DSU External Funding Routing FormPrintable Version of this Form (.doc)
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The Principal Investigator/Project Director (PI/PD) is responsible for completing this form for each proposal prior to submitting an application for external funding. This form is used to gather information necessary to ensure that appropriate persons are informed about and/or take responsibility for the project and to obtain appropriate administrative approvals. This form is not sent to the sponsor. Print this form and submit it with a copy of the proposal or abstract, or submit both electronically. All signatures must be obtained within a week's time.
Principal Investigator/Project Director (DSU):
Name: Phone:
College/Unit:
PI % Effort on Project
Project Title:
Other Faculty/Staff: Name, College/Unit (Institution), % of Time on Project
Deadline for Submission:
Name of Funding Agency:
Institutions/Organizations Collaborating with DSU (Name & Location):
Total Funds Requested from Funder: $
Total Project Costs: $
Total from Funder: $
Institutional Approvals:
By signature below, PI/PD and Dean certify that (1) the proposed activities are appropriate to the research, instruction, or public service mission of the individuals, units, and DSU; (2) the necessary resources for the project, including facilities (space, equipment, renovations) & matching (in-kind or in-cash) are committed or budgeted; (3) to the best of their knowledge the information provided in the proposal and this form is accurate and complete; (4) investigators have read and complied with the Board of Regents policies on conflict of financial interest (BOR Policy 4:32, Appendix Q of the COHE agreement and Policy 4:35, Appendix S of the COHE agreement); (5) they are aware of no circumstance invalidating the legal certifications & assurances in the proposal to be made on behalf of DSU; and (6) PI/PD accepts the obligation to comply with DSU policies and guidelines in conducting the project activities if the project is funded.
PI/PD:Date
Dean Date
Grants & ContractsDate
Sponsored Programs:Date
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Madison, SD 57042 |