UNIVERSITY OF SOUTH CAROLINA - Sc



UNIVERSITY OF SOUTH CAROLINA      

USC RESEARCH FOUNDATION Deadline Date USC USCRF

Sponsored Programs & Research - Proposal / Award Processing Form Mailing Grant Contract

Receipt GCR-1 IRG

           

$ Total Amount Requested 1st Year

Title:      

USC Awardee Department:      

PI :       Hm. Dept.      Ph:       Fax:      

Co-PI:       Hm. Dept.       Co-PI:       Hm.Dept      

Sponsor(s):       Ind. Cost (1st Yr) %      $       PI email:      

This Transaction Project Source Internal Requests Project Purpose Project Dates:

Initial Application Federal VP for Research Research Start :      

Continuation State Service

Revision Business/Industry Please Select Request Type Graduate Assist. End :      

Award Non-Profit Equipment

Training

YES NO YES NO

1. Cost share in proposal ?       /       % 9. Sole source considerations, outside

consultants, equipment? If yes, submit

2. Is project part of a USC intra-university Center/Institute? Certification Form to SPAR. - Instructions

If yes, identify: (the drop-dow will list the university-wide

Centers and Institutes. They are: 10. Do faculty or other individuals have financial,

consulting, management or other sponsored

program activities which will create a conflict

3. Faculty release time? of interest if this project is undertaken? (ACAF 1.50)

All proposals to PHS or NSF must attach USC

4. Additional space or facilities? If yes, contact Facilities Planning. Disclosure Form. - Instructions

5. USC faculty/employees extra compensation, consulting? 11. Human Subjects? If yes, the proposal must

be reviewed by the Institutional Review Board.

Contact ORC. Approval Date:      

6. Restrictions on publications or involvement of proprietary

information? 12. Vertebrate lab animals? If yes, give Animal Use

Approval Number      

7. Does PI hold Joint Appointment? Or contact Animal Resources.

If Yes, explain in the remarks section below.

13. Hazardous Materials?

8. Does this proposal involve faculty/staff from more than one hazardous or regulated chemicals?

department/unit? If yes, complete collaborations form at regulated biological materials?

radioactive materials?

other hazards related to project? Explain below.

x-ray equipment, lasers, or strong uv emitting

devices.

Remarks:      

The following USC policies are incorporated by reference: (1) INTELLECTUAL PROPERTY (ACAF 1.33); (2) DEBARMENT AND SUSPENSION IN FEDERALLY SPONSORED PROJECTS (SPAR 1.01). Faculty/staff/student signature denotes compliance with these policies. Department Chair/Institute Director signature signifies acceptance of the financial and facility commitments indicated in the proposal using the above list of items as a guide and gives approval for it to be submitted to the indicated sponsor.

Principal Investigator: Date: SPAR Administrator: Date:

Department Chair: Date: SPAR Director: Date:

Department Dean: Date: USC/USCRF Signatory Date:

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