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: $______OSP&R – Tracker Form B Page 1 of 2 August 2001 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