Fillable Liberty university GRANT PROPOSAL FORM OSP

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Liberty university GRANT PROPOSAL FORM OSP

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OFFICE OF SPONSORED PROGRAMS GRANT PROPOSAL FORM
All grants, contracts, or other proposals for external funding require the completion of the grant
proposal form prior to submission of the proposal
to an external source. The fully signed proposal
form ensures that a proposed project is consistent with the mission and policies of the
department,
college/school, and university. Completed proposal forms may be sent to
Office of Sponsored
Programs via email, hand delivery or campus mail.
The completed proposal form MUST be
received ten (10) days prior to the deadline.
OSP USE ONLY
Grant Proposal Number
Date Paperwork Received
Principal
Investigator (PI)
Department:
Org. / Index
PI Phone:
Conflict of Interest Attached:
Liberty University ID #
PI Email:
Grant Deadline:
CFDA # (Federal only):
Submission
Type:
Funder:
Project Type:
Does this proposal involve a Sub-award to/or Collaboration with: (insert
collaborator(s) name below)
Sponsor Name:
Address:
City:
State:
Zip Code:
Email:
Telephone:
Title of
Proposal:
Proposed Effective Dates:
From:
To:
Duration:
Total Direct
Costs:
$
Total Indirect
Costs:
$
Total Funds
Requested:
$
Lay Summary of Project: In the space below, briefly summarize the research project in language appropriate for a general
audience of individuals outside of this field of study. Be sure to address why the research will be done, and why it is of value.
New Proposal
Federal
Research
Yes
Project Cost Sharing:
If Cost Share is required, please
submit and attach the Grant
Proposal Budget Worksheet
Have you committed to cost share in this proposal?
Percentage of Effort?
Other Cost Share Commitments?
Cost Share Fund and Orgn?
Indirect
Costs:
Does the sponsor limit
or forbid indirect
costs?
If
yes:
If yes, please complete the Facilities and Administrative Cost Waiver
Form and attach.
Project Space:
Is space other than current office or lab
necessary?
If yes,
please
identify:
Human Subjects:
Does this project involve human
subjects?
If Yes – Attach copy of approval letter
If No – Attach copy of application
Animal Subjects:
Does this project involve the use of
animals?
If Yes – Attach copy of approval letter
If No – Attach copy of application
Student
Research:
Does this project involve student
research?
Has the student completed the
Responsible Conduct of Research for
Students?
If Yes – Attach copy of approval letter
If No – Attach copy of application
Other Key
Personnel:
Will this project require additional
p
ersonnel?
If yes, please attach a list of all personnel,
positions, and salary amounts.
Subrecipient Agreements:
Does the proposal involve a subrecipient agreement?
Attach a signed offer, detailed statement of work, a budget, and appropriate certifications.
Other Safety Committee Review (if applicable):
Radiation Safety Chemical Safety
Bio Safety
Date of Approval:
Mission & Vision: In the space below, briefly explain how the research project will advance the mission and vision of
Liberty University and your specific school, college, or program.
No
Yes
No
No
Yes
No
No
Yes
Yes
Yes
Yes
Yes
Yes
No
No
Yes
Yes
No
No
Yes
No
No
1. Principal Investigator
2. Co-Investigator
1. Department Chair
Date:
2. Associate Dean
(LUCOM only)
Date:
3. Dean
Date:
1. OSP Official
Date:
3. Provost
Date:
4. Chief Financial Officer
Date:
2. VP of Outreach &
Business Engagement
Date:
Date:
Date:
INVESTIGATOR'S STATEMENT: Except as covered by written authorization for this project, this application does not obligate the
University for funds for additional facilities, equipment, remodeling, extra operating funds, or matching funds, nor for
the establishment of new organizations, courses, or programs not previously approved.
Signature of Investigator(s): My signature below certifies that: 1) I am not delinquent on any federal debt; 2) I am not presently
debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from current transactions by any
federal department or agency; 3) I have not and will not lobby any federal agency on behalf of this award; 4) I am aware of and agree
to abide by all Liberty University policies and procedures; 5) I agree to be bound by the terms and conditions of the outside grant
or contract which supports this proposed activity and, in consideration of the information and facilities made available to me by the
University or the outside sponsor, to assign copyright (where appropriate) and patent rights to Liberty University; 6) the
information submitted herein is true, complete and accurate to the best of my knowledge; 7) any false, fictitious, or fraudulent
statements or claims may subject me to criminal, civil or administrative penalties: 8) I agree to accept responsibility for the scientific
conduct of the project and to provide progress report(s).
Department Chairperson's/Division Head's, Dean's Statement: I have reviewed this proposal and the accompanying transmittal form.
The research or program proposed is in keeping with College/Division/Department/Institute educational objectives and is beneficial to
the University. The College(s)/Division(s)/Department(s)/Institute(s) is aware of all requirements of this project and is committed to
providing for them, except as noted. (Chairs and Deans of all departments involved must sign.)
OSP, VP of Special Projects, Provost and CFO Statement: I have reviewed this proposal and the accompanying transmittal form. The
research or program proposed is in keeping with Liberty educational objectives and is beneficial to the University. The College(s)/
Division(s)/Department(s)/Institute(s) is aware of all requirements of this project and is committed to providing for them, except as
noted.
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Liberty university GRANT PROPOSAL FORM OSP

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Completed 25 December 2019

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