P Lease Submit One Copy of This Application (Pp. 1-3), Electronically, If Possible, To

Proposal Preparation Fund (PPF) Office of the Vice Provost for Research & Graduate Studies Application 2012-2013 2385 Irving Hill Rd Academic Year Lawrence, KS 66045-7568 Telephone: 785-864-3444 Fax: 785-864-5042 www.rgs.ku.edu

Please submit one copy of this application (pp. 1-3), electronically, if possible, to: Joanne Altieri Pre-Award Services Department Youngberg Hall E-mail: [email protected]

Note: This information must be received by Pre-Award Services at least three (3) working weeks prior to the agency deadline for submission of the proposal. Under normal circumstances the review committee will respond to requests for support from the PPF within three (3) working days.

**This form is “fillable”—tab to move between fields.

PI Name: Title:

Phone: Email address:

Department/Unit: Campus Mail Address:

Chairperson/Director: Chairperson/Director’s Phone Number: ______

Project for which funding is being requested (identify Sponsor and funding opportunity):

Sponsor:

Flow-through Sponsor:

Funding Opportunity:

Project Submission Deadline:

Agency Funding Request:

Proposed duration ______yrs.

(Total) beneath $50,000 $50,000-200,000 $200-500,000 above $500,000 Page 1 of 4 Total Proposal Preparation Funds Requested: $ (Should equal total salary and fringe support requested on Page 3, column 5)

On page 3 list each individual for whom support is being requested and complete the form.

of 4 Proposal Preparation Fund (PPF) Office of the Vice Provost for Research & Graduate Studies Application 2012-2013 2385 Irving Hill Rd Academic Year Lawrence, KS 66045-7568 Telephone: 785-864-3444 Fax: 785-864-5042 www.rgs.ku.edu

Are funds available through your Department, Program or School? Yes No Please explain your answer below

Brief description of Proposal:

Rationale: Briefly explain each individual’s participation with reference to their expertise and role in the project.

of 4 Proposal Preparation Fund (PPF) Application 2012-2013 Academic Year Please note: if you are requesting funding for more individuals than this page allows for, you may submit additional pages with your application. (List of 100% grant and/or cost-share committed individuals for whom support is being requested and amount of support requested) Example: Ima Jayhawk Co-PI Beak Research Center 2/01/01 2/21/01 75% $3888.88 KAN0000-100% 25% None (1) (2) (3) (4) (5) (6) (7) (8) NAME Dates of Percentage Time Salary & Current Revised Existing Cost and Requested Commitment to Fringe Appointment Appointment Share ROLE UNIT Support be Supported Benefit (funding Commitments from PPF Support number(s) and Current appt. (6) Requeste percent) minus (KUCR project number and % d PPF Request (4) time allocated) Begin End

Total Request: ______