October 2016 (v.3)
ORSP Cost Share Request Form
Proposal Information
1-Principal Investigator (Project Manager, Lead Investigator) 2- Proposal Title
COST SHARING
NOTE: *UWG Faculty cannot cost share summer salary unless they will be specifically paid by UWG to work on the proposed project.
Summer salary must be listed as a separate line item in the table below. ** Each person whose effort is being cost shared must be
listed individually. *** Salary and fringe must be identified separately.
3- COST SHARING:
Detailed Description
UWG Department
Account providing funds
Authorized Approver for
Department providing
funds (each authorized
approver must sign form)
Required
or
Voluntary
Amount
TOTAL AMOUNT OF SALARY, FRINGE TRAVEL, SUPPLIES, EQUIPMENT, TUITION, ETC. TO BE COST SHARED BY UWG:
$
If student tuition is to be waived, but was not requested from the Sponsor, this waiver represents a cost share, include in table above. Attach
additional page if necessary. Waivers of Graduate tuition must be signed by the University Provost.
4-In-Kind (or Third Party) Cost Share (sources outside UWG)
Detailed Description
Partner funding Cost
Share
Required or
Voluntary
Amount
5- Amount Requested from Sponsor:_______, Amount of Cost Share: _______, Cost Share = ____ % of Sponsor request.
6- Does this program/project support university-wide research goals or objectives?
7- Provide a brief explanation of why UWG is offering a cost share/matching costs for this project:
PI Signature Name (printed) Date
Dept. Chair/Supervisor (if not Academic Affairs) Name (printed) Date
Dean/Designee Name (printed) Date
Provost or Applicable V.P. (if cost share is more than $10,000 or if graduate tuition is being waived) Date
Associate Vice President for Research & Sponsored Projects Date
Office of Research &
Sponsored Projects
October 2016 (v.3)
COST SHARING
Cost sharing is defined as program or project costs not borne by the sponsoring agency. Cost sharing may include
contributed effort, other University matching funds, unrecovered facilities and administrative costs (F&A or indirect
costs), and third party in-kind contributions.
Cost Sharing occurs whenever part of the proposed project cost is to be borne by the University of West Georgia. UWG
reserves the right to limit the amount of “voluntary” cost sharing. Please attach and submit this form with the Proposal
routing form.
3-If university funds or resources are being used as a Cost Share or Match, the department providing the funds must be
identified and the person with budgetary signing authority for that department must sign as the “Authorized Approver”
in the table.
4-A Letter of Commitment is required from all Third Party Cost Shares. The letter must indicate the amount and time
period for which the commitment is being made. If salary is part of the cost share, the hourly rate and anticipated hours
per week and number of weeks must be clearly indicated in the letter.
5-Include the total amount being requested from the Sponsor, the Total amount of the Cost Share and then divide the
Cost Share amount by the amount being requested from the Sponsor to determine the percentage for the Cost Share
being matched.
7-If the Sponsor requires a match please indicate the Cost Share is required and include the percentage or dollar amount
they require the university to match. If the Cost Share is voluntary, please provide detail as to why the funds are being
volunteered and are not being requested from the sponsor.
SIGNATURES
If the Total Cost Share is $10,000 or greater, the appropriate University Vice President must sign this form.
If Graduate Students are being paid as research assistants (semester based stipend) and tuition is not being paid by the
sponsor, the Provost must sign this form.