CCSU Intent to Apply for an External Grant

Primary Contact Name *

Primary Contact Phone *

Primary Contact Email *

Applicant Name(s) *

Department(s) *

Department Chairperson(s) *

Title of Proposed Project *

Brief summary (100 words) of proposed project: *

Funding Agency *

Funding Opportunity Reference Page *

Please provide URL to funding opportunity / request for proposal

Application Submission Deadline (must be at least 30 days from today's date) *

- Month - Day Year

Upon receipt of this form, the Office of Grants and Funded Research will contact you to discuss your planned proposal. The Office of Grants and Funded Research will also contact your department chairperson and your dean/director regarding your intent to apply for external funding.