Center for Biomolecular Structure & Dynamics
Core Facilities Voucher Funding Application
VOUCHER FUNDING APPLICATION
To be completed by faculty PIs only.
Applications must be sent by the applicant to: cbsd@umontana.edu
Faculty Information
Faculty PI Name & Title:
Department:
E-mail:
Project Title:
Estimated project start date/project continuation date (must be for the first day of the upcoming
month or later):
Estimated project end date:
☐New Project for Voucher Funding
☐Existing Project requesting additional Voucher Funding
Indicate which core you are applying to:
☐BioSpectroscopy Core (BCRL) | Core Manager Michelle Terwilliger |
michelle.terwilliger@mso.umt.edu
☐Magnetic Resonance Core (NMRC) | Core Manager Earle Adams |earle.adams@mso.umt.edu
☐Macromolecular X-Ray Core (MXDC) | Core Manager T.C. Mou | tung-chungmou@mso.umt.edu
☐Molecular Computation Core (MCCF) | Core Manager William Knight |
william.knight@mso.umt.edu
Instructions
1. Consult with Core Manager or Director about project and voucher request PRIOR to
completing a voucher request application.
2. Applicant to complete the faculty information section above and project questionnaire section
below.
3. Applications are due to the CBSD at least 6 business days before the 1st of the month you
would like to begin this work (e.g., if you would like to start work June 1 your voucher request
must be in by May 21) .
4. Applicant must e-mail completed application to cbsd@umontana.edu. Applications sent
elsewhere cannot be recognized as received.
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Center for Biomolecular Structure & Dynamics
Core Facilities Voucher Funding Application
PROJECT QUESTIONNAIRE
I.
Describe your requested needs: services or instrument access you are requesting, hours of
use, and approximate dollar amount of request (please be specific to this project request, do
not provide abstract of entire research project. Requests for voucher funding for core
charges already incurred are not allowed):
☐I certify that this voucher application is for future work with the core facility indicated
above. Any work on this project that is not covered by voucher funds will be paid from another
funding source, or subsequent voucher requests will be made prior to continuation of unfunded work.
Project QUESTIONNAIRE
II.
How will information resulting from this project be used? (Required, if not using for publication
or grant application must complete “other” below):
☐Data obtained from this project will be used in a future publication.
Anticipated submission date:
☐Data obtained from Core Facility will be used in an application for grant support.
Funding agency and planned submission date:
IMPORTANT: Cite the CBSD COBRE award in any publications arising from
your use of the core: this is essential for continued support of the core by the
University and the NIH
NIH suggested citation: “Research reported in this publication was supported by the
National Institute of General Medical Sciences of the National Institutes of Health under
Award Number P20GM103546”.
III.
List each of your current intramural (including SPABA funds) and extramural funding
sources: Provide title, source of grant (NIH, NSF, etc), grant number or
identifier, and end date. Briefly explain why these sources of funding cannot be
used to support the work for which voucher funds are requested.
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Center for Biomolecular Structure & Dynamics
Core Facilities Voucher Funding Application
VOUCHER FUNDING POLICY HIGHLIGHTS
Read the full policy, including detailed application and billing procedure:
http://cas.umt.edu/departments/cbsd/facilities/voucher-policy.php
The CBSD provides vouchers to UM principal investigators to pay core facility fees for the following
research core facilities:




BioSpectroscopy Core
Macromolecular X-Ray Diffraction Core
Magnetic Resonance Core
Molecular Computation Core
NOTE THE FOLLOWING VOUCHER POLICY POINTS:
1. Vouchers will be granted to project investigators of the CBSD CoBRE to fulfill specific aims of
the CoBRE project, OR the PI is any UM faculty member who has no source of intramural
(including SPABA) or extramural funding to support the project for which CBSD voucher funds
are requested*.
2. Core director MUST review and sign off on the voucher request.
3. Voucher requests may not exceed $1000.00.
4. Voucher requests may not be used retroactively for core service charges already performed.
5. Important: Cite the CBSD CoBRE grant P20GM103546 in publications that report work
performed in the core.
6. Voucher funds are awarded by fiscal year and expire on June 30, or sooner following 60 days of
inactivity without notice.
7. Funds are awarded on a first come, first served basis. Approval of requests is subject to
availability of funds.
8. Applicant must e-mail completed application to cbsd@umontana.edu at least 6 business days
before the 1st of the month you would like to begin this work. Late applications will be
deferred to the following month.
9. Voucher-supported projects may be initiated only after a voucher application is approved by the
CBSD director, and both applicant and Core director/manager have received official notice of
award.
* Excluded from this provision are core vouchers for projects that have significant overlap with funded projects.
☐ I have read and agree to all terms, conditions, and responsibilities for using a CBSD Core Facility
and any funding and/or expenses I may incur. Furthermore, I agree to acknowledge CBSD and the
associated Core Facility for any and all work (publications, grants, etc.) that may result from my use
of the CBSD Core Facility. Submission of my application via my University e-mail account serves as
my signature in agreement with these terms and conditions should voucher funding be awarded.
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Center for Biomolecular Structure & Dynamics
Core Facilities Voucher Funding Application
CORE APPROVAL
Applicants must obtain and provide written approval from the Core Director/Manager for the project and
requested voucher funds with the application submission.
Name of Core Facility Director/Manager Granting Approval:
Core has resources and expertise to conduct proposed project:
☐YES
☐NO
Voucher funds recommended for project (not to exceed $1000):
Comments:
Signature and Date (an attached e-mail may serve as signed approval):
Administration (for CBSD Administration ONLY):
Date application received:
Active vouchers to PI:
Application Checklist:
☐Application complete
☐Submitted on time (6 days prior to 1st of the month work is to begin) for future work (not retroactive)
☐Core Manager/Director approval obtained
☐Adheres to all other aspects of voucher policy
Disapproved due to:
CBSD Administrative Approval for Director’s consideration for Voucher Funding (initial/date):
CBSD Director Review:
Application: ☐Approved – Award amount:
Voucher Type:
☐Disapproved – State reason:
☐VPR Voucher (MXDC and BCRL only)
☐CBSD Voucher
Other Comments:
CBSD Director’s signature implied by transmission from Director’s UM email account
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Center for Biomolecular Structure & Dynamics
Core Facilities Voucher Funding Application
Core Director/Manager and Applicant notified:
Post-Award (for CBSD Administration ONLY):
Voucher Entered in Quickbooks:
Voucher Expended:
Inactivity: ☐30 days, notice sent:
☐ 60 days, Voucher Released:
☐Voucher Released, End of FY_________
☐Voucher Released, New Outside Funding
Notes:
Voucher Application Updated 7/27/15
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