Fillable GRANT PROPOSAL PROCESSING FORM The Grant Proposal Processing (Smith College)

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GRANT PROPOSAL PROCESSING FORM The Grant Proposal Processing (Smith College)

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GRANT PROPOSAL PROCESSING FORM
The Grant Proposal Processing Form captures summary information about your proposal. Please complete this form in its
entirety. You may attach additional pages to report anything not captured in the questions.
A grant represents a contract between the college and the funding organization. Therefore, this form must be signed by all
relevant parties prior to submission of the proposal. Please complete, sign, and submit this form with a copy of your
draft* proposal to:
Emily Robinson
Grants and Sponsored Programs
76 Elm Street
We must receive these materials at least ten (10) business days prior to the submission deadline.
The Principal Investigator/Project Director is responsible for obtaining the signature of any co-investigator (affiliated with
Smith College) and the signature of one’s direct supervisor (department chair, program director, dean of the School for
Social Work, or other as applicable).
*UDQWVDQG6SRQVRUHG3URJUDPV will obtain the final required signatures.
If subm
itting an application in paper (hardcopy) format, the Principal Investigator/Project Director is responsible for
mailing it to the funding organization in time for the submission deadline.
*Your draft proposal must include your working narrative or a project summary, budget, and budget justification. A final copy of all
materials should be forwarded to *UDQWVDQG6SRQVRUHG3URJUDPV as soon as they are available.
SMITH COLLEGE GRANT PROPOSAL PROCESSING FORM
Principal Investigator/Project Director Smith ID No.
(located on OneCard)
Department/Program Campus Phone
Email
Project Title
Funding Organization
Funding Opportunity No./Program Name
Proposed Start Date End Date Submission Deadline
Grant Request $
(If a subaward, only those funds requested for Smith College)
Type of Application:
New Renewal Supplement
Revision
Type of Project:
Research Instruction
Other (specify)
If there is a subaward, indicate type leave blankLIQRVXEDZDUGV):
Smith College will be the lead institution - List Subawardee(s)
Smith College will be a subawardee - List Lead/Primary Institution
Please answer the following:
1) Where will your project take place? If any activities will occur outside of your office and/or lab, please specify location(s):
2)
Yes No Does the project require additional laboratory or office space for equipment, employees, and/or students?
3OHDVHbriefly explain. If you have a specific space in mind, note it here:
3)
Yes No Will any building renovation or construction be required to complete this project?
If yes, have you obtained an estimate from Facilities for this work?
Yes No
If yes, which funds are included in the proposal to cover this expense?
If funds are not included in the proposal, what will be the source of funds?
4a)
Yes No Does the project include cost sharing -- cash, personnel, or in-kind -- from the college or other sources?
3OHDVHdescribe the type of cost sharing proposed and identify the cost share funding source(s).
4b)
Yes No Does the project include equipment? If yes, please address service contracts, installation, building renovation,
DQGmaterials and supplies during and after the grant period.
5)
Yes No Does the project include release time or leave? Course releases are calculated on a pro rata basis; each course
release should normally be included in your grant budget as 1/5 of annual salary (plus benefits) for those at full-time status.
If yes, duration of leave and source of funding.
6) Compliance
(a)
Yes No Will the project use human subjects?
IRB Approved Approval Date: IRB Assigned No.:
Pending (If funded, the PI will contact the IRB in advance of starting the project.)
(b)
Yes No Will the project require the use of animals or animal tissues either at Smith or elsewhere?
IACUC Approved Approval Date: IACUC Assigned No.:
Pending (If funded, the PI will contact the committee in advance of starting the project.)
SMITH COLLEGE GRANT PROPOSAL PROCESSING FORM
(Question 6 continued)
(c)
Yes No Will the project use recombinant DNA, infectious agents, or regulated biological materials
such as Select Agents or human/primate blood or tissues?
Biosafety Committee Approved Approval Date:
Pending (If funded, the PI will contact the committee in advance of starting the project.)
(d)
Yes No Will the project use radioactive materials, or Class IIIB or IV lasers?
Radiation Safety Committee Approved Approval Date:
Pending (If funded, the PI will contact the committee in advance of starting the project.)
INVESTIGATOR CERTIFICATIONS:
Financial Conflict of Interest: If the grant seeks funding from Public Health Service agencies (e.g., NIH) or NSF, all
investigators must complete a Disclosure of Significant Financial Interest available at
https://www.smith.edu/deanoffaculty/funding_sponsored-research.php . See also the Policy on Academic Financial Conflict of
Interest in Research (PHS and NSF) at the same website.
Debarment/Suspension: The Principal Investigator and co-investigators are not debarred or suspended from doing business with
the federal government.
Human Subjects Training: The Principal Investigator and co-investigators certify that they have completed or will complete all
required human subjects training.
Financial Conflict of Interest Training: All investigators seeking or in receipt of Public Health Service funding certify that
they have completed or will complete the required financial conflict of interest training.
For NIH Proposals: The Principal Investigator and co-investigators must attach a signed NIH PI Assurance Certification,
available at https://www.smith.edu/deanoffaculty/funding_sponsored-research.php .
I hereby certify that the statements made in the attached proposal and on this form are true and complete to the best of my
knowledge. I agree to comply with the award terms and conditions if an award is made.
Principal Investigator __________________________________________________________________
(Date)
Co-Investigator __________________________________________________________________
(Date)
If there are other co-investigators, please provide their signatures on the back of this form.
The attach
ed proposal is within the total program and academic objectives of the department. Adequate space is available or
planned for the conduct of this project. The professional time allocations described therein are realistic and within college
guidelines.
Direct Supervisor (e.g., Department
Chair, SSW Dean)
_________________________________________________________________
(Date)
Institution Approvals:
This proposal has been reviewed and approved. It is consistent with the overall objectives of the college.
Associate Provost/
Director of Sponsored Research
________________________________________________________________
(Date)
We authorize the applicant to enter into contracted obligations on behalf of Smith College.
Assistant Contro
ller
_________________________________________________________________
(Date)
Smith College employees are required to adhere to the college's Code of Conduct, which expressly prohibits using or sharing
confidential information. A full description may be found at http://www.smith.edu/hr/conduct.php .
March 2019
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GRANT PROPOSAL PROCESSING FORM The Grant Proposal Processing (Smith College)

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Completed 26 August 2020

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