Grants Office Use Only
Becton Hall,
Room 200
Mail Stop: T-BE2-02
Phone: (201) 692-2221
Fax: (201) 692-2102
Fairleigh Dickinson University
Office of Grants and Sponsored Projects
Date Submitted:
Grants.gov Tracking No.:
PROPOSAL DEVELOPMENT FORM - Page 2
TO BE COMPLETED BY THE GRANTS OFFICE
Agency Tracking No.:
INVESTIGATOR DATA
Investigator/Director:
Telephone Ext.:
College:
Division/School:
Co-Investigator/Director:
Telephone Ext.:
College:
PROPOSAL DATA
Project Title:
Division/School:
Start Date:
End Date:
Email:
Email:
Submission Type:
Location:
Program Announcement:
Agency Deadline:
Agency:
Agency Address:
Agency Type:
(only if paper copy being submitted)
submission
required
Contact
Name:
Telephone:
Email:
BUDGET REQUEST AND MATCHING COMMITMENTS
Total Direct Costs
Total F&A Costs
Total Request
*Total Match
Total Project Costs
Comments:
*Requires additional approval
INSTITUTIONAL COMMITMENT/COMPLIANCE DATA
Institutional Commitments
Indicate resources to be provided by the University
Compliance
Investigator must obtain appropriate signature(s) and provide Office of
Grants with letter of approval.
Resources
Human Subjects
Animal Subjects
Review Date:
Details:
Faculty/Student Commitments
Subcontracts
Financial support for graduate/undergraduate
students
APPROVAL SIGNATURES
Principal Investigator
Date
Co-Principal Investigator
Date
Chair, Human Subjects Committee
Date
Chair, Animal Subjects
Date
Director of Grants and Sponsored Projects
Date
Department Chair
Date
Dean
Date
Provost
Date
Completed proposal must be submitted to the Office of Grants & Sponsored Projects seven days prior
to the agency deadline.