Grant Proposal Endorsement Form

Grant Proposal Endorsement Form Submission Deadline: Project Title (or brief description) Project Director Phone Name the grant maker and grant program (e.g., NEH, Summer Stipends): Total amount requested: Project Director s Certification I certify that the statements made in the attached proposal and the Project Proposal Routing Form are true and complete to the best of my knowledge. I agree to comply with relevant federal requirements and the award terms and conditions if an award is made. Project Director Final Approvals Department Chairperson Associate Provost Provost Vice President for Business and Finance Vice President for University Advancement President

Preliminary Approvals Director of Plant, Safety, and Environment Director of Computing Services Director of Audio Visual Services Institutional Review Board Institutional Animal Care and Use Committee Instructions This form consists of 11 sections. Sections 1, 2, and 3 must be completed for all proposals. Review and check the additional sections that must be completed for your proposal. Complete section 4 if Wittenberg support will be provided for the project, including inkind contributions Complete section 5 if the project will displace other activities from spaces currently in use or if currently unused space must be dedicated to this project. Complete section 6 if the project will use physical plant staff in any capacity (e.g., construction, the installation of equipment, new utility service, or the improvement or renovation of space). Complete section 7 if the project will acquire computing equipment or require the use of computing services staff (e.g., to install or configure equipment or connect equipment to the campus network). Complete section 8 if the project will acquire other equipment. Complete section 9 if the project will use human subjects in research. Complete section 10 if the project will use live, vertebrate animals. Complete section 11 if the project will use toxic, hazardous, or radioactive materials.

1. Project Purpose and Scope (complete for ALL proposals) How will the grant be used? Check all that apply. Research expenses. Course or curriculum revision. Acquisition of computer(s). Acquisition of other equipment. Leave Support. Stipend. Released time / Adjunct replacement(s). New faculty or staff position(s). Other (specify) Conference What type of organization is the grant maker? Government agency If so: Federal State Local Foundation Corporation Other (specify) Professional Association (Assn. for Asian Studies) Are you requesting support for this project from other grant makers? No Yes If so, how much are you requesting from all other third parties? $ Will there be any subcontract arrangements? No Yes If yes, please describe: If a grant is made, When would award check(s) be sent? When would the project begin? When would the project conclude? 2. Budget (complete for ALL proposals) Total Amount Requested from Grant Maker Indirect Support (if Period Direct Support* Total any)* 1st Year $ 2nd Year $ 3rd Year $ 4th Year $ Total $ $ $ *Most grants provide only direct support for projects, covering the cost of such things as salaries, wages, benefits, stipends, equipment, books, travel, office supplies, photocopying, service contracts, consultants, etc. all the costs that can be directly attributed to the funded project.

Occasionally (primarily government grants), a grant will cover indirect costs. These are costs that can be imputed to an individual project, but cannot easily be accounted for, e.g., the portion of a building s utilities usage that supports the funded project. They are also known as overhead and include such things as the cost of heat, hot water, electricity, various college services (accounting, purchasing, and computing support, for example), and other, similar items. To account for indirect costs, Wittenberg periodically negotiates a standard rate with the federal government. At present, our rate is 50% of a project s salaries and wages. This means that a project whose budget includes $10,000 for salaries is assumed to impose an overhead cost on Wittenberg of 50% of that, or $5,000. For many government programs, a portion (or all) of these costs can be covered by a grant. 3. Federal Compliance Certifications (complete for ALL proposals) Does the Project Director have a potential significant financial interest related to No Yes this project? Will any family members directly or indirectly benefit from this project? No Yes Is the project director debarred, suspended, or otherwise excluded from receiving No Yes federal support? Are all named participants in compliance with Wittenberg s DrugFree Workplace Policy? No Yes 4. Wittenberg Matching Funds and Cost Sharing In many cases, Wittenberg will share in a project s expenses. It can be described as costsharing, an institutional contribution, or matching funds. Wittenberg can share in such expenses in several ways, by allocating cash from the general fund to support project activities directly, by performing work required for the project (e.g., by constructing or renovating space), by providing inkind contributions of staff time, services, or equipment, or by simply absorbing a portion (or all) of our indirect costs. Are Wittenberg matching funds or is costsharing required? No Yes If so, provide details in the table below and in the questions that follow. Period Cash (direct support for project activities) Construction, renovation, or installation performed by Wittenberg Amount of Cost Sharing Value of inkind contributions Waived indirect cost recovery* 1st Year $ 2nd Year $ 3rd Year $ 4th Year $ Total $ $ $ $ $ *Grant makers often permit applicants to take into account a proposed project s indirect costs. In some instances, an applicant is permitted to request grant support to cover some or all of these costs. If so, grant support for that purpose should be requested. Even if a grant maker will not provide grant funds to cover indirect costs, sometimes it will permit a grant recipient to claim its indirect costs as a contribution to a project. This is important if cost sharing by Wittenberg is a condition for receiving a grant. For example, (using the same example as above a project whose budget includes $10,000 for salaries), if Wittenberg simply absorbs the project s overhead costs, it can claim the entire amount, $4,800, as cost sharing. This is permitted even though there are no traceable charges to Wittenberg s operating budget. Total

