Grant Writing Fund
Certification Form
PRINCIPAL
INVESTIGATOR:
PI
DEPARTMENT /
DIVISION:
FUNDING
AGENCY:
TITLE OF
GRANT
PROPOSAL:
AMOUNT OF
GRANT
REQUEST:
DATE OF
SUBMISSION TO
AGENCY:
Check
Appropriate
Response
Scholarship Grant
Other Grant
“THE FACULTY MEMBER HAS SUBMITTED THIS GRANT APPLICATION AND IS PURSUING THE PROJECT
WITH MY BLESSING.”
DEPARTMENT CHAIR SIGNATURE:
PRINTED NAME OF DEPARTMENT CHAIR:
“I CERTIFY THAT THE GRANT APPLICATION APPEARS TO BE VIABLE AND IN SUPPORT OF A
SUBSTANTIVE PROJECT.”
DIRECTOR OF RESEARCH SUPPORT, INTEGRITY AND
SPONSORED PROGRAMS SIGNATURE:
PRINTED NAME OF DIRECTOR:
DATE
DATE