Revised 03/2019
Samford University
Office of Sponsored Programs
Grant Application Sign-Off Form
Email: ____________________________ PI Name:
_________________________________________
School/Dept.: ______________________________________
Phone: ____________________________
Co-PI Name(s): _____________________________________ School/Dept.: __________________________
Percent Credit to PI:___________________________ Percent Credit to Co-PI(s):______________________
(this must total 100%)
Funding Source/Solicitation: ________________________________________________________________
Application Deadline: ______________________________________________________________________
Project Title:
___________________________________________________________________________
Total Budget: ___________________ Direct Costs: ________________ Indirect Costs: ______________
IC Distribution:
Samford Cost Share:________________________
Source of Cost Share: ____________________________
Compliance requirements: IRB IACUC COI Disclosure Date: Other:_________________
Comments:
_________________________________________________________________________________________
(Required for federal grant applications)
Date:
Date:
Date:
Date:
Date:
Date:
Date:
Date:
Date:
Date:
Principal Investigator:
Co-PI (if applicable):
Department Chair:
Dean:
Vice Provost (CHS only):
Grants Accounting:
Research Compliance:
Director of OSP:
Provost:
President:
Dean:____________________________
Department:_______________________
FOAP:______________________________
FOAP:______________________________
