Name
of project, program, or event *
Indicate need for grant funds:
(Check all that apply)
Supplement existing funding for project,
program, or event
Replace existing funding that is being
discontinued
Non-recurring, one-time request
Seed money for start-up of new project,
program, or event
Is this a request for a project previously funded by an Alumni Association grant? If yes, please write in how many years an AA grant has funded the project
Has funding been requested
from other sources? If yes, please list other sources
Are human subjects
being used in the research for which you are requesting funding?
If yes, have you received
IRB approval for your research?
*Please be aware that grants may
be approved pending IRB approval for appropriate research projects
Total amount of funds requested:
$
Using the field below, describe
below the specific goals and objectives of the project, program
or event, how any grant funds will be used, and how the project,
program, or event will benefit William Paterson University. Explain
whether the grant funds will supplement or replace existing funds,
be used for a one-time, non-recurring purpose, or be used for "seed" money
to start a new project, program or event. Describe time schedules
for the use of grant funds.
Please estimate how many students will be positively impacted by this project.
If this project is funded, please clearly state how many programs, services, or curricula will be positively impacted.
Please estimate the length of this impact -- for example one semester, one year, indefinitely...
1.
Personnel Services (Specify)
$
$
$
Personnel services subtotal:
$
2.
Equipment (Specify
item and unit price)
$
$
$
Equipment subtotal:
$
3.
Materials and Supplies (Specify
item)
$
$
$
Materials and supplies subtotal:
$
4.
Contracted Services (Specify)
$
$
$
Contracted services subtotal:
$
TOTAL SPENDING PLAN:
$
In the table below, indicate all
sources of funding for your project, program, or event, including
the grant funds requested in this application.
If an Alumni Association grant is awarded to partially fund this project, will it be possible to secure supplemental funding to fully fund the proposal?
Record-Keeping Requirements
Records maintained
by all grant recipients must include:
1. A line-item account of all grant
expenditures, accompanied by verification of these expenditures
(e.g. paid receipts).
2. Names, addresses,
and social security numbers of all persons paid with grant funds.
3. Copies of all
reports, brochures, and other printed materials produced using
grant funds.
4. Copies of IRB
endorsements/stipulations.
Reporting Requirements
Within thirty (30)
days of the completion of the project, program, or event, and
no later than September 24, 2010, the grant recipient shall submit
to the William Paterson University Alumni Association a written
report detailing grant accomplishments, a line-item account of
actual expenditures, a listing of any equipment purchased with
grant funds, copies of any printed materials produced with grant
funds, and any additional information deemed pertinent by the
grant recipient.
ENDORSEMENT: This application must be endorsed by
the appropriate University Official (Vice President, Dean,
Department Chair, or Director.) Please enter the information
below, your application will be automatically forwarded to
them. submitting this information does not
guarantee endorsement, you must make contact with the official
prior to submitting this application.
If you have endorsed more than one proposal from your area, please list them below in priority of their need for funding:
Letter of Recommendation:
At least one letter of recommendation
must be submitted with the application by the University Offical
endorsing the project, program, or event. If requesting funding
to purchase a major object which will be placed in a University
facility (e.g. scoreboard), the application must have written
certification from the proper University administrator that the
University fully supports the grant request.
Be
advised that your application will not be processed until
all supporting materials have been received. Supporting materials
may be mailed to:
* By checking here, I certify that
the above information is correct and complete to the best of
my knowledge
Before
you begin: please review the 