______________________________________________________
Initiating Department, Center, School, or College

Proposal Title ___________________________________________________________________________
______________________________________________________________________________________
Project Director/Principal Investigator (Dr./Mr./Miss/Ms.) ________________________________________
Title ___________________________________________E-Mail _____________________________
Phone __________________________________________ Fax _______________________________
Campus Address ____________________________________________________________________

___ Yes ___ No Are there co-PIs? If yes, provide name______________________________________
Title ___________________________________________ E-Mail ____________________________
Phone _________________________________________ Fax _______________________________
Campus Address____________________________________________________________________
 
Total dollar amount of sponsored funds requested $ ______________________________
Period of performance _______years ________months ________days
Estimated start date ________________________________________________________
Sponsoring Organization Name _______________________________________________________
Mailing Address __________________________________________________________________
_______________________________________________________________________________
All Proposals will be automatically mailed First Class Certified unless another method is authorized:
Express Courier _______ U.S. Express Mail ______ (Charge to _____________________________)
Courier (hand deliver) Address _______________________________________________________
_______________________________________________________________________________
Sponsor’s Technical Contact _______________________________ Phone ____________________
 

____Yes___No	Will this proposal obligate SPSU to additional costs during the contract? If yes, detail those costs and how they will be covered on a separate sheet.
____Yes___No	Will this proposal obligate SPSU to additional costs after the contract? If yes, detail those costs and how they will be met on a separate sheet.
____Yes___No	Is Cost Sharing proposed? (If yes, attach cost sharing budget.) If yes, is Cost Sharing required? ___ Yes ___ No
____Yes___No	Will this proposal require space in addition to that currently used by the PI/co-PI? If yes, detail where this space will come from on a separate sheet.
____Yes___No	Will assets or persons outside the PI school/center be needed for this project? If yes, identify units involved: _______________________________________(Unit approvals required on reverse)
____Yes___No	Will human subjects be involved? If yes, VPAA approval is required.
____Yes___No	Will animal subjects be involved? If yes, VPAA approval is required.
____Yes___No	Will biohazards (circle: chemical, biological, sharps, recombinant DNA material) be involved? If yes, VPBF approval is required. (Disposal costs must be included in budget.)
____Yes___No	Does this proposal request continuation of an existing project or that an existing project be modified? If yes, give the existing project name: _____________________________________________
____Yes___No	Do you anticipate that the sponsor desires Intellectual Property Rights (IPR)? If yes, submit statement requesting release of IPR, signed by the PI, the appropriate Dept. Head and Dean, and the VPAA.