COLUMBUS STATE UNIVERSITY REQUEST FOR PROPOSAL APPROVAL

Fill out this form completely. If you need additional space for replies, attach another page. Submit one completed copy of this form.

GENERAL INFORMATION

Date Submitted to the Appropriate Dean: / Sponsor’s Deadline:
Address where proposal is to be mailed:
Number of copies to be mailed: / Program Number (Included in Guidelines):
Grant Title: / Is this a sub-agreement? Yes _____ or No _____
Grant Director: / Period of Contract: / to
Funding Agency:
Type of Project: / Research / Education Service and Training Agreement / Other
Amount of Funds Requested: / First Year:
Project Description:

UNIVERSITY IMPLICATIONS AND OBLIGATIONS

Be especially careful to respond fully to the following items. It is imperative that all University obligations and responsibilities, both during the grant period and afterward, be clearly defined and explained.

1.Will the University, from its state-allocated funds, be obligated to

a. provide space in addition to that which is now allocated to the academic unit?
b.purchase or acquire any equipment?
c.provide building alteration or install equipment?
d.hire new faculty or staff or to change the conditions of employment of present employees?
e.continue the program after the sponsor terminates support?

IF YOU ANSWERED YES TO ANY PART OF THIS QUESTION,ATTACH AN ADDITIONAL SHEET AND EXPLAIN.

2. Do you propose to pay extra compensation to any University employee?
3. Does the program involve cost sharing or matching funds? If yes, explain requirement.
4. Are you proposing indirect? ______How much? ______If not, explain on additional sheet.
Source of Item(s) / Amount
4. Do you propose to utilize any services from the ComputerCenter (main frame, system, or programming help, acquisition of any hardware or software)? If yes, secure approval of Computer Information Networking Systems.
UITS Director - Signature / Date
5. Are any curricular changes or additions anticipated? IF YES, PLEASE ATTACH AN ADDITIONAL SHEET AND EXPLAIN.
Project Director’s Signature / Date

ACADEMIC UNIT APPROVAL

We certify that staff, time of individual involved, space, equipment, facilities, alterations, in-kind cost sharing funds, etc., required for this project are available or are a part of the direct cost requested in the proposal. We affirm that the proposed project is consistent with the educational and professional objectives of the Project Director’s academic unit.

Department Chair’s Signature / Date
Dean’s Signature / Date
Vice President for Student Affairs’ Signature / Date
Other Unit Head(s) as Appropriate / Date

ADMINISTRATIVE UNIT APPROVAL

Vice President for Academic Affairs’ Signature / Date
Vice President for Business and Finance’s Signature / Date
President’s Signature / Date
Will computer equipment be purchased?
Will a copy machine be purchased?