First Name
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Last Name
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Phone Number
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xxx-xxx-xxxx
Email Address
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What School are you affiliated with?
Natural Science and Mathematics
Nursing and Health Professions
Education and Behavioral Sciences
Arts and Design
Business and Communication
Other
Natural Science and Mathematics
Nursing and Health Professions
Education and Behavioral Sciences
Arts and Design
Business and Communication
Other
Proposal Title:
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Proposal Scope & Aim
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Please describe the goals of the project. You may add up to three (3) goals.
Goal 1:
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Do you want to add another Goal?
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Yes
No
Do you want to add a third Goal?
Yes
No
Research
Curriculum
Pedagogy
Scholarship(s)
Capital Equipment/Renovation
Student Program(s)
Other
Research
Curriculum
Pedagogy
Scholarship(s)
Capital Equipment/Renovation
Student Program(s)
Other
Describe the Other Award Type:
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Is there a Hawaiian Cultural component?
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Yes
No
Please indicate which Marianist values are included as part of your proposal:
Please indicate what United Nations CIFAL SDGs are addressed in our proposal:
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Funding Source Type (choose one):
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Federal
State
City/County
Business/Industry
Philanthropic
Other
Federal
State
City/County
Business/Industry
Philanthropic
Other
Federal Funding Source Name:
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National Institutes of Health (NIH)
National Science Foundation (NSF)
Dept. of Defense
Dept. of Education
Dept. of Energy
Dept. of Agriculture
NOAA
Other
National Institutes of Health (NIH)
National Science Foundation (NSF)
Dept. of Defense
Dept. of Education
Dept. of Energy
Dept. of Agriculture
NOAA
Other
State Funding Source Name:
* must provide value
Department of Agriculture
Department of Business, Economic Development, & Tourism (DBEDT)
Department of Education
Department of Hawaiian Homelands
Department of Health
Department of Human Resources Development
Department of Human Services
Department of Labor & Industrial Relations
Department of Land & Natural Resources
Department of Transportation
Office of Hawaiian Affairs
Hawai'i Tourism Authority
Hawai'i Visitors Bureau
Other
Department of Agriculture
Department of Business, Economic Development, & Tourism (DBEDT)
Department of Education
Department of Hawaiian Homelands
Department of Health
Department of Human Resources Development
Department of Human Services
Department of Labor & Industrial Relations
Department of Land & Natural Resources
Department of Transportation
Office of Hawaiian Affairs
Hawai'i Tourism Authority
Hawai'i Visitors Bureau
Other
County Funding Source Name:
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Honolulu
Maui
Kaua'i
Hawai'i Island
Other
Honolulu
Maui
Kaua'i
Hawai'i Island
Other
Describe Other Source Name:
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Proposal Due Date:
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Today M-D-Y
Grants.gov
Agency Website
Direct Submission
Grants.gov
Agency Website
Direct Submission
Total Budget Request:
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in dollars
Project Performance Period:
in months
45 What is the Indirect Cost (IDC) Rate?
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%
Budget < $50K Agency allows no IDC Agency limits IDC
Agency IDC Limit:
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%
Are you requesting faculty release time?
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Yes
No
I don't know
Please provide a list of faculty release time requested:
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Name, Dollars, Months
Are you requesting faculty summer salary or extra service pay?
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Yes
No
I don't know
Please provide a list of your faculty summer salary and/or extra service pay request:
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Name, Dollars, Months
Are you requesting summer salary or extra service pay for any non-faculty or staff?
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Yes
No
I don't know
Please provide a list of summer salary and/or extra service pay requested for non-faculty and/or staff:
Name, Position, Dollars, Months
Will you be purchasing new instrumentation or equipment
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Yes
No
I don't know
over $5,000
What is the estimated value of the equipment?
(must be over $5,000)
Where will the equipment be located?
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Does the equipment have special power requirements?
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Yes
No
I don't know
Please describe the equipmentʻs power requirements:
Will the equipment have a maintenance contract?
Yes
No
I don't know
Maintenance Contract Cost per Year (provide estimate if unknown)
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$
Duration of Maintenance Contract coverage: (provide estimate if unknown)
months
Will renovations be required?
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Yes
No
I don't know
Please describe the required renovations:
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Does this project involve Human subjects
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Yes
No
I don't know
Has CUH IRB approval been secured?
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Yes
No
I don't know
Date IRB of approval:
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Today M-D-Y
Do you require any other IRB approvals?
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Yes
No
I don't know
Please explain any additional IRB requirements:
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Are there any biohazard considerations in the proposed work?
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Yes
No
I don't know
Please explain ALL biohazard considerations:
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Do you require any special IT assistance?
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Yes
No
I don't know
Describe any IT requirements:
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Have you discussed this proposal with your supervisor?
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Yes
No
Submit
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