IRG Application

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    Office of Research Services Fiscal Year 2014-2015Committee on Faculty Research and Travel Sumission !eadline "arch #$ 2014

    %nternal Research&Creative 'ro(ect )rant

    *++lication Form

    *++licants should read the %nternal Research&Creative 'ro(ect )rant )uidelinesefore com+letin, this a++lication

    To com+lete form$ clic. on ,rey te/t o/ and hit ta to move from o/ to o/

    )eneral %nformation*++licant !e+t 'hone mail

    li,iility

    Regular Assistant, Associate or Full Professor

    Grant-tenured Assistant, Associate or Full Professor

    Artist in Residence (research/creative achievement must be

    specified in terms of employment)

    !"R, #$%R or $$"R national operating grant during the2014-15 fiscal year

    &ill nothold Application pending

    #e' $cholar ('ithin four years of first regularappointment at any post-secondary institution)

    ear of first regular appointment at any post-secondaryinstitution

    ear of first regular appointment at ic

    'ro(ect %nformationTitle of Research&Creative 'ro(ect

    Certification Re3uirements

    uman Research thics

    btained *

    Pending

    n/a

    *nimal Care

    btained *

    Pending

    n/a

    iosafety

    btained *

    Pending

    n/a

    Revie6 Committee

    hoose the committee best suited to evaluate your application

    Fine Arts %ngineering/$cience/+edical $cience"umanities $ocial $ciences

    Professional Programs

    Total *mount Re3uested

    7"a/imum 89$000:

    8

    Si,natures#ame $ignature ate

    Applicant

    hair/irectoror ean

    .his certifies that the university can provide the space, facilities, and services reuired by the proposed pro0ect1 !f the applicant is a chair or director, thedean2s signature is reuired

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    1 'ro(ect Summary 7ma/ 250 6ords:4sing non-technical, plain language, describe the purpose/artistic intents and plan of proposed pro0ect1

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    2 !etailed !escri+tion 7ma/ 2 +a,es not includin, references:escribe the research/creative pro0ect to be supported by the grant1 Refer to the !nternal Research/reativePro0ect Guidelines for information to include in this section1

    o6 is this +ro+osal consistent 6ith the +ur+ose of the %R) +ro,ram;

    'ro(ect

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    References < O+tional 7ma/ 1 +a,e:

    7ist any publications cited in your detailed description

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    # ud,et !etails$ummari9e your budget1 *ll items must e detailed in the ud,et =ustification sectionRefer to !nternalResearch/reative Pro0ect Guidelines for e:penses related to a disability1

    Salaries

    ;

    Su++lies and O+eratin, /+enses 7includin, minor e3ui+ment under 8250:

    ;

    3ui+ment 7ma(or items over 8250:

    ;

    Travel

    !ates of Travel

    *irfare

    ;

    Other travel 7e/ train$ car$ us:

    ;

    Susistence allo6ance 7ma/imum 82$000:

    ;

    Total Travel ;

    Total ud,et 7not to e/ceed 89$000: ;

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    4 ud,et =ustification 7ma/ 2 +a,es:&hy are these e:penses necessary to conduct the research= 'rovide detailed informationfor each of the line itemsin your budget1 Refer to the guidelines for eligible and ineligible e:penses1

    Salaries

    Su++lies and O+eratin, /+enses

    3ui+ment

    Travel

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    5 Research Su++ort < /ternal 7ma/ 2 +a,es:Grants (or annual installments) applied for (funded and unfunded) during the past < years1 o not include internaluniversity grants1

    *s 'rinci+al %nvesti,ator

    *,ency 'ro,ram Fundin, Years Title

    *mount

    Re3uested

    8

    *mount*6arded70 if not

    a6arded:

    8

    *s Co-a++licant 7if a6arded$ s+ecify amount of fundin, a6arded to you as a co-a++licant:

    *,ency 'ro,ram Fundin, Years Title

    *mount

    Re3uested

    8

    *mount*6arded toyou as a

    co-a++licant70 if not

    a6arded:

    8

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    Relationshi+ to Other Research Su++ort 7ma/ 1 +a,e:

    %:plain any relationship and/or overlap, conceptual or financial bet'een this application and funding sources that youlisted above1

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    Are you seeing funds to prepare an e:ternal grant= es #o

    !fYes$provide details1 %f >o$e:plain 'hy e:ternal funds are not being sought for this pro0ect1 (.he normal e:pectation isthat !RG funds are being used for preparation of an e:ternal grant1)

    %nterru+tions in Scholarly *ctivity%:plain any e:tenuating circumstances that may have led to interruptions in your scholarly productivity (e1g1 administrativeresponsibilities, illness, child bearing/rearing)1

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    ? Scholarly 'ulications&*rtistic *chievements 7ma/ # +a,es: 7ist all boos and/or ma0or 'ors completed in the last 3C years1

    7ist all scholarly articles/creative pro0ects completed in the last < years1 nly items published, accepted, e:hibitedor performed should be listed1

    $tart from the most recent and identify 'ith an asteris () those that have undergone a peer revie' process1

    Only ne6 facultyas indicated on page 3 of the application should include papers presented, letters, addresses,scholarly meetings, etc1

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    Final Re+ort on your last %nternal Research&Creative 'ro(ect )rant 7ma/ 1 +a,e:Please ensure this is printed on a separate page at the end of this grant application1

    *++licant >ame

    F*ST *ccount @

    Year of Aast )rant

    'ro(ect Title

    Re+ort