Central State University
CENTRAL STATE UNIVERSITY
OFFICE OF SPONSORED PROGRAMS & RESEARCH
JENKINS HALL, ROOM 100
TELEPHONE 376-6269
DATE: ______
TO: Chair of Appropriate Department
Dean of Appropriate Department
Vice President for Academic Affairs
Executive Vice President & Chief Financial Officer
Director, Office of Sponsored Programs and Research
FROM: ______
Name of Prospective Principal Investigator/Program Director
______
Name of OSP&R Coordinator/Phone Number
RE: Notice of Intent and Request for Approval to Submit a Proposal for Funding to an External Agency - OSP&R TRACKER NUMBER: ______
KEY PROCUREMENT INFORMATION
Sponsoring Agency/Agency Contact Person & Phone Number ______
Program Title ______
Summary of Program Objectives and Deliverables ______
I am developing or participating in the development of a solicited/un-solicited proposal to be submitted to ______by ______.
Agency Date/Time
If the proposal is funded, the ______department will be obligated to:______
The benefits to the Department, the College of ______, and the University if this proposal is funded include:______
Proposal Due Date: ______
Estimated Total Funding for Program: $______
Required CSU Matching (Describe Whether Cash or In-Kind) ______
Other Matching Funds and Sources ______
Indirect Cost Rate and Dollar Estimate: $______
Departments Planning to Participate in the Program ______
Please contact either of the authors of this memo by telephone if you need additional information.
Please indicate your recommendation with regard to the development of this proposal by checking the appropriate line below and providing any comments you might have. You are requested to respond within forty-eight hours or receipt of this document in order to ensure that the proposal development schedule is met. If a response is not received within forty-eight hours, the proposal development process will continue and you will be kept informed of progress.
RECOMMENDATION (Check One)
______Proceed With Proposal Development
______Do Not Proceed With This Proposal
COMMENTS
______
Signatures/Dates:
______
Chair of Appropriate Department Dean of Appropriate Department
______
Vice President for Academic Affairs Executive Vice President & Chief Financial Officer
Please return the completed form as soon as possible to the OSP&R Coordinator, Jenkins Hall, Room 100.
OSP&R – Tracker Form B
Page 2 of 2
August 2001