Fillable Grant Initiation Form

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Grant Initiation Form

On average this form takes 35 minutes to complete

The Grant Initiation Form form is 5 pages long and contains:

  • 2 signatures
  • 9 check-boxes
  • 126 other fields

Country of origin: US
File type: PDF

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Page1
ORSP
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S
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L
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R
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E
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V
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I
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E
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W
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A
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N
D
D
A
A
P
P
P
P
R
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V
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ROPOSAL
/C
ONTRACT
S
UMMARY
I
NFORMATION
:
Title:
Principal Investigator/Project Director:
Co-
Investigator:
Funding Agency (Include complete address):
Agency Contact Person:
Phone:
Agency Deadline:
Postmarked Date:
Total Amount Requested:
$
Year 01
$
Year 02
$
Year 03
$
Year 04
$
Year 05
$
Indirect Costs:
$
At
%
If this is a collaborative project, state the institution/agency and attach a separate sheet stating the
conditions/terms, period covered, contact person and telephone number, total amount requested,
share that ASU will receive, etc.
Institution/Agency:
Proposed Beginning Date:
Ending Date:
Project Category:
Research
Public Service
Institution/ Academic Support
Professional Development
Office Use Only
1. Proposal Number: _____________
2. Date Mailed: _________________
3. Date Awarded: _______________
Page2
ORSP
INSTITUTIONAL COMMITMENTS:
1.
Yes
No
Does the funding organization commit the institution to cost
sharing? If yes, indicate percent of effort _____%. If you plan
to meet cost-sharing commitments in any way other than
contributed Time, indicate how:
2.
Yes
No
Does the proposal require release time for faculty or other
college personnel? If yes, complete the attached FRT (faculty
release time) form.
3.
Yes
No
Does this project involve more than one department
and/organization? If yes, have you notified the
chair/coordinator/director of each unit? I have notified:
4.
Yes
No
Does the proposal require or utilize matching funds? If yes,
provide specific information. Be sure to indicate the source of
these matching funds.
5.
Yes
No
Is space other than the investigator’s current office and/or lab
necessary for the completion of this project? If yes, has the
space been identified and committed? Yes No
6.
Yes
No
Does the proposal provide for the purchase of equipment in
addition to that presently available?
7.
Yes
No
Are there provisions for equipment maintenance? If yes, who
will pay for this maintenance?
SAFETY AND PROTECTION:
8.
Yes
No
Does the proposal involve research with any subject or
substance which requires review by a designated individual,
office or committee?
Page3
ORSP
Category Date of Review Date to be Reviewed Pending Review
Human Subjects
* This includes use of
survey forms for research
purposes
Animal Subjects
Chemical Hazards
Recombinant DNA
Biological Hazards
9.
Yes
No
Does the project involve research with radioactive chemicals?
If yes, state the name and half-life.
If yes, have you received certification on state and federal
levels?
State: Yes No
Federal Yes No
Signature of PI/PD
Signature of Co-PI/PD
S
IGNATURES
I
NDICATING
A
PPROVAL
Department/Chair/Unit Director
Appropriate Dean
Sponsored Programs
Vice President for Academic Affairs
President
click to sign
signature
click to edit
click to sign
signature
click to edit
Page4
ORSP
FACULTY RELEASE TIME REPORT
Sponsoring Agency:
Project Period:
Name and Rank Department/ Unit % Release of Time
Salary
Requested
Fringe Benefits
*Approval for release time indicated above
_______________________________________________ ____________________
Immediate Supervisor
Date
_______________________________________________ ____________________
Department Chairperson
Date
_______________________________________________ ____________________
Appropriate Director
Date
_______________________________________________ ____________________
Associate Vice President for Research & Sponsored Programs
Date
_______________________________________________ ____________________
Vice President for Academic Affairs
Date
Page5
ORSP
TIME & EFFORT FORM
Date:
Name:
Department:
This information is needed for Federal and State Audit Requirements.
ACTIVITY
(SPONSORED PROJECTS)
GRANT NUMBER
PERIOD
(FROM ___ TO ___ )
T
OTAL
N
OT TO
E
XCEED
100%
1.
2.
3.
4.
Total
Professional Development Fund Award:
(if applicable)
%
Teaching:
%
Research:
%
Service:
%
OVERLOAD
NAME OF ACTIVITY
T
IME
INVOLVED
DUTIES
I certify that the information listed above is correct
__________________________________________________
__________________
Principle Investigator/Program Director
Date
__________________________________________________
__________________
Immediate Supervisor
Date
__________________________________________________
__________________
Vice President for Academic Affairs
Date
__________________________________________________
__________________
Associate Vice President for Research and Sponsored Programs
Date
Return this form to the Office of Research & Sponsored Programs to obtain additional signatures.
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Grant Initiation Form

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Completed 21 February 2020

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