Fillable OSP EXTERNAL FUNDING INTENT TO APPLY FORM INSTITUTIONAL 3-13 15 (Wilkes University)

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OSP EXTERNAL FUNDING INTENT TO APPLY FORM INSTITUTIONAL 3-13 15 (Wilkes University)

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Office of Sponsored Programs (OSP)
Faculty Intent to Apply for External Funding Form
INSTRUCTIONS: If you are applying for a grant or funding opportunity, complete this form, obtain
signatures, sign, and submit to OSP at least 4 weeks in advance of the submission due date.
1. Today’s Date
2. Applicant
3. Department
4. Collaborators?
If yes, please list:
yes no
5. Funding Agency (NIH, NEA, etc.)
6. Grant Number or ID (if applicable)
7. Agency’s Title of Grant
8. Project Summary (2-3 sentences)
IRB or IACUC approval?
9, Will Vertebrate Animals or
Human Subjects be used?
yes no
10. Is a Letter of Intent or Pre-
If so, have you obtained
yes no
If yes, Letter of Intent or Pre-Proposal? Letter or Pre-Proposal due
date:
Proposal required?
yes no
11. Is an institutional match
required?
If yes, amount or percent:
yes no
12. Is release time necessary?
If yes, how many hours?
yes no
Applicant’s Signature
Date
Chair’s Signature
Date
Dean’s Signature
Date
Version 5 (Last revised 03/13/2015)
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OSP EXTERNAL FUNDING INTENT TO APPLY FORM INSTITUTIONAL 3-13 15 (Wilkes University)

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Completed 23 July 2020

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