MUHA Grant Submission Form 2025

MUHA Grant Submission Form 2025

Thank you for filling in a few details here -we hope this will eliminate some emails back and forth and save time!

Department*

Today's Date*

We will review and assess our order of priority both by date we receive AND by sponsor deadline.

Requestor's Full Name*

Requestor's Email*

Requestor's Phone Number*

Phone

Name of MUHA Principal Investigator*

The PI, or principal investigator, is the MUHA person with responsibility for the grant.

Services Requested*

Pls let our office know what help might be needed, i.e. assistance with budget, assistance with writing portions of the grant, assistance finding grant opportunities, etc.

Sponsor Deadline*

This is the date that the application is due to the funder. Pls be aware that our office requires at least one business day review prior to submission to ORSP at MUSC, and any signatures needed can take up to 3 full business days.

Title of Grant

If you know what you will title your MUHA grant application, pls provide here.

Funding Sponsor*

Pls tell us who you seek funding from - name of foundation, state agency, etc.

Sponsor Type

Select or enter value

Grant Activity/Funding Activity Name

What is the sponsor calling this round of funding from the application?

Link to Announcement OR RFA Number

If you can provide a direct link to the info on the RFA or a Grants.gov RFA proposal number, pls do so.

MUHA Prime Site for Proposal

Pls tell us where the grant activities will take place - example, if this grant will fund services/program at MUHA Lancaster, pls write MUHA LAN.

Are there addtl collaborating sites?

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Additional Site Name(s):

Are there addtl external contributors (consultants, co-PIs..)?

Select or enter value

Pls list their name(s), role(s), and email address

List MUHA personnel and % effort, if known:

Please list name of MUHA individual who will work on grant, role, and percent effort here.

Are indirect costs (F&A, overhead) allowed?

Select or enter value

If research, does it involve human subjects?

Select or enter value

Has this been submitted to IRB?

Select or enter value

Is this a clinical trial?

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If research, will animals be used?

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If activities occur at site other than MUHA CHS, at which site do they occur:

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Pls list individual's name and email who will handle the administrative/financial responsibilities of grant, if within your area...

Additional Comments/Info

Open field for any info you wish to provide.

Send me a copy of my responses

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