GRANT PROPOSAL ROUTING FORM

Please submit this form at least one (1) calendar week before the sponsor's submission deadline or intended submission date. Attach/submit the following documents noted if you have not previously shared them (attachments/links may be added at the end of the form).

1) Draft project/research narrative (or statement of work if for a subaward);

2) final budget and budget justification;*

3) sponsor forms, letters, etc. requiring signature by a college administrator; and

4) NSF and PHS-specific forms.

(a) If applying to the National Science Foundation or a Public Health Services sponsor (e.g., National Institutes of Health), all investigators must submit a Disclosure of Significant Financial Interest form.

(b) If applying to the NIH, all PIs must submit a PI Assurance Certification.

*Please contact Aubri Drake to begin drafting a budget and justification as soon as possible. The budget should be final one (1) calendar week before the submission deadline.

Project Title*

Principal Investigator/Project Director (PI/PD)*

Name

Department/Program*

PI/PD Email*

name@smith.edu

Co-PI/PD (Smith-Affiliated Only)

Leave blank if not applicable.

Co-PI/PD Department/Program

Co-PI/PD Email Address

name@smith.edu

Sponsor/Funding Organization*

Funding Opportunity Program Name/Number

Leave blank if not applicable.

Grant Request Amount ($)*

If Smith College is a subaward, list only those funds requested for the college as a subaward. Please round to the nearest whole dollar.

Is Smith College a proposed subaward?*

YESNO

If YES, list name of lead institution

Does this proposal include a subaward to another organization?*

YESNO

If YES, list name of subaward organization(s)

Proposed Start Date*

Date

Proposed End Date*

Date

Submission Deadline

Date

Type of Application*

Type of Project*

If "Other," Specify Below

Where will your project take place? If additional space is required for the project, please describe it here. *

List primary location(s) of the project. Also note if additional space may be required for the project.

For NSF Proposals: Does the project have an off-campus or off-site research component as defined by the NSF and Smith College?*

YESNON/A because the sponsor is not the National Science Foundation

Will any building renovation or construction be required to complete this project? If YES, please provide an explanation of work and costs. Also, please indicate if you have obtained an estimate from Facilities Management for this work.*

Does the project include cost-sharing from the college or other sources?*

YESNO

If you answered "YES" to cost-sharing, please provide details of the type, amounts, and funding sources for the cost-share. You must also provide written approval from your department chair, director, dean, and/or cabinet member (e.g., email confirmation).

Does the project include equipment? Equipment is defined as tangible personal property having a useful life of more than one year and an acquisition cost which equals or exceeds $5,000.*

YESNO

If you answered "YES" to equipment, please address the cost of service contracts, installation, renovation, and/or materials and supplies during and after the grant period.

Does the project include course release time and/or leave?*

YESNO

If you answered "YES" to course release time and/or leave, please provide additional information (e.g., time period, source of support).

Will the project involve human subjects? (Select one)*

NOYES, IRB Approval PendingYES, IRB Approved

Will the project require the use of vertebrate animals at Smith or elsewhere? (Select one)*

NOYES, IACUC Approval PendingYES, IACUC Approved

Will the project use recombinant DNA, infectious agents, or regulated biological materials such as Select Agents or human/primate blood or tissues? (Select one)*

NOYES, Biosafety Approval PendingYES, Biosafety Approved

Will the project use radioactive materials, or Class IIIB or IV lasers? (Select one)*

NOYES, Radiation Safety Approval PendingYES, Radiation Safety Approved

Upload applicable files

If you have Google Drive or other links for file sharing, please copy them below.

Debarment/Suspension: The Principal Investigator and co-investigators are not debarred or suspended from doing business with the federal government.

Human Subjects Training: For projects involving human subjects, the Principal Investigator and co-investigators certify that they have completed or will complete all required human subjects training.

Financial Conflict of Interest: If the grant seeks funding from Public Health Service agencies (e.g., NIH) or NSF, all investigators must complete a Disclosure of Significant Financial Interest.

Financial Conflict of Interest Training: All investigators seeking or in receipt of Public Health Service funding certify that they have completed or will complete the required financial conflict of interest training.

NIH Proposals: The Principal Investigator(s) must complete a NIH PI Assurance Certification.

NSF Proposals (effective July 31, 2023): Principal Investigators, other senior personnel, undergraduates, graduate students, and postdoctoral researchers must complete RCR training before engaging in research. Training is available through the online CITI Program.

Are you completing this form for yourself as PI/PD or are you completing the form for the PI?*

Completing form as PI, no Smith Co-PI (Sign Below)Completing form as PI with Smith Co-PI (Sign Below)Completing form for the PI (Form will be forwarded to PI upon submission)

PI/PD Signature

I hereby certify that the statements made in the attached proposal and on this formare true and complete to the best of my knowledge. I agree to comply with the award terms and conditions if an award is made.

Provide the email address of the PI's department head/chair so that the form may be routed to them for approval.

Department Head/Chair's Email Address*

name@smith.edu

Smith College employees are required to adhere to the college's Code of Conduct, which expressly prohibits using or sharing confidential information. A full description may be found at http://www.smith.edu/hr/conduct.php

Proposals are reviewed and must be approved by the Associate Provost and the Senior Academic Budget Manager, or delegatee(s), before submission to a sponsor or funding organization.

Grant Proposal Routing Form

PROJECT DIRECTOR/INVESTIGATOR CERTIFICATIONS: