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OFFICE OF SPONSORED PROGRAMS INTERNAL REVIEW FOR SPONSORED (Sacred Heart University)

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OFFICE OF SPONSORED PROGRAMS
INTERNAL REVIEW FOR SPONSORED PROGRAMS
This completed form, along with your final proposal, budget, and other required documentation must be returned to the Office of
Sponsored Programs (OSP) at least 10 business days prior to the submission deadline. Once the internal review has been
completed, OSP will submit your proposal or provide further instructions.
Submission of this form by the Project Director expresses the intent to apply for extramural funding. If a grant is awarded, the
Project Director accepts responsibility for the proposed research or work to be conducted and will comply with all federal, state
Yes No
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and university policies.
Project Director:
SHU Department:
Sponsor/Funding Agency:
Funding Opportunity or Submission Site URL:
Title of Proposal:
Submission Deadline:
Project Start Date
Project End Date:
:
Pr ovide a brief description or abstract of your project: (85 words maximum)
How will this project benefit the University:
(i.e., faculty scholarship, research, student engagement, supportive of SHU mission, etc.)
PROJECT AND COMPLIANCE INFORMATION
Is release time requested as part of this application? If yes, total number of course releases:
Does this project involve the use of human subjects? If yes, provide IRB#:
Does this project involve the use of animals? If yes, provide IACUC#:
Are hazardous or toxic materials to be used or generated by this project?
Does the project require additional personnel to be hired by the University? If yes, how many?
Does this project involve the purchase of Library materials?
Does this project propose capital improvements or renovations to facilities?
Does this project require University matching funds? If yes, see required approvals, page 2*
Does this project involve undergraduate student research? If yes, how many students:
INDIRECT COST RECOVERY
Sacred Heart University has a federally negotiated rate agreement which should be applied whenever allowed by the sponsor.
Otherwise, the maximum allowable indirect cost (IDC) must be requested. Justification for requests of less than the funding agency’s
allowable IDC must be provided in the notes section below.
Yes No Does this funding opportunity allow for indirect cost recovery?
Percent allowed: Percent you will be requesting:
NOTES:
BUDGET SUMMARY
A copy of your final detailed line
---
item budget must be submitted along with this form.
Personnel: $ Salaries plus fringe benefits (See OSP Institutional Information for details)
Non
---
Personnel: $ Non
---
salary
---
related expenses
Indirect Costs:
$
Justifica
provide
tion for requests of less than the funding agency’s allowable IDC must be
d and approved.
For University match, additional approvals are required (below). For externally
Matching Required:*
$
funded match, attach a Letter of Commitment from outside agency.
Total:
$
*MATCHING FUNDS
If University funds are being committed for a match, provide the following information:
SHU Department that will fund required match: SHU Account # Amount
In
---
Kind or Cash
THE BUDGET FOR THIS PROPOSAL INCLUDES MATCHING FUNDS FROM AN OUTSIDE AGENCY:
Yes
No
Submit Letter of Commitment from participating outside agency along with this form.
APPROVALS
Signature indicates that proposed project is approved and that the appropriate responsibility will be assumed.
Project Director
Name:
Signature:
Date:
Department Chair or Supervisor
Name:
Signature:
Date:
Dean or Division Vice President
Name:
Signature:
Date:
Once the above signatures are obtained, scan or send this form and supporting documents to Funda Alp (alpf1@sacredheart.edu).
OSP will review your package for completeness, secure final signatures and submit the proposal to the funding agency.
*FOR GRANTS WITH MATCHING FUNDS:
If the proposed project commits University matching funds, approval from the Account Manager and SHU’s Senior VP for Finance
is
required, below. For University matching funds of $50,000 or more, approval of the University President is also required. For matching
funds that will be sponsored by an outside agency, submit a Letter of Commitment from the outside agency with this form.
Account Manager
Name:
Senior Vice President for Finance & Administration
Michael J. Kinney
President (for University matching funds of $50,00
John J. Petillo, Ph.D.
Signature:
Signature:
0 or more)
Signature:
Date:
Date:
Date:
Executive Director of Sponsored Programs
Funda Alp
Signature:
Vice President for Finance
Philip J. McCabe
Signature:
Provost & VP for Academic Affairs
Rupendra Paliwal, Ph.D.
Signature:
For OSP Use Only:
Date Received:
OSP ID:
Version 170622
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OFFICE OF SPONSORED PROGRAMS INTERNAL REVIEW FOR SPONSORED (Sacred Heart University)

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Completed 25 August 2020

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