Babson College Approval Form

APPROVAL FORM FOR CORPORATE, FOUNDATION, GOVERNMENT AND RESEARCH GRANTS

Forms are available from the Office of Corporate, Foundation Government Relations (CFGR)

Alumni Hall 209
ext. 5993; or on-line at K:/Faculty/Sponsored Programs/Forms/Babson College Approval Form.doc.

Date received in Office of Corporate, Foundation & Government Relations: ______

A. GENERAL INFORMATION

P.I.(s)/Project Director: ______Division: ______

______Division: ______

Agency/Grantor: ______Grant Period: ______

Proposal Title: ______

Year 1 Request: $______Total Request: $______

Year 2 Request: $ College Match: $______See B.2 below

Year 3 Request: $ Other source(s): $______

TOTAL: $______

B. SPECIAL REQUIREMENTS (Please fill in below or append additional information.)

1. Does this project involve: human subjects? yes ____ no ____ approved ______

laboratory animals? yes ____ no ____ approved ______

recombinant DNA? yes ____ no ____ approved ______

2. Does this project involve College cost-sharing or waived indirect costs? Yes ____ No ____

If yes, please itemize and indicate source:

Management Center/Account #______

(must be approved by Budget Director)

3. Does this project require additional space or support?

(i.e., telephones, repro., fax equipment, etc.) yes ____ no ____

If yes, please itemize: ______

4. Does this project require academic year release time and/or Other Faculty Compensation? yes ____ no ____

If yes, please itemize: ______

Babson College Approval Form Page 2

C. INVESTIGATOR FINANCIAL DISCLOSURE –– TO BE FILLED OUT FOR NSF

and DHHS (NIH, PHS) PROPOSALS ONLY

In keeping with the Babson College Conflict of Interest Policy (as described in Appendix J of the Full-Time Faculty Handbook), are there significant financial interests to be reported by any individual(s) responsible for the design, conduct, or reporting of this project? If yes, a Significant Financial Interest Disclosure Form and accompanying materials must be submitted to the Office of Foundation Government Relations prior to receiving Campus Endorsements and before this proposal is submitted. Each P.I. must sign below.

_____ I have reviewed the Babson College Conflict of Interest Policy and there is no significant financial interest by any party as defined above. If this changes during the period of the grant, a revised Disclosure Form will be submitted immediately.

_____ There is a significant financial interest and a Disclosure Form was submitted to the Office

of Foundation Government Relations on (date): ______

by: ______

NSF and DHHS P.I.(s): ______Date______

______Date______

D. SIGNATURES/CAMPUS ENDORSEMENTS: (to be obtained in sequence; the CFGR will be responsible for obtaining signatures from the Controller’s Office and the Dean of Faculty)

Project Director Date ______

Division Chair Date ______

Director, CFGR Date ______

Controller Date ______

Budget Director (if required) Date

Dean of Faculty Date ______