Grant Submission Inquiry Form

Basic Information

Principal Investigator (PI)I/Project Director (PD)

PI/PD Email Address

Has the Director and or VP approved?

Dept. Director & VP are aware of grant and certify that they are prepared to meet the obligations as stated?

Sponsor/Funder

If NIH, please list the specific institute/center

Sponsor/Funder due date

If LBH is the sub-site, this is the date the submitting institution needs our documents.

mm/dd/yyyy

Funding Type

Letter of Intent

If submitting a Letter of Intent prior to the proposal, please enter the due date (if applicable)

mm/dd/yyyy

Project Information

Project Title

Project Start Date

Note. If this is a submission to the NIH, please double check the standard due dates as well as the earliest project start date. https://grants.nih.gov/grants/how-to-apply-application-guide/due-dates-and-submission-policies/due-dates.htm

mm/dd/yyyy

Project End Date

mm/dd/yyyy

The proposed project will involve:

Please include all that apply: Research, Training/Education, Programmatic, Other (please describe)

Budget Total (approximate)

Anticipated Award Type

Mechanism or RFA Number

(e.g. R01, contract, small grant)

Link to Funding Opportunity

Please provide a link/website to the funding opportunity

Subawards/Subcontracts

Will there be any subawards/subcontracts for this study?

International Collaborators

Will there be any international collaborators?

External Partners

Will this project involve external partners?

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