UNIVERSITY OF THE INCARNATE WORD

GRANT PROPOSAL SUMMARY FORM

This grant proposal approval form is necessary to assure a coordinated approach by the University of the Incarnate Word in funding programs at UIW. All grant proposals must be documented by this form at least two weeks before submission to funding sources.

Project Director/Principal Investigator: ______

Project Title: ______

Project Abstract: ______

______

______

______

Justification for Request (Project Benefits to UIW): ______

______

______

______

Length of Grant-Funded Project: From ______to ______( ____ months)

Proposal Due Date: ______

Source of Funding (name of federal, state or private source): ______

______

Total Amount of Grant Funds Requested: $ ______

All years / year 1 / YEAR 2 / YEAR 3 / YEAR 4 / YEAR 5
dIRECT cOSTS / $ / $ / $ / $ / $ / $
INDIRECT COSTS ALLOWED
(___% of salaries & wages or direct costs) / $ / $ / $ / $ / $ / $
FUNDING AGENCY TOTAL AWARDED / $ / $ / $ / $ / $ / $

UIW SUPPORT (CASH OR IN-KIND) REQUIRED FOR PROJECT:

New Monies (cash): $______/ $ / Is UIW cost sharing match required? / No / Yes
Budgeted Monies (including salaries): / $ / Will UIW resources be required beyond the grant-funded period? / No / Yes
In-Kind (facilities, equipment, etc.): / $ / Will a teaching load reduction be required? / No / Yes
Matching Indirect Costs: / $ / Will additional space or remodeling be required? / No / Yes
Does budget include UIW or external funds for clerical support? / No / Yes
UIW Total: / $ / Does budget include UIW or external funds for student workers? / No / Yes

Special Approvals or Compliances:

Have you completed the required IRB form for animal/human testing? ______

If yes, please attach a copy of the approved IRB form to this document.

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REQUIRED APPROVALS (in order)

PD/PI Signature: ______Date: ______

Dean or Supervisor: ______Date: ______

Provost or Corresponding VP: ______Date: ______

Grants Accountant: ______Date: ______

Comptroller: ______Date: ______

VP of Finance & Technology: ______Date: ______

Please return this form, along with the proposal,

to the Foundation, Corporate and Government Relations Office:

Jon Gillespie, Armando Saliba, or Robert Sosa

Buckley-Mitchell Advancement Center

CPO #127

Updated on 12/01/09