St. Mary’s University ON-CAMPUS GRANT PROGRAM Cover Sheet Type of Grant: Community Partnership Distance Learning New Faculty Start Up Mini Grant Pedagogical/Andragogical Research Scholarship of Teaching and Learning Proposal Title: Research funds requested: $_______________________________ Research Category: Applied Basic Scholarly/Creative Activity Teaching __________________________________________________ Principal Investigator _____________________________ Department ________________________________ email __________________________________________________ Co-Principal Investigator _____________________________ Department ________________________________ email A Time Line (Action Plan) has been included with this proposal. I have, I have not applied for OR received external funding this past year. A detailed breakdown of proposed travel expenditures is included with this proposal. I am requesting an RA (up to 1 FTE) Does this proposal involve: ¼ time Animals Hazardous Materials Human Subjects ½ time ¾ time Prior to the start of the project, investigators whose project involves human subjects and/or animals are required to obtain full approval from the StMU IRB or IACUC Signatures: ___________________________________________________________________ Date _____________________ Principal Investigator signature ___________________________________________________________________ Date _____________________ Department Chair signature ___________________________________________________________________ School Dean signature full time Date _____________________ Proposal Title Project Summary INSERT PROJECT NARRATIVE AND LITERATURE CITED HERE Project Narrative (limited to 10 pages double spaced) Literature Cited Time Line (Action Plan) Please provide the following information: Estimated number in each of the following categories to be directly affected by the activities of the project during its operation: Undergraduate Students: ______ Graduate Students: ______ Faculty: ______ Please provide estimated timeline of your project: Budget Form Budget Period: 6/1/15 to 5/14/2016 Principal Investigator: __________________________________________________________________________________________ 1. Student Wages (regular): $ _____________________ Minimum wage is $7.25 p/h. Maximum wage is $10.00 p/h. Student must be enrolled in a minimum of 6 hours for graduate or undergraduate. The VP of Academic Affairs must approve higher hourly wages. 2. Supplies and Materials: $_____________________ Itemize and justify on budget justification. 3. Equipment: $_____________________ Itemize and justify on budget justification. 4. Travel: $_____________________ Travel expenses for purposes of data collection only ie, fieldwork, travel to research site, etc will be supported. Participation in conferences, workshops, seminars, or participation as a volunteer officer in a professional organization cannot be funded by this grant. Itemize and justify on budget justification. *Please apply for Faculty presentation grants for funds to present at conferences through your dean. 5. Contractual or Professional Services: $_____________________ Itemize and justify on budget justification. Total $_____________________ I will use the funds as outlined above. If the amount awarded is different from the amount requested or if I modify any aspect of this budget, I will furnish the Office of Academic Research and Sponsored Projects with a revised budget. Principal Investigator: For Office Use Only: _________________________________________________________________ Signature Budget approved Date: Date: ___________________________ Signature: Budget needs revision Detailed Budget Justification (Use additional pages if necessary) Will matching funds or funds from another source be used to directly or indirectly support the proposed project? Yes No If yes, provide dollar amount, source(s) of funds, and describe how these funds will be used. Previous Internal and External Grants Submitted and/or Received during the past five years. (Use additional pages if necessary) Progress Report (on funded project from previous year) Title of Previous Year’s Grant: _______________________________________________________________________________________. Amount Awarded: $__________________________________ 1. Did you complete the project? YES ____ NO____ If no, please provide an explanation. (please limit to 250 words) If yes, what were your conclusions? (please limit to 250 words) . 2. Were you awarded reassignment time? YES ____ NO____ If yes, how many hours? ________________________________________________________________________________________ 3. Was equipment purchased with previous award? YES ____ NO____ If yes, how is it currently being used? ___________________________________________________________________________ 4. How many students were engaged, involved or impacted? __________________________________________________________ 5. How many faculty were engaged, involved or impacted? ____________________________________________________________ 6. Did the results lead to one or more publication(s)? YES ____ NO____ If yes, please list. _______________________________________________________________________________________________ 7. Were the results presented at one or more professional conference(s)? YES ____ NO____ If yes, please list. _______________________________________________________________________________________________ 8. Have you or are you in the process of applying for external funding to provide additional funds for this project? If yes, please list. _______________________________________________________________________________________________ 9. Were any of the findings from your research implemented into the classroom? YES ____ NO____ If yes, how? _________________________________________________________________________________________________ INTERT CURRENT CURRICULUM VITAE HERE Current Curriculum Vitae (maximum of three pages) Reassignment Time Request (up to 3 hours maximum