External Grant Routing and Approval

Brenau University External Grant Routing and Approval

External Grant Routing and Approval – Should be completed and submitted with the Project Director/Principal Investigator(s)’ signature to the Office of External Relations for any proposal prior to submission of application. The Office of External Relations will secure signatures from the appropriate Dean, Comptroller, and Provost’s Office once the application and budget have been reviewed.

Grant Opportunity Name*

Grant Opportunity Purpose or Description*

Proposed Submission Date

Proposed Start Date

Sponsor.Agency Name*

Sponsor.Agency Contact

First Name

Last Name

Agency Phone

Sponsor Contact email

Sponsor Address

Address Line 1

Address Line 2

City

State

ZIP Code

Agency Web Address

Investigator Data

Principle Investigator

First Name

Last Name

Principle Investigator's College*

Principle Investigator's Department*

PI Campus Address

Address Line 1

Address Line 2

City

State

ZIP Code

Co-PI

First Name

Last Name

Co-PI Dept.

Co-PI email

Co-PI

First Name

Last Name

Co-PI Dept.

Co-PI email

Budget Data

Agency Funds Requested

Year 1*

Year 2

Year 3

Indirect Funds Requested (If applicable)

Year 1

Year 2

Year 3

Total Funds Requested

Year 1

Year 2

Year 3

Compliance Data

Will IRB approval be necessary before the proposal is submitted?*

Yes No

Conflict of Interest Certification:

I hereby certify that neither I, nor any member of my household or any persons receiving funding from this grant received remuneration in the twelve months preceding this disclosure. I certify that neither I, nor any member of my household or any persons receiving funding from this grant are affiliated with the above sponsors in any way that will hinder the ability to fulfill obligations to Brenau University, its students, faculty, and staff.

I certify the statement above.*

Yes No

University Obligation

Management Unit for the Proposal

Management Unit Contact

Matching Funds Required

Additional Space Required

Proposal Draft

How will the grant support Brenau's mission?

Brief description of the proposal.

Proposal Abstract

No File Chosen

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Supply a brief overview of the proposed project

Proposal Narrative

No File Chosen

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Proposal Draft - if available

Budget

No File Chosen

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Draft Itemized Budget - if available

Principle Investigator - Signature

Signature

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