Office of Grants/Sponsored Programs

Grant Proposal Information Form

The Principal Investigator is responsible for submitting a completed Grant Proposal Information Form (GPI) to the QCC Office of Grants/Sponsored Programs as early as possible in the proposal/application development stage and at least four weeks before the deadline.

Pre-Proposal New Proposal

I. Principal Investigator/Co-PI Information:

PI Name:*

Tenured*

Yes No

Department:*

Phone

Enter your area code and phone number without any special characters

Do you have a Co-Principal Investigator?

Yes No

Co-PI Name:

Tenured

Yes No

Department:

Phone

II. Funding Source

Sponsor Name:*

Funding Opportunity Title:*

Is the Funding Source Internal (CUNY or PSC-CUNY) or External?*

Internal External

You have selected an External Funding Source. As such, you are required to upload the SFI form, in Section VI, Research Compliance question 3.

Is this funding solicitation a limited submission opportunity?*

Yes No

Project Period (Start Date):

(End Date):

Proposal Due Date:*

III. Project Information

Project Title: (Type exactly how it should appear on grant reports and announcements)*

Total Budget Request: $*

Sponsor Indirect Rate: %

Does the sponsor require Mandatory Cost Share?*

Yes No

If sponsor requires cost sharing or matching costs and PI is expecting and/or seeking additional budgetary support from the College, either in or in-kind services, written approval must be obtained by using QCC’s Matching Costs/Cost Sharing Request section of this form.

Matching Cost/Cost Sharing

If sponsor requires cost sharing or matching costs and PI is expecting and/or seeking additional budgetary support from the College, either in or in-kind services, written approval must be obtained by using this Matching Costs/Cost Sharing section of the form.

1. Are matching costs required by the sponsor?

Yes No

What kind of mandatory cost share is required by the sponsor?

In-kind Match Cash Match

Describe the in-kind match you propose:

Amount:

Are you proposing a voluntary cost share?

Yes No

Voluntary Cost Share requires approval from CUNY's Office of Research

Voluntary In-kind Match Cash Match

Describe the in-kind match you propose:

Amount:

IV. Partnerships/Collaborations

1) Will Queensborough Community College serve as the lead institution?*

Yes No

Name of lead institution?

2) Will Queensborough Community College subcontract to another institution?*

Yes No

Name of institution?

3) Will the project involve any other partnerships or collaborations?*

Yes No

Please list partners and describe the nature of the collaborations:

V. Use of Grant Funding

1) Do you plan to request Faculty Reassigned Time from teaching in order to work on this project?*

Yes No

Applicant must complete the Reassigned Time Request section of this form and obtain written approval from the department chair and Vice President for Academic Affairs.

2) Will you be charging effort (% of salary) for yourself or any other currently employed Full Time CUNY employee to the grant?*

Yes No

Applicant must complete the Effort Request section of this form and obtain written approval from the department chair and Vice President for Academic Affairs.

3) Do you plan to request Summer Salary to be paid from this grant funding?

Yes No

4) Do you plan to purchase Computer Hardware/Software with this grant funding?

Yes No

Applicant must consult with QCC’s Executive Director of the Office of Informational Technology to complete the College’s Computer Hardware/Software Acknowledgment section of this form.

Will it be for student use?

Yes No

5) Do you plan to install equipment with this grant funding?*

Yes No

If planning to install any equipment you must complete the Renovations/Space Acknowledgment section of this form and obtain approval from the Office of Vice President for Finance and Administration.

6) Are renovations and/or dedicated space required to complete your project?*

Yes No

If renovations to campus facilities are required to complete your project, complete the Renovations/Space Acknowledgment section of this form. You must consult with the Office of Vice President for Finance and Administration to ensure space issues are considered.

7) Will your grant project involve student scholarships/fellowship/stipends?

Yes No

8) Will your grant project involve the use of non-public students, faculty or staff information?

Yes No

If yes, you may need to complete CUNY’s Information Security Review Questionnaire and contact QCC's Manager of I.T. Security, Office of Information Technology, for further guidance at (718) 631-6273.

9) Will your proposed project require the need for a website?

Yes No Possibly. To be determined upon receiving grant award

If your project requires the creation of a website to fulfill the parameters of the grant, to recruit participants/subjects, or to display outcomes, you are required to submit a Web Services request so that the department of Web Services can determine the logistics needed. A web services request must include information you need posted to the potential new web page, who the target audiences are, if any form needs to be created to collect information (cannot collect Personally Identifiable Information [PII] via the form), what is the time frame for the page to go live and how long the page needs to remain online upon completion of the grant. Once a request is received, a representative from the department of Web Services will reach out to further discuss your request.

10) Are there other disciplines in the college that could be impacted by this grant?

Yes No

If Yes, please describe how you engaged in collaborative discussions or activity with those disciplines.

11) Does the grant require any curriculum or program design, change or development?

Yes No

If Yes, please describe what curriculum or program design, change or development is needed.

12) Does the grant involve any other processes that require college approval (i.e. Curriculum Committee or Academic Senate?)

Yes No

If yes, please describe what other processes are needed that require college approval.

Reassigned Time

Requires Department Chair Approval

The following faculty member is receiving reassigned time for their participation in the Special Project listed below.

