Bradley Proposal Form

Fiscal Year/s for which you are requesting funding:

1. Scientist Emeritus Name:

2. Work address:

3. Preferred E-mail address:

4. Title of Proposal:

5. Proposal Task Number (if more than one task is submitted):

6. Type of Proposal:

_____ Legacy

_____ New research

_____ Both

7.  Year of requested funding. Legacy proposals extend for 1 or 2 years, and new research proposals may be for 1, 2, or 3 years.

_____ Year 1

_____ Year 2

_____ Year 3

8. Field locality

State or country:

County (if known):

Locality name:

9. Work plan

a. Objectives

b. Anticipated products – All proposals MUST contain products.

c. Milestones

d. State how the proposed work is relevant to the USGS mission/science strategy http://pubs.usgs.gov/circ/2007/1309/

10. Budget – Please work with your Science Center Director/Branch Chief/Supervisor when constructing your budget request. DON’T FORGET TO INCLUDE YOUR CENTER’S ASSESSMENT COSTS.

a.  _____ Fiscal Year

b.  _____TOTAL FUNDING REQUESTED (Do not request more than $5000)

c. _____ Travel Costs

Where

Length of Time

Purpose

d. _____ Publication Costs (Please itemize)

e. _____ Laboratory Costs

Type of costs – analyses, supplies, technical support, etc.

Will analyses be performed in-house or outside of USGS?

If in-house, who is doing the work?

f. _____ GIS or digitizing costs

g. ____ Salaries (If including salary costs, identify specific work to be done.

Note: SEs cannot receive salary)

h. _____ Other miscellaneous expenses. Be specific.

i. Shortfalls: If you anticipate budget shortfalls, particularly with respect to publishing costs, how do you plan to deal with these? For example, are project or working capital funds available to help cover publication costs?

j. Program and/or Science Center funding: How much, if any, Program and/or Science Center funding are you or will you be getting for this project? How much, if any, funding are you getting from outside sources for the project?

k. Other funding: What financial support do you receive for non-Bradley Scientist Emeritus activities? Include both current and pending.

11. Statement of the progress: Provide a statement of the progress for any efforts funded through the previous year by the Bradley Program, including a list of products.

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