Details of Cost Sharing Arrangements Cash What is the source of funds (e.g., department operating budget, University capital budget, gift account) and the account number? Who has approved the use of these funds for cost sharing for this project? Inkind Contributions Specify the items being contributed inkind (e.g., staff time, photocopying, phone service). Staff time (identify the staff member) Space (identify the space) Office supplies (specify) Other (specify) Who has approved these contributions? Continuing Support Will funds be needed to continue the project after the grant ends? No Yes If so, identify possible sources of funds and the amount needed: Source: Amount: 5. Space Needs Will space have to be allocated to the project? No Yes If so, describe the space (and location) needed to carry out this project: If so, who at Wittenberg has reviewed and approved the project s use of this space?

6. Physical Plant Support Will construction, the installation of equipment, new utility service, or the No Yes Improvement or renovation of space be required? (Computing equipment is typically installed, configured, and/or connected to the campus network by computing services staff; describe these needs in section 8.) If so, describe the work to be done: What is the estimated cost (including labor costs)? $ Did a member of the Physical Plant staff calculate the costs? No Yes If not, how were the costs calculated? When must the work be completed? Has the Director of Plant, Safety and Environment approved the estimated costs? No Yes Approved the commitment of Physical Plant resources? No Yes Approved the proposed timetable? No Yes The Director of Plant, Safety, and Environment must confirm his approval on page 2 of this form. 7. Computing Equipment List the computing hardware and software you intend to purchase with grant funds. Cost Annual maintenance cost Replacement cost Replacement frequency Did Computing Services approve the purchase of these items? No Yes Did Computing Services calculate the costs? No Yes If not, how were the costs calculated? Networking New Hardware and Software

List all equipment that will be directly connected to the University s wire network and estimate the cost of the connection (connections to the University s wireless network should be listed later). Network Connection Cost List all equipment that will be directly connected to the University s wireless network and estimate the cost of the connection. Wireless Network Connection Cost Networking Existing Hardware and Software List all existing equipment that connects to the University s network (wired or wireless) and that needs to be relocated. Estimate the cost to connect the equipment in the new location. Wittenberg Tag Number Current Location New Location Wireless or Wired? Network Connection Cost

Did Computing Services calculate the network connection costs noted above? No Yes If not, how were the costs calculated? Other Installation Requirements Describe any other installation requirements, including hardware or software configuration, wiring, etc. Timetable When will funds be available? When will computer and networking hardware and software be ordered? When must installation of hardware and software be completed? When will hardware and software be tested? When must hardware and software be fully functional and ready for use in the project? Has the Director of Computing Services approved the commitment of resources No Yes to configure and install these items? Approved the proposed timetable? No Yes The Director of Computing Services must confirm his approval on page 2 of this form. 8. Equipment List other equipment you intend to purchase with grant funds. Cost Annual maintenance cost Replacement cost Replacement frequency How were the costs calculated? Explain installation requirements.

When must installation be completed? Who approved the purchase of these items? Approved the commitment of resources to configure and install them (if needed)? Approved the proposed timetable? The Director of Audio Visual Services must confirm his approval for the acquisition and installation of any AV equipment on page 2 of this form. 9. Human Research Subjects Will the project use human subjects? No Yes If so, has the Institutional Review Board approved the research protocol? No Yes If IRB has approved, date of approval: The Chairperson of the IRB, or his designee, must confirm his approval on page 2 of this form. 10. Animal Care and Use Will the project use live, vertebrate animals? No Yes If so, has the IACUC approved an animal care and use protocol? No Yes If IACUC has approved, date of approval: The Chairperson of the IACUC, or his designee, must confirm his approval on page 2 of this form. 11. Hazardous, Toxic, or Radioactive Materials Will the project use hazardous or toxic materials? No Yes If so, the Director of Plant, Safety, and Environment must confirm his approval on page 2 of this form. Will the project use radioactive materials? No Yes If so, the Director of Plant, Safety, and Environment must confirm his approval on page 2 of this form.