JOHNS HOPKINS UNIVERSITY - Limited Submission Programs

INTERNAL APPLICATION/NOMINATION COVER SHEET

This cover sheet is requiredfor submitting internal applicationsand/or nominations in response to program announcements, solicitations, or requests for nominations involving funding opportunities that require an internal peer review and selection. Please submit this cover sheet and all required materials (as identified on the relatedannouncement flyer) as one PDF via e-mail to JHU Research Administration at . If your application/nomination is selected during the internal review process, you will be notified accordingly, and all required proposal materials should be provided to your department’s designated representative in your divisional Office of Research Administration (ORA) by the due date below.

form last updated 5/12/2016

JOHNS HOPKINS UNIVERSITY - Limited Submission Programs

Principal Investigator Name: Click here to enter text. / Title: Click here to enter text.
E-mail: Click here to enter text. / Telephone: Click here to enter text.
School: Click here to enter text. / Department/Division: Click here to enter text.
Administrative Contact Name: Click here to enter text. / Admin Telephone: Click here to enter text.
Administrative Contact’s Email: Click here to enter text.

Sponsor/Foundation:Click here to enter text.

Program Title: Click here to enter text.

Required JHU internal submission date (to ) is noted on each opportunity solicitation.

Selected application(s)/proposal(s)/nomination(s) due at divisional research administration office

AT LEAST three (3) days prior to the sponsor deadline.

The announcement flyer states the Internal Nomination Process and the requirements for the JHU internal review.

IMPORTANT - Please complete the requested contact information listed below:
Designated Representative in yourDivisional ORA: Click here to enter text. / E-mail: Click here to enter text.
Department Chair: Click here to enter text. / E-mail: Click here to enter text.
Department Administrator: Click here to enter text. / E-mail: Click here to enter text.
Campus Address: Click here to enter text.

______Date: ______

Signature of Applicant/Principal Investigator

______Date:______

Signature of Department Chair

Please note: Any change in the proposed applicant/principal investigator after the submission of this form must be authorized in writing by the department chair and approved by the internal review committee before the final submission to the program sponsor. A formal request with justification should be sent to as soon as possible.

form last updated 5/12/2016