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DSU External Funding Routing Form

Printable Version of this Form (.doc)

 

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          

 Is PI/PD Salary Budgeted in Proposal? Yes            No

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:    $

 

 Are indirect costs allowed by Funder?  Yes            No

Percentage Allowed:

 

 Is cost Sharing required by the Sponsor?  Yes            No

 

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

 

If you have questions or need help with this form, please contact the Sponsored Programs Office at 256-5100.

Copyright © 2005-2008

Dakota State University

820 N. Washington Ave.

Madison, SD 57042
(605) 256-5100
Page updated on 05/12/2008 by Jamie Nolting