OFFICE OF SPONSORED PROGRAMS by v95E27K

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									                                    OFFICE OF SPONSORED PROGRAMS
                                        INTERNAL ROUTING FORM

                                                             PROPOSAL # (OSP)__________________
Proposal Title ________________________________________________________________________________
Construction      Non-Construction 
Principal Investigator/Project Director _____________________________________________________________
Department __________________________________ School __________________________________________
Funding Agency ______________________________________________________________________________
Inclusive Dates of Project: From________________________________ To ______________________________
Proposal Due Date (Postmark         or Receipt        ) ______________________________________________
PERCENT OF RELEASE TIME REQUESTED:
               Funding Agency                                            University
      Acad. Year         Sum. Months       Cal. Year          Acad. Year      Sum. Months        Cal. Year
PI/PD ____________ ____________ ____________                  ___________     ____________       ______________
Co-PI ____________ ____________ ____________                  ____________ ____________          ______________
      (Attach additional sheets, if needed)

PROJECT TYPE: (Check if applicable)

         Human Subjects            Animal Subjects             Research        Biomedical       New Project
         Renewal/Continue          Training                  Service

If yes to Human Subjects or Animal Subjects: IRB Approval Dt:__________ IACUC Approval Dt:_______________
If Exempted:                           IRB Exemption Dt:_____________ IACUC Exemption Dt:_____________


BUDGET:          Total # of Years of Project___________________ Total Amount Requested $________________
                 FY1 __________ FY2 _________ FY3 __________ FY4__________ FY5_____________

                 Does this proposal require a commitment beyond the life of the grant?        YES        NO

                                                                                                 Amount/Number
DOES THIS PROPOSAL INCLUDE:
                      New Equipment                           YES         NO                 _________________
                      Office Space/Classroom                 YES          NO                 _________________
                      FTE                                     YES         NO                 _________________
                      Student                                 YES         NO                 _________________
                      Student                                 Graduate    Undergraduate      _________________

MATCHING: Total Amount of Matching Required $___________________________________________________

            Type of matching required (itemize below):       Cash              In-Kind          Both 

                                                 Matching Amount              Account #              Matched
                                                 Required                                        Item/Category
           Cash                                  ________________             _____________        _____________
            In-Kind (Faculty/Staff Release Time) ________________            _____________         _____________
           Other (Specify) ____________ _______________                      _____________        _____________

INDIRECT COST:     A. Total Salaries & Wages   $__________ C. Indirect Cost Requested $ ___________
                   B. Salaries & Wages $ __________ D. Maximum indirect cost Allowable 28__%

SIGNATURES AND DATES:

___________________________                __________________________                _____________________
Project Director/Date                      Department Chair/Date                     Dean/Date
                                                            _________________________________________
                                                           Vice President for Research & Development /Date

								
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