<p>NDSU Advance FORWARD Leap Lab Renovation Grant Program 2015-2016 Application Form</p><p>Page 1 of 8 Call LLRGP-15 NDSU Advance FORWARD Leap Lab Renovation Grant Program 2015-2016 Application Form Applicant Information Name of PI: Title/Rank: Assistant Professor Associate Professor Professor Time in Current Rank at NDSU: Tenure Status: Tenure-Track Tenured College(s): Department(s)/School(s): Phone Number(s): NDSU E-mail: Number of years until you will apply for promotion and/or tenure: If tenure-track, indicate “Yes” if any formal time extensions have been approved or anticipated & for what lengths of time: Yes & </p><p>If a team application, please provide the below information for each Co-PI.</p><p>2 NDSU Advance FORWARD Leap Lab Renovation Grant Program 2015-2016 Application Form Applicant Information Name of Co-PI: Title/Rank: Assistant Professor Associate Professor Professor Time in Current Rank at NDSU: Tenure Status: Tenure-Track Tenured College(s): Department(s)/School(s): Phone Number(s): NDSU E-mail: Number of years until you will apply for promotion and/or tenure: If tenure-track, indicate “Yes” if any formal time extensions have been approved or anticipated & for what lengths of time: Yes & </p><p>Page 3 of 8 Call LLRGP-15 NDSU Advance FORWARD Leap Lab Renovation Grant Program 2015-2016 Application Form Applicant Information Name of Co-PI: Title/Rank: Assistant Professor Associate Professor Professor Time in Current Rank at NDSU: Tenure Status: Tenure-Track Tenured College(s): Department(s)/School(s): Phone Number(s): NDSU E-mail: Number of years until you will apply for promotion and/or tenure: If tenure-track, indicate “Yes” if any formal time extensions have been approved or anticipated & for what lengths of time: Yes & </p><p>4 NDSU Advance FORWARD Leap Lab Renovation Grant Program 2015-2016 Application Form Applicant Information Name of Co-PI: Title/Rank: Assistant Professor Associate Professor Professor Time in Current Rank at NDSU: Tenure Status: Tenure-Track Tenured College(s): Department(s)/School(s): Phone Number(s): NDSU E-mail: Number of years until you will apply for promotion and/or tenure: If tenure-track, indicate “Yes” if any formal time extensions have been approved or anticipated & for what lengths of time: Yes & </p><p>Page 5 of 8 Call LLRGP-15 NDSU Advance FORWARD Leap Lab Renovation Grant Program 2015-2016 Application Form Applicant Information Name of Co-PI: Title/Rank: Assistant Professor Associate Professor Professor Time in Current Rank at NDSU: Tenure Status: Tenure-Track Tenured College(s): Department(s)/School(s): Phone Number(s): NDSU E-mail: Number of years until you will apply for promotion and/or tenure: If tenure-track, indicate “Yes” if any formal time extensions have been approved or anticipated & for what lengths of time: Yes & </p><p>6 NDSU Advance FORWARD Leap Lab Renovation Grant Program 2015-2016 Application Form Applicant Information Name of Co-PI: Title/Rank: Assistant Professor Associate Professor Professor Time in Current Rank at NDSU: Tenure Status: Tenure-Track Tenured College(s): Department(s)/School(s): Phone Number(s): NDSU E-mail: Number of years until you will apply for promotion and/or tenure: If tenure-track, indicate “Yes” if any formal time extensions have been approved or anticipated & for what lengths of time: Yes & </p><p>Project Information Project Title: Project Abstract: (no more than 300 words):</p><p>Indicate how research is STEM related: </p><p>Statement of Purpose Briefly explain your (or your team’s) need(s) for a Leap Lab Renovation Grant and how it will help with tenure and/or promotion. Remember that these grants are intended for faculty with great ideas who need some extra support to become competitive. These are not intended for those who are already successful at obtaining external funding. </p><p>Future Funding Plans List all funding agency(s) and program(s) to which you plan to submit proposals as a result of this project. Provide explicit information about all funding agency(s) and program(s) including web links if available. Include target date(s) for submission(s) and estimated amount(s) to be requested. </p><p>Total Amount Requested $ Be sure to attach copies of renovation cost estimates. List here any matching funding, including source, amount and specified use (matching is not required unless total budget is over $100,000): </p><p>Page 7 of 8 Call LLRGP-15 NDSU Advance FORWARD Leap Lab Renovation Grant Program 2015-2016 Application Form Please submit all of your application materials (PDF file & Copies of renovation cost estimates) by April 24, 2015 by email to [email protected]. The subject line should read “Leap Lab Renovation Grant Application.” Make sure to carbon copy your department chair/head, dean, and all team members.</p><p>Contacts Name E-mail Dean(s): Department Chair(s)/Head(s): Department Administrative Assistant(s):</p><p>Checklist of Application Materials NDSU Advance FORWARD Leap Lab Renovation Copies of renovation cost estimates/ Grant Program application form Budget with justification Curriculum Vitae (for each team member) Project description</p><p>8</p>