Fillable Research Agreement Project Information Sheet 8-30 18 Acc (Montana Tech)

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Research Agreement Project Information Sheet 8-30 18 Acc (Montana Tech)

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Research Agreement Project Information Sheet
The below information is to be completed by the sponsoring agency/organization
and submitted with a processed PCF to grants@mtech.edu
in order for a Research
Agreement to be generated by the Research Office.
Project Sponsor: ____________________________________________________
Project PI(s) and responsibilities: _______________________________________
__________________________________________________________________
__________________________________________________________________
Key Personnel and responsibilities: ______________________________________
__________________________________________________________________
Project Start Date: ____________________ Project End Date: _______________
Source of Funding: Pass Thru OR Sponsor
If Pass Thru funding, who is the originating sponsor?
_____________________________________________________________
Required Attachments:
1. Processed PCF
2. Scope of work
3. Project Timeline and Deliverables
4. Budget and Budget Narrative
5. Prime Agreement or Originating Funding Agreement (if applicable)
6. Sponsor contacts
Signature from sponsoring agency/organization:
_________________________________________________________
Signature Date
Name: ____________________________________
Sponsor Contacts
Institution / Organization
Name:
Address:
Administrative Contact
Name:
Address:
Phone:
Fax:
Email:
Principal Investigator
Name:
Address:
Phone:
Fax:
Email:
Financial Contact
Name:
Address:
Phone:
Fax:
Email:
Authorized Official
Name:
Address:
Phone:
Fax:
Email:
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Research Agreement Project Information Sheet 8-30 18 Acc (Montana Tech)

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Completed 23 July 2020

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