WSCGRC FY17 Proposal - Washington State University

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Washington State Concord Grape Research Council
DUE 5 :00 p.m. January 31, 2015
by email to: prosser.grants@wsu.edu
PROJECT PROPOSAL
PROPOSED DURATION:
Project Title:
PI:
Organization:
Telephone:
Email:
Address:
Address 2:
City/State/Zip:
Co-PI (2):
Organization:
Telephone:
Email:
Address:
Address 2:
City/State/Zip:
Co-PI(3):
Organization:
Telephone:
Email:
Address:
Address 2:
City/State/Zip:
Co-PI (4):
Organization:
Telephone:
Email:
Address:
Address 2:
City/State/Zip:
Cooperators:
Total Project Request:
Year 1:
Year 2:
Year 3:
Other funding sources
(If no other funding sources are anticipated, type in “None” and delete agency name, amt.
request and notes)
Agency Name:
Amt. requested/awarded: (retain either requested or awarded and delete the other)
Notes:
Budget
Approved By:
Date:
Item
Salaries
Benefits
Wages
Benefits
Equipment
Supplies
Travel
Miscellaneous
Total
FY 2015
FY 2016
Footnotes:
Statement of the Problem:
Objective(s) of Proposed Research:
Justification and Importance of Proposed Research:
Procedures to Accomplish Objective(s):
Current Work:
Research Timetable for Project:
Present Outlook and Estimated Success in Accomplishing Objective(s):
Literature Cited:
FY 2017
WASHINGTON STATE UNIVERSITY: Assurance Statement(s)
PI:
Dept:
WSU ID:
Credit:
Co-PI:
Dept:
WSU ID:
Credit: 0
Co-PI:
Dept:
WSU ID:
Credit: 0
Total: 0
Must total 100%
OGRD#:
(if known)
PI email:
PI Phone:
Project Title:
Sponsor:
WSU Account #:
Biosafety and Chemical Safety
includes transgenic plants; * includes livestock pathogens and toxins
Project does NOT involve recombinant DNA/Vectors/Plasmids, Infectious/Select Agents,
Carcinogens, Mutagens, or Teratogens; EUP’s
Project involves:
Carcinogens, Mutagens, or Teratogens
Recombinant DNA/Vectors/Plasmids
EUP (Experimental Use Pesticides)
Infectious/Select Agents*
MUA #:
(if known)
Protection of Human Subjects
Project does NOT involve human subjects
IRB #:
Project does involve human subjects
(if known)
Care and Use of Animals
(includes the use of human tissue or bodily fluids)
Project does NOT involve vertebrate animals
ASAF #:
Project does involve vertebrate animals
(if known)
Use of Radioactive Materials or Radiation Equipment
Project does NOT involve the use of radioactive materials or radiation equipment
Project does involve the use of radioactive materials or radiation equipment
Conflict of Interest
Conflict of interest definitions and questions (www.ogrd.wsu.edu/coi_dq/)
Project does NOT involve a Conflict of
Interest
Project does involve a Conflict of
Interest
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