Healey Research Grant Program
Cover Sheet
Page 1
UNIVERSITY OF MASSACHUSETTS BOSTON
2016 JOSEPH P. HEALEY RESEARCH GRANT PROGRAM
I. APPLICATION COVER SHEET
Insert cursor in first grey box, enter information, tab to next grey box, continue through form. Questions? Email Matthew.Meyer@umb.edu.
Principal Investigator (PI):
PI’s Title:
Phone:
E-mail:
PI’s Department:
Title of project (200 characters):
Project abstract (50-100 words):
Is the proposed project interdisciplinary or multidisciplinary?
Yes
No
If yes, please briefly describe the interdisciplinary or multidisciplinary nature of the proposed project:
Names, departments, and roles of other members of the research team:
UMass Boston internal grants awarded to the PI in the previous 4 years, including project title, amount, award year; proposals for
external funding submitted; external grants received; and books, book chapters, journal articles published, and papers published as
a result of internal grants awarded to the PI:
Have required reports and required papers, articles, or facsimiles or
descriptions of artistic creations for prior grant awards been submitted?
Yes
No
Form revised 12/18/15
ORSP concurrence?
Yes
No
Healey Research Grant Program
Cover Sheet
Page 2
Is this proposal currently being considered by any other agency for funding?
If Yes, provide details:
Yes
No
In the last four years, have you received financial support (e.g., start-up funds, extramural grants) for the research or scholarly
activity for which you are submitting this grant application?
Yes
No
If Yes, briefly differentiate the proposed use of funds in this request from the use of prior financial support in the four-year period
(attach extra sheet if necessary):
Does your research require any of the following?
Yes
No
Signature of authorized official following review
Human subjects
Laboratory animals
Hazardous materials
Radioactive materials
Computing services
NOTE: If this project will involve research with human subjects (including survey respondents and secondary data analysis), then the PI and
each member of the research team must obtain and submit certification of completion of the required training in the protection of human
research subjects in addition to IRB approval. If this project will involve research with laboratory animals, then the PI and each member of
the research team that works with or has contact with laboratory animals must obtain and submit certification of completion of required
training in the protection of animal research subjects in addition to IACUC approval. Call Dorinda Williams at 7-5374 for assistance.
Applications must be submitted via email and received by the close of business day (5:00 pm EST) on Friday, February 12, 2016. Submit all
materials to internal.grants@umb.edu. A confirmation message will be sent to you once your application has been received. If you do not receive
a confirmation message within 24 hours, please contact Matthew.Meyer@umb.edu. It is the responsibility of the individual submitting the
proposal to ascertain that one complete copy of the proposal has been received for processing by the deadline.
For review committee use only
Date of Action______________________________
Funding:
Full
Partial
Action:
Recommended
Amount: $___________
Award start date: ________________________ Award end date: _____________________________
Comments:
Not Recommended
Healey Research Grant Program
Budget Sheet
Page 1
UNIVERSITY OF MASSACHUSETTS BOSTON
2016 JOSEPH P. HEALEY RESEARCH GRANT PROGRAM
II. PROPOSAL BUDGET
Request only those items indispensable to the project and not available through one’s department or from other funding sources. The
accompanying budget narrative must explain each item requested on this budget form.
Budget Category
Amount (Round to nearest $)
1. Communication
a. Postage
b. Telephone and FAX
2. Printing, duplicating, and camera ready copying
3. Travel*
4. Expendable supplies
5. Other costs – itemized and justified in the budget narrative
a. Research assistant (in accordance with GEO’s union rates)
b. Technical or clerical assistance
c. Equipment**
d. Other (attach extra sheet if necessary)
$151,515.00
Total amount requested (not to exceed $7,500 for one PI, or $12,000 for
interdisciplinary or multidisciplinary proposals with Co-PI from one or more
departments /colleges )
departments/colleges)iiiiiiiiiiinterdisciplinaryinterdisciplinary or
multidisciplinary
proposals
Co-PI
from regulations.
one or more
departments/colleges)
*Travel
must be in accordance
withwith
current
university
Travel
expenses should be listed in the accompanying budget narrative separately
by trip with the destination, purpose, and cost of each indicated.
**Requests for the purchase of equipment will only be considered in unusual circumstances. Provide a detailed justification in the budget narrative.
If a grant is provided for this project, I agree to (a) submit a written final report of the results to the vice provost for research and
dean of graduate studies upon completion of the project; (b) provide one copy of submitted, published, or conference papers, and
facsimiles or descriptions of artistic creations that result from the project activities; and (c) acknowledge receipt of the funds in all
publications and all narratives associated with exhibitions or performances resulting from the grant. If it is not possible for me to
complete the research, I agree to return any remaining funds.
Signature of Applicant
Date
I have read the applicant’s proposal and acknowledge (a) the applicant’s ability to carry out the project if funded, and (b) the
availability of any departmental or unit support included in the applicant’s proposal and budget.
Signature of Chairperson or Supervisor
Date
Signature of Dean or Director
Date
Form revised 12/18/15