per Academic year) Reassignment time is deducted from your grant award. Only the PI of the proposal is eligible for reassignment time. If reassignment time is granted, the PI is not eligible to teach overload. Principal Investigator: ____________________________________________________________________________________ Teaching load for the preferred semester, Fall, 2015 or Course # Section # Course Title Spring, 2016 # of Hours Principal investigator is replaced for ______________ hours of reassignment time for research during the Fall, 2015 Course # or Spring, 2016 Section # semester, from the following course(s): Course Title # of Hours The course will be taught by: ______________________________________________________________ Principal Investigator: ______________________________________________________________ Date: _____________________ Department Chair: __________________________________________________________________ Date: _____________________ School Dean: ________________________________________________________________________ Date: _____________________ Reassignment Time Justification (Use additional pages if necessary) Office of Academic Research and Sponsored Projects Research Assistance Application Form (up to one F.T.E.) RA stipends will pay for research related work @ $7.25/hr (undergraduate student) or up to $10.00 /hr (graduate student) for 16 weeks for one (Fall) or both (Fall & Spring) semesters. Students must have a minimum of 2.5 GPA for undergraduate students and 3.0 GPA for graduate students and be enrolled in 6 hours. Assistants are only allowed to work on campus a maximum of 20 hours per week in assistantship positions (RA and/or TA). Pending availability of funds, students will also receive a partial tuition waiver each semester. Name: __________________________________________________________________ Student ID#._____________________ To be appointed as a: Research Assistant, Graduate Research Assistant, Undergraduate Full Time (20 hours per week) ¾ Time (15 hours per week) ½ Time (10 hours per week) ¼ Time (5 hours per week) Resident Non-Resident Student will be supervised by: _______________________________________________ __________________________________________ _____________________ Name STMU ID# Title _______________________________________________ __________________________________________ _____________________ Department Ext. Number Email Address Student Details for Correspondence: Phone: __________________________________________ E-mail: ________________________________________________ For Office Use Only Resident Non-resident S ID: ……………………………………….….……… Hours/week: ………………………………………… Hourly wage: ……………………………………….. Total Hours: ………………………………………… Total Stipend ………...…………………….h Required Signatures: _________________________________________________________________________ Date: __________________________ Department Chair signature _________________________________________________________________________ School Dean signature Date: __________________________ Reviewer Recommendation Form – Required Documentation Thank you for taking the time to complete this form. As our Faculty On-Campus Grants program continues to grow, the Office of Academic Research and Sponsored Projects is in constant need of qualified reviewers to take on the challenge of providing fair and objective assessments of each application’s strengths and weaknesses. Reviewers should be nonSTMU employees and PhD level or education/experience equivalent individuals that are well respected in their discipline. Below, please provide the name and contact information for potential reviewers that to your knowledge, best fits the above criteria – to be vetted, selected, and invited by the OARSP to participate in the peer-review process associated with the Faculty On-Campus Grant applications. Do not provide the name and contact information for individuals that might be construed as creating a conflict of interest because of past or current collaborations or other affiliations. This might include, but not limited to, past academic or graduate school advisors, professional colleagues who you have collaborated with on research projects in the past, professional colleagues who you are currently collaborating with on research projects, former or current undergraduate or graduate students, etc. By providing the names below, the OARSP assumes that you have no conflicting affiliations or interests. If you have names of colleagues who you do not want to review your proposal, please provide those names and affiliations on a separate document and attach to your grant application packet. If you have any questions, please contact the OARSP at 436-3720 or by email ([email protected]). Name of PI: ________________________________________________________________________________________________________ Proposal Title: _____________________________________________________________________________________________________ ___________ Title _________________________________________________ First Name _______________________________________________ Last Name ________________________________________________________________________________________________________________________ Mailing Address __________________________________________________________ ______________________________________________ Discipline Institution __________________________________________________________ ______________________________________________ Email Address Phone ___________ Title _________________________________________________ First Name _______________________________________________ Last Name ________________________________________________________________________________________________________________________ Mailing Address __________________________________________________________ ______________________________________________ Discipline Institution __________________________________________________________ ______________________________________________ Email Address Phone