Fillable Form 601: INTERNAL PROPOSAL FORM (Ursinus College)

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Form 601: INTERNAL PROPOSAL FORM (Ursinus College)

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The Form 601: INTERNAL PROPOSAL FORM (Ursinus College) form is 2 pages long and contains:

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  • 14 check-boxes
  • 49 other fields

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Ursinus College
601
E. Main
Street
• Collegeville,
Pa
. 19426
ursinus.edu
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__________________________________________________________________________________________________________________
______________________________________________________________________________________________
___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________
INTERNAL PROPOSAL FORM
Completion of this form indicates official sanction of the outgoing proposal. Please obtain
signatures on the second page and submit signed form to the Advancement Office five
business days prior to the due date.
Submission Deadline: __________________ Submitted by: Institution or Investigator Electronically? Y or N
PROPOSAL DATA (a copy of the proposal must be attached):
Faculty/Principal Investigator:
Project Title: ________________________________________________________________________________________________________
Department: ________________________________________________________________________________________________________
Foundation, Agency, Program Name _____________________________________________________________________________________
Is Ursinus College the Prime Recipient of the funds? Y or N If not, who:___________________________________________________
Proposed Start Date of Grant, if awarded: ___________ Proposed End Date of Grant, if awarded: _______________
Proposal: New Renewal Supplement Resubmission If so, Grantee number: ______________________________________________
Please list collaborators and/or subcontractors:
BUDGET (You must provide a detailed draft budget)
PI, Key Personnel, and Chair(s) are responsible for adhering to College policies and procedures; accepting responsibility for excess
expenditures and disallowed costs; ensuring all costs incurred are project related and in accordance with any terms, conditions and time frames,
and ensuring the technical and reporting requirements of the project are satisfied.
Proposal Request: $__________________________
College Match / Cost-Sharing Request: $__________________________
Project Total $__________________________
COST SHARING: (note: any cost sharing must include an account number to charge cost-sharing and the appropriate sign-off below)
College to supply required cost-sharing. The amount is: $ __________________
College to supply voluntary cost-sharing. The amount is: $ _________________
College to supply summer student housing. Students per summer: _____ Number of weeks _____________
College to supply summer faculty stipend(s). The amount per summer: $ __________________________
This proposal includes a request for academic year release time. (Attach justification, see instructions)
FACILITY / EQUIPMENT (where appropriate, attach quotes, plans, and narrative for reference):
Equipment being requested has special installation requirements. Explain: __________________________________________________
Renovations or modifications will be required. Explain: __________________________________________________________________
Construction is a component of this grant.
There will be on-going maintenance costs/service contracts to the college for this equipment. Maintenance costs cannot be direct costs,
so must be borne by the college.
Request for the purchase of special computers, hardware or software. The project budget includes funds for these purchases where
allowed.
CONFLICT OF INTEREST (Completed Form Must Be Attached (link here)):
There is a potential "significant financial interest" related to this project, detailed in the attached.
There is NO Conflict of Interest. The disclosure policy form is signed and attached.
PUBLICATION/PRESS
I would like to be interviewed for publication/press: Y or N
REMARKS:
Account Number(s): ____________________________
Account Number(s): ____________________________
Ursinus College
601
E. Main
Street
• Collegeville,
Pa
. 19426
ursinus.edu
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
PROPOSAL ROUTING:
Electronic signatures are acceptable. Signatures should be obtained in order. Advancement Office will sign upon submission of
the grant.
I assure that all of the above information is correct to the best of my knowledge. I certify that statements made on this proposal
form indicate that the proposal is in accord with the academic standards and goals of the originating department, the
institutional policies of the department and Ursinus College, and the policies and/or governing regulations of the sponsoring
agency. I agree that the final proposal may be shared within Ursinus College as a learning tool. I agree to readily supply officers
of the institution with all copies of my reviews, and understand that these may be shared within the college to improve future
proposals.
Ursinus Faculty / PI: ________________________________________________________
Ursinus Co‐Investigator(s): ___________________________________________________
The attached proposal has been examined by the officials whose signatures appear below. The principal academic review of the
proposal is the responsibility of the Department Chair and College Dean. These signatures indicate that the signers are familiar
with the proposal, and except as noted and initialed in the remarks section, are satisfied with and responsible for all
commitments in the proposal as they relate to their respective areas (e.g. space, personnel, financial, etc.).
1. Department Chair
Of PI’s department
2. Dean of the College
Or delegate
Academic Affairs
3. Business Officer
Business Office
4. Advancement/
Corporate, Government, and Foundation Relations
Officer
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Ursinus College
601
E. Main
Street
• Collegeville,
Pa
. 19426
ursinus.edu
INTERNAL PROPOSAL FORM INSTRUCTIONS
The following is intended to help you with terminology and grant design. If you have
any questions, please contact Advancement.
Principal Investigator: The individual primarily responsible for the conduct of the project.
Prime/Subrecipient: Indicate whether you are receiving funds that are flowing through another institution/organization, or
whether Ursinus College is the direct recipient of the funds. If the sponsor is federal, indicate the CFDA number, if provided.
Budget:
• Personnel Costs: Please list out personnel costs, keeping in mind cost of living increases for multi‐year projects
(generally 3‐5%).
• Budget: Other Costs: Please explain any significant ‘other’ costs in the budget. Costs that fall under this heading could be
consultants, for‐hire services, participant inducements, honorariums or other project‐related costs that are not
equipment.
• Budget: Indirect Costs: Please check the fact sheet for the current federally negotiated facilities and administration rate.
This refers to a certain sum paid by the funding agency to cover general expenses which are difficult to itemize on a
project basis but which provide services necessary to the success of the project. Such costs include the administration of
the program, libraries and physical plan expenses, use of facilities, lights, heat, accounting, etc. If the agency to which
you are applying does not allow full overhead recovery, you must build the costs in as direct charges (For example, an
administrative allowance and/or space charge) and obtain approval from your college’s administration. F&A agreement
can be found on the UC Canvas course for college researchers.
Financial Conflict of Interest: Please review the policy. ALL key personnel must have current FCOI disclosure forms on file prior
to submission.
Cost Sharing:
• Release Time: Explain how reassigned time from your teaching obligations is critical to completing the project which you
are proposing. Explain how much release time, which semester, what courses/labs will not be taught, and any other
information. Short paragraph will be sufficient. Attach to this form.
• Allowable matching/cost‐sharing on sponsored projects: Cost‐sharing is defined as project costs not paid by the
sponsor of a research project. Cost‐sharing can be mandatory or voluntary. The College is responsible for the financial
accounting of all costs attributable to the project, including cost‐sharing. Therefore, all cost‐sharing contained in
proposal budget estimates must be specifically identified, specified and approved by the Principal Investigator,
department chairperson or appropriate Dean and Advancement before the proposal can be submitted. The source of
shared or matching funding and the category of expenditure (i.e. equipment, travel, student stipend, etc.) must be
detailed and confirmed via appropriate signatures and made a part of the proposal file. Please remember that any
quantifiable cost (mandatory or voluntary) offered in a proposal becomes a legally binding and accountable commitment
of the College upon award and all costs must be allowable project costs under federal rules. Ursinus College discourages
cost‐sharing commitments because such commitments obligate the College to financial and administrative requirements
while constricting the use of limited academic resources in other areas needing support. Cost‐sharing requires the
maintenance of detailed records that are subject to audit and cost‐sharing has the potential to affect negotiated Facility
and Administration (indirect costs) rates.
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Form 601: INTERNAL PROPOSAL FORM (Ursinus College)

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Completed 24 July 2020

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