COLLEGE OF THE HOLY CROSS

COLLEGE OF THE HOLY CROSS

GRANT PROPOSAL APPROVAL FORM

1. Name: _______________________________________________________ 2. Department: _______________________

3. Phone:_______________________________________________________ 4. Today’s Date: ______________________

5. Deadline Date: _______________________________ _______________ Postmark __________________Due at Agency

6. Status of Proposal: _______New _______Renewal

7. Title of Proposal:_____________________________________________________________________________________

8. Funding Sponsor:_____________________________________________________________________________________

9. Budget Total Requested from Sponsor: __________________________________________________________________

10. College Funds Required: _______No _______Yes ________________________Amount

YES NO

_____ _____ Mandatory Cost Sharing?

_____ _____ Mandatory Matching (e.g., 50% match; 3:1 challenge)?

_____ _____ Indirect Costs or Administrative Fee Allowed

Detail the nature, source and amount of College funding: __________________________________________

________________________________________________________________________________________

YES NO

11. _____ _____ Is there a requirement for additional space, facilities, building or renovation? If YES, you must have

discussed cost estimates with the Director of the Physical Plant and have approval by the Dean.

Please explain on the reverse, the basis of cost estimates and describe the contact with the Director

of the Physical Plant.

12. _____ _____ Does this project require use of HC facilities or staff (conference space, dormitory space, library, etc.)? If YES,

explain on reverse and contact Conference Services, Library Director and Dean for approvals.

13. _____ _____ Does the project involve the use of human subjects? If YES, list the date of the Human Subjects

Committee’s written approval of the project. ___________________________________

14. _____ _____ Does the project involve the use of non-human vertebrate subjects? If YES, list the date of the Institutional Animal Care and Use Committee’s written approval of the project. ___________________________

15. _____ _____ Does the project request a reduced teaching load during the academic year? If YES, approval by your

Department Chair and the Dean required.

16. _____ _____ Does the project request a leave for a semester or year? ? If YES, approval by your Department Chair

and the Dean required.

17. _____ _____ Does the project request equipment? If YES, explain on reverse from what source(s) maintenance funds will be provided.

18. _____ _____ Are computer (ITS) resources (staff, consultants, etc.) required?

19. _____ _____ Does the proposed project contain potentially patentable ideas?

20. _____ _____ Does the proposed sponsor impose restrictions on freedom to publish?

21. _____ _____ Will subcontractors or consultants be used?

22. _____ _____ Does this project contain any unusual hazards that have not been mentioned above? If YES, explain on reverse.

23. _____ _____ Is there the obligation for continuing support from Holy Cross after the grant period? If YES, answer on the reverse how this will be accomplished.

NOTE: A COVER SHEET (OR ABSTRACT), BUDGET AND BUDGET EXPLANATION MUST BE ATTACHED

(CONTINUE ON REVERSE SIDE) 8/12/02

USE THE SPACE BELOW FOR EXPLANATIONS

PI or Grants Office staff must obtain appropriate approvals before proposals may be submitted to outside agencies.

SIGNATURE, PRINCIPAL INVESTIGATOR __________________________________________ Date ______________

By signing above, the principal investigator certifies that the proposed project is compatible with the policies of the College and the Department and with State or Federal guidelines and statutes. Further, the principal investigator has access to the Holy Cross Grants Handbook: Resources, Policies and Procedures, available in the Grants Office and forthcoming via the Grants Office website (http://www.holycross.edu/departments/grants/gomain.html). As stated in the Handbook, it is the duty of the principal investigator to acquaint him/herself with and abide by Federal regulations regarding Federal Debt Status, Debarment and Suspension, Drug-Free Workplace, Lobbying Activities, Conflict of Interest, Scholarly Misconduct and, when pertinent to the project, the regulations on hazardous materials and the protection of Human Subjects and Animal Subjects.

SIGNATURE, DEPARTMENT CHAIR _________________________________________________ Date ______________

I have read the proposal, am aware of its implications for the Department and will support the project to the degree (if any) stated in the proposal and on this form.

SIGNATURE, DIRECTOR, GRANTS OFFICE ______________________________________________________________