Last Updated: 8/1/2013
MONTGOMERY COLLEGE
Preliminary Grant Proposal Form
SUMMARY
Proposed Title of Project:
Due Date for Submission:
Applicant: Phone: Email:
Funding Agency: Agency Program:
Agency Type
(Check one):
Federal Federal-via-state State Local
Other:
Co-Principal Investigators:
Project Abstract (attach a brief abstract explaining the project)
Partner Type
(Check one):
MCPS UMCP
Other:
Brief Description of Partner Responsibilities
ESTIMATED BUDGET
Period of Support: B
eginning Date:
Year 1 Funding: $
YES NO How much? $
MATCH INFORMATION
Are matching funds required?
Are in-kind contributions permitted? YES NO
POTENTIAL IMPACT (STUDENTS/ STAFF/ SPACE)
ESH required for grant work per semester?
When will work be done?
How many new staff will be required?
How many existing staff will be reallocated?
Which positions/FTEs?
Where will the project be located? Campus(es) / Center(s )
cc: Office of Business Services Page 1
Applicant: Faculty FT
Faculty Adjunct
Staff
Ending Date:
Total Funding: $
cc: Office of Business Services Page 2 Last Updated: 8/1/2013
What space will be required? Offices: Classrooms:
Information Technology Support:
Institutional Research Support:
Other Considerations:
COMMUNICATIONS IMPACT
Will you be requesting communications support in your grant proposal?
B
rochures / Publications
A
rtwork/Logos
A
dvertising
Web pages Press Releases & other publicity Videos/MCTV Support
Additional Comments:
SIGNATURES AND REVIEW:
Signature indicates acceptance of responsibility for performance of grant.
Project Director/Principal Investigator/Accountable Grant Administrator Signature:
Faculty:
Chair Name: Chair Signature: Date:
Dean Name: Dean Signature: Date:
VPP Name: VPP Signature: Date:
Staff:
Supervisor Name: Supervisor Signature: Date:
Administrator Name: Supervisor Signature: Date: