Colorado College’s Internal Routing Sheet

For External Grant Submissions

Prepared by Tess Powers, the Director of Faculty Research Support, on 10/14/2018

Please print this document for an original or scanned signature and return it to Tess, c/o the Office of Dean

Applicant Name:

Type here

Department:

Type here

Applicant Phone:

###-###-###

Prepared by Tess Powers, the Director of Faculty Research Support, on 10/14/2018

Please print this document for an original or scanned signature and return it to Tess, c/o the Office of Dean

Title of Proposal:type here

Synopsis of Project (1-2 sentences): type here.

Amount Requested: ~$___K(detailed draft budget to be attached)

Institutional Contribution/Matching Funds and Source (if any):consult with Tess on this

Name of Funding Source/Agency and CFDA number:type here

If Federal, Financial Conflict of Interest Form Completed?:type here

Due Date (Receipt Date/Postmark Date):type here

Notification By:type here

Proposed Grant Period (m/d/yr – m/d/yr): type here

This project involves (Yes/No; if Yes, please explain):

Prepared by Tess Powers, the Director of Faculty Research Support, on 10/14/2018

Please print this document for an original or scanned signature and return it to Tess, c/o the Office of Dean

 or  sabbatical Yes/No (If Yes, explain)

 or course reduction or leave Yes/No (If Yes, explain)

Prepared by Tess Powers, the Director of Faculty Research Support, on 10/14/2018

Please print this document for an original or scanned signature and return it to Tess, c/o the Office of Dean

 or humansubjects (If Yes, explain)

 or animal subjectsYes/No (If Yes, explain)

 or  bio-safetyYes/No (If Yes, explain)

 or  purchase of new equipment or computers Yes/No (If Yes, explain)

 or  new staff positionYes/No (If Yes, explain)

 or  additional space or renovation of existing space Yes/No (If Yes, explain)

 or  conference or on-campus eventYes/No (If Yes, explain)

Prepared by Tess Powers, the Director of Faculty Research Support, on 10/14/2018

Please print this document for an original or scanned signature and return it to Tess, c/o the Office of Dean

Prepared by Tess Powers, the Director of Faculty Research Support, on 10/14/2018

Please print this document for an original or scanned signature and return it to Tess, c/o the Office of Dean

I, the applicant, certify that the above information is accurate to the best of my knowledge.

Name: ______Signature: ______

Title: ______Date: ______

On behalf of the Department/ Business Office, I certify approval of this grant submission.

Name: ______Signature: ______

Title: ______Date: ______

On behalf of the Dean’s Office, I certify approval of this grant submission.

By Signing this document, I authorize Mike Siddoway or Tess Powers to submit this proposal on my behalf.

Name: ____Dr. Sandra Wong_____Signature: ______

Title: _____Dean of the College/Dean of the Faculty____Date: ______

Prepared by Tess Powers, the Director of Faculty Research Support, on 10/14/2018

Please print this document for an original or scanned signature and return it to Tess, c/o the Office of Dean