Fillable Form 1: Office of Research and Innovation Services (University of Windsor)

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Form 1: Office of Research and Innovation Services (University of Windsor)

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The Form 1: Office of Research and Innovation Services (University of Windsor) form is 2 pages long and contains:

  • 4 signatures
  • 0 check-boxes
  • 100 other fields

Country of origin: CANADA
File type: PDF

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1
401 Sunset Avenue, Windsor, Ontario, Canada N9B 3P4. tel: (519) 253-3000 ext. 3919. fax: (519) 971-3667. www.uwindsor.ca/oris
Office of Research and Innovation Services (ORIS)
Funding Application Information Sheet and Checklist
-must be submitted to ORIS 5 business days prior to the sponsor deadline-
For help, place cursor over the field.
1. Applicant Information (University of Windsor Investigator) Project role:
Last Name: First Name: Email:
Faculty/Department: Phone#:
2. Project Information Application type:
Funding Source: Program:
Project title:
Key words:
Competition deadline: Project Start Date: Project End Date:
Proposal peer-reviewed? No Yes →Describe:
3. Budget Information (Attach supporting documentation for cash and in-kind contributions)
Total amount requested from above funding source:
Other contributions to proposal (excluding UWindsor):
No
Yes
Name of source (e.g., other funding agencies, government, industry, NGO)
Amount
Cash:
In-kind:
Indirect /
Overhead costs:
→Rate (%):
Amount:
4. University of Windsor contributions to proposal (Attach supporting documentation for cash and in-kind contributions):
Department ($)
Faculty ($)
ORIS/VPRI ($)
Personnel (e.g. administrative,
technical, managerial)
Cash
In-kind
Space (e.g. laboratory, office, studio)
Cash
In-kind
Equipment
Cash
In-kind
Course Release
Cash
Other (please explain in an
attachment)
Cash
In-kind
Additional comments (brief explanation regarding the above categories; attach supporting documentation if applicable):
If YES (*), funds will automatically be placed on hold until ORIS is notified by the appropriate certification committee that the required
certifications are issued. The UWindsor applicant must initiate the process for certification with the relevant committee.
5. Does this project involve (All fields are mandatory)
Human subjects?
Research that involves surveys, questionnaires, interviews, participant observation, research
involving human remains, human organs, tissues and biological fluids and secondary data analysis (link)
No
Yes*
Vertebrate animals? (link)
No
Yes*
Biohazardous materials? (link)
No
Yes*
Controlled goods? (e.g. firearms, ammunition, goods and technologies that guide weapons systems)
(link)
No
Yes
Partnership agreement? (please contact Vesna Kaps, ext.3922 or vesna@uwindsor.ca )
No
Yes
Co-applicants/co-investigators? (please provide their information on the second page)
No
Yes
2
401 Sunset Avenue, Windsor, Ontario, Canada N9B 3P4. tel: (519) 253-3000 ext. 3919. fax: (519) 971-3667. www.uwindsor.ca/oris
6. Participant Information
1) Project role:
Name: Institution:
Department: Receiving funds: No Yes →Amount:
2) Project role:
Name: Institution:
Department: Receiving funds: No Yes →Amount:
3) P
roject role:
Name: Institution:
Department: Receiving funds: No Yes →Amount:
4) P
roject role:
Name: Institution:
Department: Receiving funds: No Yes →Amount:
7. Signatures (Form must be signed by Applicant, Department Head and Dean prior to submission to ORIS)
i) Declaration of the Applicant
I certify that this application is in compliance with the Sponsor and University policies and regulations,
and I will use the funds in
accordance with these policies and regulations. I also declare that all University resources required to support this application are
stated in Section 4. I acknowledge that I have read and will comply with the Tri-Agency Open Access Policy on Publications.
Signature of Applicant Date
ii) Declaration of Department Head and Dean – We certify that the applicant is eligible for funding by virtue of his/her
employment contract in accordance with University of Windsor policy and meets the requirements of the Sponsor. We are
aware of proposed activities, and we confirm that space, basic facilities and resources stated in Section 4 for carrying out
the research are available. We approve the above commitments from our units, and we confirm that the applicant has the
necessary time and facilities to carry out the research.
S
ignature of Head/Chair Date Signature of Dean Date
iii) Declaration of Director, Research and Development
I certify that the University will accept responsibility for the administration of the project funds. The project will be carried
out in accordance with policies and procedures of the University of Windsor and the Sponsor.
Signature of Executive Director, R&I Date
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Form 1: Office of Research and Innovation Services (University of Windsor)

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Completed 28 July 2020

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