence to University compliance policies and procedures is required. The project director(s) must contact the Research Compliance Officer at 269-387-8293 for information regarding the relevant institutional review boards, committees, and procedures. If awarded, project funds will not be activated until compliance regulations have been met.
13. Signatures and Certification
(a) If the proposed activity involves the use of human subjects, human materials, vertebrate animals, radiation safety, or recombinant DNA hazardous materials, or is subject to export control regulations, I understand it will be necessary to obtain appropriate review and approval prior to initiating the project.
(b) I certify that the statements herein are true and complete to the best of my knowledge and accept, if funds are awarded, the obligation to comply with the Faculty Research and Creative Activities Award terms and conditions in effect at the time of the award, including the requirement to submit an external funding proposal.
Project Director (Signature required. Please sign the original in blue ink.) Date
14. I support the project, including making available the facilities and existing departmental equipment necessary for conduct of the project. Also, I understand that the funds for re-assigned time to work on the project can be applied only if the faculty member is officially scheduled to teach.
This project
This project
__ does
__ does
__ does not
__ does not require special facilities. use re-assigned time/buy-out time.
Chair (Signature required. Please sign the original in blue ink.) Date
Dean (Signature required. Please sign the original in blue ink.) Date
15. Use the following checklist to ensure you submit a complete application:
__ Cover Sheet (2 pages) __ Supporting documents (no more than 2 pages)
__ Eligibility Form __ Project director’s signature
__ Proposal narrative (7 pages or less) __ Chair/director’s signature
__ Budget Worksheet with Detailed Justification forms __ Dean’s signature
__ References cited in text
__ Submit one original of the following: Signed cover sheet, eligibility form, proposal narrative, budget worksheet and detailed justification, references cited in text, and supplemental documents (if any).
__ Submit 4 copies of only the following: Narrative, budget worksheet and justification form, references cited in text, and supporting documents (if any). The applicant’s name should not appear on these documents.
All previous forms are obsolete and should not be used.
FRACAA Proposal Cover Sheet Deadline is January 22, 2016 2016 – 2017 Awards 2