SEMESTER/SESSION

AMOUNT OF REASSIGNED TIME AWARDED

Effort Request

Requires Department Chair Approval

Name of employee whose effort will be charged to grant:*

Employee Job Title:*

Percentage of employee’s effort that will be charged to grant:*

Effort Period - Start Date:*

Effort Period - End Date:*

Computer Hardware/Software Acknowledgement

Requires Department Chair Approval

If grant applicant is planning to purchase and/or install any computer equipment, peripherals or software for office use, they must consult with the college Executive Director of the Office of Informational Technology.

1. Hardware Requested (List how many units are to be purchased, such as desktop or laptop processors, printers, peripherals, etc.)

a. Identify where hardware will be located:

2. Software requested:

3. Are you planning to purchase computers/iPads for student use and/or establish computer labs?

Yes No

You must consult with the Director of the Academic Computing Center to ensure that the purposed purchases can be supported and maintained by the College’s systems and staff.

Renovations/Space Acknowledgement

Requires Approval from the Vice President for Finance & Administration

If grant applicant is planning any renovations or to install any equipment, he or she must consult with the Office of the Vice President for Finance and Administration to ensure that installation, operational and space issues are considered. Consultation is necessary for all projects that need dedicated campus space and/or require renovations to campus facilities.

Please describe the equipment you are purchasing with grant funds:

1. Are renovations to your existing space needed?

Yes No

a. Identify the location of the space:

b. Is additional space needed?

Yes No

Identify amount and type of space needed (ex. 2 classrooms, 1 lab, office space, meeting space):

c. Specify what renovations are needed and why:

2. If applicable, Building and Grounds estimates that the requested renovations will cost $

3. Will Building and Grounds assume this renovation expense?

Yes No

VI. Research Compliance

1) Have you and all Co-PIs completed the Responsible Conduct of Research (RCR) online training?*

Yes No Grant will not involve research

Responsible Conduct of Research (RCR)

Please upload the CITI RCR certificate of completion.

No File Chosen

File uploads may not work on some mobile devices.

You and all Co-PIs are required to complete the CITI RCR training and provide a CITI RCR certificate of completion.

2) If your proposed project involves Human Subjects, have you obtained IRB approval?*

Yes No Pending I will obtain IRB approval once I receive notification of award. Grant will not involve human subject research

Human Subjects

Please upload IRB approval letter.*

No File Chosen

File uploads may not work on some mobile devices.

3) Have you completed the Significant Financial Interest Disclosure (SFI) Form?*

Yes No

CUNY requires that the PI submit the appropriate SFI disclosure form before submitting an external grant application. All Co-PIs must submit SFI Forms prior to the expenditure of any awarded funds or support. See CUNY Conflict of Interest Policy.

SFI disclosure form for non-Public Health Service (PHS) research projects
SFI disclosure form for Public Health Service (PHS) research projects

Upload your completed SFI form*

No File Chosen

File uploads may not work on some mobile devices.

Supported file formats: DOC, DOCX, PDF

4) Is your project subject to Export Control Regulations?*

Yes No

Export Control Regulations

Use the CUNY Export Control preliminary Evaluation Form to review if your project may be subject to export control regulations.

5) Will your proposed project involve access to biohazards that are considered more dangerous than routine molecular biology reagents?*

Yes No Grant will not involve biohazards

6) Will your proposed project involve access to radioactive materials?*

Yes No

VII. Faculty Leave

1) Are any faculty member(s) named in the proposal planning or scheduled to take any type of leave (sabbatical or other) that would preclude them from any responsibilities to the grant project?*

Yes No

a) Faculty

a) Dates

a) Type of Leave

b) Faculty

b) Dates

b) Type of Leave

VIII. Attach a brief Abstract

Upload your Abstract either as a PDF, DOC, or DOCX file*

No File Chosen

File uploads may not work on some mobile devices.

IX. Attach a detailed budget – use the sponsor’s budget format if possible.

Upload your Detailed Budget*

No File Chosen

File uploads may not work on some mobile devices.

Supported file formats: DOC, DOCX, XLS, XLSX, PDF

X. Acknowlegment Of Proposal Development And Submission - Signatures

Principal Investigator Signature

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Use your mouse or finger to draw your signature above

Date:

Department Chair/Supervisor (this is for internal purposes only)

Date:

Co-Principal Investigator Signature (this is for internal purposes only)

Date:

Co-Principal Investigator Department Chair/Supervisor Signature (this is for internal purposes only)

Date:

Chief Information Officer Signature (this is for internal purposes only)

Date:

Director of the Academic Computer Center Signature (this is for internal purposes only)

Date:

Vice President for Finance Administration Signature (this is for internal purposes only)

Date:

Provost and Vice President for Academic Affairs Signature (this is for internal purposes only)

Date:

Click below to electronically submit your form and all attachments to the Office of Grants/Sponsored Programs. If you have additional information that you need to submit, please email it to us at grantssponsoredprograms@qcc.cuny.edu

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XI. Cabinet Review Complete – Signatures

Divisional Vice President:

Date:

Dean of Faculty:

Date:

XII. Office Of Grants/Sponsored Programs – Signatures

Development Grants Director/Supervisor Signature:

Date:

Reviewed/Submitted to Cabinet on: