INVESTIGATOR DATA
Email:
APPROVAL SIGNATURES (University Provost provides final authorization)
College:
Co-Principal Investigator:
Phone Ext.:
Division/School:
PROPOSAL DATA
Division/School:
College:
Email:
Phone Ext.:
Cover Sheet and Authorizations
Project Title:
Primary location where work will be performed
Total Project Costs Requested:
Comments:
Principal Investigator:
Human Subjects Protections
Conflict of Interest (COI)
IRB Review/Approval Date (if applicable):
Indicate all that apply by checking the appropriate boxes.
Compliance
Principal Investigator/Program Director
Co-Principal Investigator/Co-Program Director
Department Chair
Department Chair
Dean
University Provost
Co-Principal Investigator/Co-Program Director
Department Chair
A fully-endorsed Cover age must be submitted to the Office of Grants and Sponsored Projects via email at tsambis@fdu.edu
on or prior to the deadline date of January 27, 2020. Late applications will not be accepted.
BUDGET REQUEST (Allowable project-related costs up to $5,000 are permitted. A detailed budget & budget justification must also be provided.)
FDU COLLABORATIVE GRANTS IN SUSTAINABILITY
Silberman College, Petrocelli College and Independent Professional Schools
Grants Office Use Only
Date Submitted:
Form Development 9/10/19
Grants and Sponsored Projects (GSP)
Dickinson Hall
Suite 3323, Room 3325
Jane Tsambis
tsambis@fdu.edu
Phone: (201) 692-2221
Fax: (201) 692-2102
Date
Date
Date
Date
Date
Date
Date
Date
Date Training Completed:
Responsible Conduct of Research (RCR)
The Principal Investigator and all Co-PIs must complete CITI online training in Responsible Conduct in Research (RCR), Conflict
of Interest (COI) and Human Subject Protections (as applicable) prior to proposal submission. Please contact the FDU
Compliance Coordinator, Kim Dicciaani at dicciann@fdu.edu for assistance.
RESEARCH COMPLIANCE DATA
Co-Principal Investigator:
Phone Ext.:
Email:
College:
Division/School:
Proposal must be submitted not later than January 27, 2020 via email to tsambis@fdu.edu.
Date Training Completed:
Date Training Completed:
