Research & Sponsored Programs
Electronic Agency Account Request
6/15/09
To request a new account with an online agency, please email/provide the following information to the
appropriate RSP Grant Specialist (Theresa Byrd at tbyrd@uwf.edu 850-474-2827 or Carol Rafalski at
crafalsk@uwf.edu 850-474-2825):
Agency: NSF NIH Other:
First Name: Middle Initial Last Name:
Agency Required ID: Most electronic systems require a unique ID and, in some cases, a SSN, for the
record. After your e-mail request is received, the Grants Specialist maintaining your account will
contact you by phone to establish an ID for your agency needs.
E-mail:
Phone Number: Fax Number:
Department:
College:
Mailing Address:
Highest Degree:
Conferred:
Have you previously submitted a proposal to or received an award from a federal agency?
Yes No
If so, please provide the agency proposal/award number:
Have you ever served as a principal investigator, co-principal investigator, or senior key personnel on
a federally-sponsored project? Yes No
If so, please list current or most recent awards:
