Fill - Free fillable Salary Cost Sharing And Matching Authorization Form PDF form

Professional Salary - Cost Sharing and Matching Authorization Form

The use of this form is NOT required unless cost sharing is presented in your proposal to the sponsoring agency.

P.I.________________________________ Date__________ Department ______________________________

Sponsoring Agency_________________________ Proposal Title _____________________________________

The proposed cost sharing or matching is _____ Mandatory _____ Voluntary

Voluntary cost sharing or matching, regardless of type or source, must be approved per the signatures below before proposal

submission.

Grant duration (proposed): work begins: ______________________ work ends: _____________________

Note: Salary match is based on the portion of professional salary not associated with one’s full-time teaching obligation. This includes

departmental expectations in areas of scholarly activity and service (as appropriate to the grant) as well as “release time” from normal

teaching loads. The lower portion of this form is to indicate whether the match is based on release time, departmental expectations,

or both. Furthermore, if this grant is funded, the Faculty Member must file a monthly Time and Effort Report for the duration of the

grant or until the match is satisfied to document time spent on this grant.

I. Is a portion of the Faculty Member’s salary already committed for match on another grant overlapping the duration of this proposal?

If yes, attach a copy of the “SALARY MATCH DOCUMENTATION FORM” relative to all other obligations. If no, continue.

II. Faculty Member’s current base salary: $_____________ (9-month_____, 12-month_____, other_________)

NOTE: Nine-month salaries cover approximately 1,560 work hours; whereas, 12-month salaries cover 2,080 hours.

III. Match based on departmental annual evaluation weighting:

Planned annual evaluation weighting: Teaching _____ Scholarship _____ Service _____ Administration ________

(must total 100%) (60-80%) (10-30%) (10-30%) (50-100%)

Year

Term

Source:

Banner

Index Code

Evaluation Weight

Category

Percentage

of Weight

Matched

Salary

Match

Amount

Benefit

Match

Amount

Total Salaries and Benefits to be Matched

For Voluntary Cost Sharing or Matching, evidence that cost sharing or matching is a basis for competitiveness is required. Please attach

the written statement from the grant application where voluntary cost sharing or matching is encouraged or university commitment

is encouraged or required; or, provide a compelling explanation, with evidence such as a case history, as to why voluntary cost sharing

or matching will increase the competitiveness of the proposal. An explanation that is not substantiated by evidence and/or which

relies solely on the perception of the PI is not acceptable.