ECE Proposal Intake Form – Research Administration

PI Name

PI Email(Required)

I am a Co-PI to another NCSU Department (Provide their PINS#)

co-PI Name(s)

Project Title

Sponsor (entity from which ECE directly receives project funding)

Agency Due Date

Agency Target or Receipt Date

Target

Receipt

Prime Sponsor (entity with the original source of the project funds)

Project Start Date

Project End Date

Type of Proposal

New

Re-Submission

Revision

Competing Renewal

Non-Competing Renewal

Supplement

Pre-Proposal

If Re-Submission, Revision, or Renewal, Provide Grant #, PAM#, and previous PINS#:

RFP# or Provide Link (If applicable)

NIH Modular Grant Format?

Yes

Will Release Time or Cost Share be requested:

Yes

See contacts below to request:

 Release Time Approval for Proposals: Contact James Tuck – jtuck@ncsu.edu  In-Kind or Cash Cost Share for Proposals: Contact James Tuck – jtuck@ncsu.edu  COE Cost Share Contribution: Contact Chris Frey – frey@ncsu.edu

Will a LOI be required or will sponsor forms be required for signature?

Yes

In some cases, the college works with several offices on campus, which may include securing necessary signatures and/or final submission.

Does this project include external Subcontractors/Consultants?

Yes

List

Name/Role/Institution

List

Name/Role/Institution

Will your proposal include Human subjects, Data or Samples?

Will your proposal include laboratory animals?

Are there any additional items you would like to share regarding this proposal?

Will your budget request be similar to a recent budget that you submitted in the last 6 months? If so, provide the PINS# for review

If you have a rough draft or final budget, please load it here:

Max. file size: 8 MB.

If you have a rough draft or final justification, please load it here:

Max. file size: 8 MB.