Grant Proposal Clearance Form

To be completed by the Project Director and be accompanied by a copy of the proposal narrative and budget:

Macalester Project Director:
Macalester Co-Investigators:
Proposal title:
Funding source:
Project period: / Proposal Deadline:
Project description:
Total requested from Funding Source: $
Direct costs: / $ / Indirect costs: / $
Matching funds included**? / Yes No / Matching funds required? / Yes No
**Macalester matching funds include, but are not limited to, paid on-campus housing for those summer research students who are eligible.
Total matching funds included (excluding housing): $
Source(s) of matching funds:
Housing match (e.g. 2 students/summer, 2011 & 2012):
Does this proposal require hiring new staff? / Yes No
Does this proposal involve collaborators from other institutions? / Yes No
Does this proposal commit Macalester to additional funding beyond the grant period? / Yes No
Have you included a Student Researcher(s) in the grant proposal? / Yes No
Your signature indicates your agreement to participate in Macalester’s RCR training program. The Responsible Conduct of Research Policy can be found on the GFCR website at www.macalester.edu/supportmac/grants/forms/.
Have you requested a Computer(s) in the grant proposal? / Yes No
If yes, will the purchase make extra demands on ITS provision? / Yes No
Have you requested Software in the grant proposal? / Yes No
If yes, please be aware that requests with an estimated acquisition cost >$10,000 are subject to review and require completion of the Software Acquisition Review Form.
The most recent version of the Proposal Preparation and Grant Management Guide (PPGMG; December 2017) is available on the GFCR website.
Please check here to indicate that you have reviewed the most recent version:
Macalester College’s Policy on Conflict of Interest is available on the Provost’s website (http://www.macalester.edu/provost/faculty/).
Macalester's Policy has two sections depending on where you are seeking external funds. Please review this policy and indicate whether you have financial interests to disclose.
1) You* do not have any significant financial interests to disclose with respect to this proposal submission
or
2) You* do have significant financial interests to disclose. (If you select this option, please complete the Financial Interest Declaration Form found on the GFCR website).
* includes the investigator's spouse or domestic partner and dependent children.
If you have co-investigators at Macalester, please have them fill out the Financial Interest Declaration Form and return it to GFCR.
Is this proposal being submitted to PHS/NIH? / Yes No
If yes, please submit a PHS/NIH Assurance form located on the GFCR website for each PI and Co-PI.
Does your project involve Human Subjects? / Yes No
If so, have you had it reviewed by Macalester College Institutional Review Board (IRB)? (http://www.macalester.edu/irb/)
Please send copies of review results to Katie Aulwes Latham, 117 Weyerhaeuser / Yes No
Does your project involve Vertebrate Animals? / Yes No
If yes, have you had it reviewed by Macalester College Institutional Animal Care and Use Committee (IACUC)? (Contact IACUC Chair, Eric Wiertelak: )
Please send copies of review results to Katie Aulwes Latham, 117 Weyerhaeuser / Yes No
Does your project involve potential Dual Use Research of Concern (DURC)?
DURC indicates certain types of research that, despite its value and benefits, may provide knowledge, information, products, or technologies that could be misused for harmful purposes. You can find out more about what constitutes as DURC on the Macalester IRB website: http://www.macalester.edu/irb/
If your research does constitute as DURC, have you notified the appropriate review board (IRB, SSIRB, IACUC)? / Yes No
Yes No
Would you be willing to share your proposal and/or talk with other faculty/staff on campus about the proposal process?
If you choose to do so, GFCR will contact you in advance of sharing your name or proposal with anyone else. / Yes No
Signature / Date
Please complete and return this form along with a copy of your proposal narrative and budget to Michelle Epp () or Katie Aulwes Latham () a minimum of 7 working days before the submission deadline.
To be completed by Grants, Foundation and Corporate Relations:
All named parties have been cleared with supervisor
Initials / Date
Vendors/Contractors/Services over $25,000 have been checked for debarment
Initials / Date
Department or Line Officer
Initials / Date
Employment Services
Initials / Date
Provost/President
Initials / Date
Advancement
Initials / Date
Business Services
Initials / Date
Administration and Finance
Initials / Date

January 2018