GRAMBLING STATE
UNIVERSITY

Transmittal Form for Sponsored
Program Proposal Approval

Fill out this form completely.

Date Submitted to Grants Administration Sponsor’s Deadline

Address where proposal is to be mailed

Number of copies to be mailed 

Program number (CFDA#)  

 

Grant Title

Grant Director Period of Contract  to

Funding Agency

Type of Projectif other, specify

Amount Requested First Year

Project Description

UNIVERSITY IMPLICATIONS AND OBLIGATIONS

Be especially careful to respond fully to the following items. It is imperative that all University obligations and responsibilities both during the grant period and afterward be clearly defined and explained.

1. Will the university from its state-allocated funds be obligated: (check all that apply)

 
  • To provide space in addition to that which is now allocated to the academic unit? 
 
  • To purchase or acquire any equipment?  
 
  • To provide building alteration, or install equipment? 
 
  • To hire new faculty or staff or to change the conditions of employment of present employees? 
 
  • To continue the program after the sponsor terminates support? 

IF YOU ANSWERED YES TO ANY OF THE ABOVE QUESTIONS, PLEASE EXPLAIN IN FURTHER DETAIL:

2.  Do you propose to pay extra compensation to any University employees?

3.  Does the program involve cost sharing or matching funds?   If yes, explain the requirement.

Source of Item(s) Amount

4.  Do you propose to utilize any services from the Computer Center (main frame, system, or programming help, acquisition of any hardware or software)? If yes, secure the Information Resource Center Director’s approval.

____________________________________________ _____________________________
Signature                                                                     Date

5. Does this proposal involve research by human or animal subjects? If yes, secure the approval of the Chairman of the Institutional Review Board (IRB).

____________________________________________ _____________________________
Signature                                                                     Date

6. Are any curricular changes or additions anticipated? If yes, please explain.

Will Computer Equipment be Purchased?
Will a Copy Machine be Purchased?


*****   SIGNATURES ARE REQUIRED FOR THE FOLLOWING  *****

PROPOSAL WRITER

I certify that the proposal submitted is an original application that is free of plagiarism. It is understood that upon funding of this proposal, it will be administered by Grambling State University’s employees. All programmatic records, supporting documents, statistical records, and other records that are required by the terms of the grant will be retained at Grambling State University. It is further understood, that if applicable, personnel costs listed in the proposed budget, will be adjusted according to institutional rate and policy.

_______________________________________
Proposal Writer
_______________________________________
Date

ACADEMIC UNIT APPROVAL

We certify that staff, time of individuals involved, space, equipment, facilities, alterations, in-kind cost sharing funds, etc., required by this project are available or are a part of the direct cost requested in the proposal. We affirm that the proposed project is consistent with the educational and professional objectives of the Proposal Writer’s academic unit.

_______________________________________
Department Head
_______________________________________
Date
 

_______________________________________
Dean

 

_______________________________________
Date

 

_______________________________________
Associate VP/Sponsored Programs

 

_______________________________________
Date

 

_______________________________________________
Provost and Vice President for Academic Affairs Date

 

_______________________________________
Date

ADMINISTRATIVE UNIT APPROVAL

_______________________________________
Grants Administrator Date
_______________________________________
Date
 

_______________________________________
Budget Officer

 

_______________________________________
Date

 

_______________________________________________
Vice President for Finance Date

 

_______________________________________
Date

EXECUTIVE APPROVAL

 

_______________________________________
President
_______________________________________
Date

Print this form and send to:

Grants Administration
Grambling State University
Post Office Drawer 843
Long-Jones Hall, room 233
Grambling, LA 71245

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