Departmental Grant Registration Form
Departmental Grant Registration Form
PI Name:
*
Sponsoring Organization:
*
Funding Type (ex. R01, R21, Fellowship, Corporate/Industry)
*
Applicant Name (if Fellowship)
Proposal Type:
*
New
Resubmission
Competing Renewal
Subaward
Prior Submission Information (If possible: PD#, Opportunity, Submission Date, Title)
Current Award Information (If possible: Fund #, Award Type, Title)
Primary Applicant Information (PI, Institution, Contact Information)
Application Due Date:
Application Due Date:
*
/
MM
/
DD
YYYY
Anticipated Start Date:
Anticipated Start Date:
/
MM
/
DD
YYYY
Proposal Title
*
Proposal Includes:
*
Proposal Includes:
Multiple PIs
Human Subjects (See below)
Human Specimens and/or Data
Vertebrate Animals
Select Agents
International Component(s)
Subaward(s)
None of the Above
Does your Human Subjects Research meet the NIH Definition of a Clinical Trial?
*
Does your Human Subjects Research meet the NIH Definition of a Clinical Trial?
Yes
No
Click here:
NIH Definition of a Clinical Trial
Multiple PI(s) Information (Name, Department or Institution, Contact Information)
Describe International Component(s)
Subaward(s) Information (Subaward PI, Institution, Contact Information)
PI Effort %
*
Key Personnel (Name, Role/Position, Effort %) -- Optional
Non-Key Personnel (Name, Role/Position, Effort %) -- Optional
Non-Personnel Expenses -- Optional
Comments -- Optional