Grant Authorization Form
(For grants over $10,000)
This form is required before a grant can be developed or written. It is not final authorization to submit a grant.
It is to be completed:
1. For grants over $10,000 or that impact multiple Deans/Directors (i.e. Institutional Research, IT,
Facilities, etc.)
2. After informal discussions with the Grant Coordinator
3. Submitted to Grants Coordinator after approvals are given
Person Proposing Grant
Department Proposing Grant
Agency Grant Will Be Proposed To
Estimated Project Budget
Estimated Grant Amount
Due Date of Grant Application:
General Description of Grant, including relationship to Core Themes and current degrees/certifications.
Fiscal Impact
Grant Period: to
For a multi-year grant, does the annual funding: __ increase; __ remain the same; __ decrease?
Is Chemeketa required to assume program costs after grant is over? ___Yes ___No
Indirect or Administrative Costs allowed? ___No ___Yes (Percentage Allowed
)
Does it require matching funds from the college? No Yes (extent:
)
Other Information
List the departments/ programs that could be impacted (IT, IR, Marketing, etc).
Where will project be located?
What college equipment or facilities will be used?
What outside agencies/partners are involved? What is their level of commitment to the project?
Approvals Required:
Vice President
Director of Business Services
Impacted Departmental Deans/Directors
Form updated: February 24, 2016