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Grant Development Worksheet

Faculty and staff must provide the following information before seeking grants from individuals, corporations, foundations or government agencies to help fund a project that benefits theUniversity.

Please refer to Guidelines for Requesting Grant Support on the University’s website for additional information and assistance, or contact Rebecca Van Horn, Assistant Director, Office of Research Development at ext. 2591.

Name:Name

Department/School: Department

Campus Phone: Phone

Proposed Project Title: Title

Proposed Funding Source: Organization

Deadline for Proposal Submission: Date

Estimated Request Amount: $

Time Period of Award: DateRange

  1. Please provide a brief description of the project for which you are requesting funds.

Answer

  1. Does this project require any resources from the institution (facilities, personnel, etc.)? If yes, please elaborate on the specific kind and amount of resources.

Answer

  1. How does this project align with the University’s strategic plan and your Department’s/School’s unit action plan, if applicable?

Answer

  1. How will this project benefit StevensonUniversity’s students?

Answer

  1. How will you measure the success of this project?

Answer

Date Submitted for Required Signatures: ______

______

Project Director/Principal InvestigatorDate

______

Immediate Supervisor (if applicable)Date

______

Department Chair (if applicable)Date

______

DeanDate

______

Christina Miller,Director of Corporate, Foundation and Date

Government Relations

______

M. Diane Payne, Director, Office of Research DevelopmentDate

______

Steve Close, Vice President for University AdvancementDate

______

Paul Lack, Executive Vice President and Dean of Academic AffairsDate

______

Kevin Manning, PresidentDate

Please return the Grant Development Worksheet to

Rebecca Van Horn, Assistant Director, Office of Research Development.

______

Processing the application usually takes several days so it is essential that the proposal be submitted to the Office of Research Development within 10 business days of the grant proposal deadline.Upon receipt of the Grant Development Worksheet, the Office of Research Development and/or the Office of University Advancement will be available to work closely with the applicant to assure that deadlines are met.

Rev. 09/12