ACADEMIC SENATE: SAN DIEGO DIVISION
GENERAL CAMPUS RESEARCH GRANT COMMITTEE
BRIDGE PROGRAM APPLICATION (GENERAL CAMPUS FACULTY ONLY)
(Rev. 5/13)
Date ______
Name ______/ Email ______Mail Code ______Department ______/ Phone ______Fax ______
Department Fund Manager: ______Email______Phone______
Title of Project ______
1. A description of the proposed research, including recent work related to it and a description of how the budget relates to the proposed research (2 pages maximum) is attached? / [ ] Yes [ ] No
2. Detailed budget specifying amount in each expense category is attached. / [ ] Yes [ ] No
3. Is current level of all extramural funding zero?
If ‘No’, please explain in attachment. / [ ] Yes [ ] No
4. Are most recent FinancialLink budget summaries for all extramural grants attached? If ‘No’, please explain. / [ ] Yes [ ] No
5. Judgment(s) on recently unfunded proposals: evidence for some recent proposals is attached. (Required with application.) / [ ] Yes [ ] No
6. Documentation of current efforts (face sheet of the proposals, and budget pages) to re-establish funding is attached, with explanation of changes to improve chances of funding. (Required with application.) / [ ] Yes [ ] No
7. Amount of Request: $ ______/ Funding required ______to ______
8. List of grants received in the last five years with amounts, dates, sources and titles is attached? / [ ] Yes [ ] No
9. List of all current and pending grants with amounts, dates, sources and titles is attached? / [ ] Yes [ ] No
10. Short CV: 2 pp. maximum is attached, including recent publications (5 most relevant, 5 other related) / [ ] Yes [ ] No
Signature ______/ Title ______
NOTE: Submit the original application form including all supporting documents to , as 1 file in PDF format.
FOR DEPARTMENT CHAIR REVIEW ONLY
1. All support documentation attached? [ ] Yes [ ] No / Date received: ______
2. Past award information attached? [ ] Yes [ ] No / Comments ______
APPROVED: ______
Signature of Department Chair