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FINAL GRANT ROUTING*
Submit to Institutional Effectiveness Office! 2 weeks prior to the due date
*
Please! Attach a! Copy of the! budget,!bu d g et !justificatio n , and complete! grant proposal to this Form
Name: _________________________________
Submission Due! Date: _____________________________
PI: _______________________________________________
CO-PI(s): ______________________________________________
Division or Unit: ______________________________________
Funding Agency: ______________________________________ _____
Title of Proposal: _______________________________________________
Are H uman! Subjects involved! (including tests and! surveys):!_____ _ _ _ _ __ _ _ _ _ _ _ _ _ _ __ _ _ (yes or! no)
Are V ertebrate Animals Involved? _________________ (y es or! no)
Will Biohazardous Materials Be! Used?! ___________________ (yes or! no)
Does the proposal include the creation of planning of a new degree track? _________________ (ye s or!
no)
Will consultants or subcontracts be used or developed? ___________________ (yes or! no)
Total B udget Amount: _________________________
Direct Costs ________________
Indirect !Costs:!____ _ _ _ _ _ __ _ _ _ _ _
Match (if required): _______________________
yes
yes
yes
yes
yes