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THE COLLEGE OF WOOSTER
Proposal Transmittal Form
PI/PD
DEPT. PHONE
INVESTIGATOR DEPT. PHONE
INVESTIGATOR DEPT. PHONE
INVESTIGATOR DEPT. PHONE
INVESTIGATOR DEPT. PHONE
INVESTIGATOR DEPT. PHONE
GRANTOR DEADLINE DATE
BUDGET REQUESTED
PERIOD START DATE END DATE DIRECT/$ INDIRECT/$ TOTAL
COST SHARE/$
(Details on Back)
1
ST
YEAR
$ $ $ $
2
ND
YEAR
$ $ $ $
3
RD
YEAR
$ $ $ $
4
TH
YEAR
$ $ $ $
5
TH
YEAR
$ $ $ $
6
TH
YEAR
$ $ $ $
7
TH
YEAR
$ $ $ $
TOTAL
$ $ $ $
Are you requesting funding for equipment or computers? [ ] NO [ ] YES If “yes”, please provide details on the back
Does the proposal involve creation of new staff positions? [ ] NO [ ] YES If “yes”, please consult the Dean for Faculty Development.
Does the proposal include Federal funds? [ ] NO [ ] YES
If “yes”, please attach a printout from the Excluded Parties List System that includes all
vendors named in the proposal. (See instructions.).
I certify that the statements made in the attached proposal, and on this form are
true and complete to the best of my knowledge. The budget is reasonable and
adequate for the project. I agree to comply with relevant Federal requirements
and the award terms and conditions if an award is made.
___________________________________________________
PI / PROJECT DIRECTOR DATE
I have discussed the attached proposal with the PI. Adequate space is available
or planned for the conduct of the project. The professional time allocations
described therein are realistic and within College guidelines.
___________________________________________________
DEPARTMENT CHAIR DATE
I have discussed the attached proposal with the PI and it meets all policy
requirements. Any conflicts of interest can be managed, reduced or eliminated.
_________________________________________________
DEAN FOR FACULTY DEVELOPMENT DATE
I have discussed the attached proposal with the PI. The budget numbers
described therein are appropriate and within College guidelines
___________________________________________________
CONTROLLER / ASSISTANT CONTROLLER DATE
The attached proposal is consistent with the overall objectives of the College
and all institutional concerns are resolved.
___________________________________________________
VP FOR FINANCE AND BUSINESS DATE
The attached proposal is consistent with the overall objectives of the College
and all institutional concerns are resolved.
___________________________________________________
PROVOST / VP DATE
PROJECT TITLE
TYPE: [ ] NEW [ ] RENEWAL [ ] REVISION
SOURCE: [ ] FEDERAL [ ] FOUNDATION [ ] CORPORATION [ ] STATE GOVT. [ ] OTHER
PURPOSE: [ ] RESEARCH [ ] INSTRUCTION [ ] FELLOWSHIP [ ] FINANCIAL AID
[ ] EQUIPMENT [ ] LEAVE SUPPORT [ ] OTHER/SPECIFY:
SUBCONTRACT ARRANGEMENTS: