Signature Routing Form
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1Centre College
Mandatory Sponsored Research Routing Form
Circulate this form, a one‐page summary of your proposal, a budget, and a budget justification to acquire the appropriate signatures.
Begin collecting signatures at least two weeks before the deadline.
Project Director/Principal Investigator
Phone
Email
ertertge
Deadline
Project Title
Sponsoring Agency
Type
New
preprosal
If this is a subcontract, provide the partner university and PI names
new proposal
Start date
End date
# of years
Direct funds
Indirect funds
Total project cost
Does your project involve any of the following?
If so, further explain these items in your project summary.
Yes/No
Comments
1. Matching funds
2. Cost share or in‐kind contributions
3. Indirect or administrative costs
4. Release time for faculty
5. Leave of absence (Specify term in comments column.)
6. Hiring of additional faculty or extension of an employment contract
7. Hiring of additional staff or extension of an employment contract
8. Human subjects (If yes, provide the IRB approval code in the comments column.)
9. Lab animals (If yes, provide the IACUC approval code in the comments column.)
10. rDNA, radioactive substances, or toxic waste
11. Additional space, remodeling, construction, or facilities personnel
12. Pre‐college, undergraduate, or graduate students, or post‐doctoral appointees
13. Student international travel
14. Acquisition of computers, hardware, software, or similar technology
15. A commitment by the college to continue project initiatives beyond the grant period
16. If funded, do you understand that you are responsible for submitting timely reports
to the sponsoring agency?
17. If applicable, have you read and agree to Centre's Financial Conflict of Interest Policy
for Federal Awards, and if funded, do you agree to comply with the policy?
18. If required, will you and your student complete Responsible Conduct of Research
(RCR) training?
Project Director/Principal Investigator ______________________________________________________ Date _______________
__________________________________________________
_________________________________________________
Program Chair
Date
Dir. of Lab Resources & Safety (if yes to #10)
Date
__________________________________________________
_________________________________________________
Division Chair
Date
Dir. of Facilities Management (if yes to #11)
Date
__________________________________________________
_________________________________________________
VP for Academic Affairs
Date
Director of the CTL (if yes to #14)
Date
__________________________________________________
_________________________________________________
Director of Human Resources (if yes to #7)
Date
Director of ITS (if yes to #14)
Date
Return this form (complete with appropriate signatures) to the Corporate and Foundation Relations Office.
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