Grant Proposal Submission Approval Form

After the intent to seek external funding is approved, please submit this form with the final draft of the proposal one week prior to submission deadline (include the completed budget). If there are any questions, please contact Patrick Mooney at patrick.mooney@wagner.edu / ext 4529 or Taviare Hawkins at taviare.hawkins@wagner.edu / ext 4047

Name
First Last
Title
Department/Office
Email
Project Title
Proposal Request Amount
Proposal Due Date
Date Format: MM slash DD slash YYYY
Source of Funding
Organization / Agency
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Program Area
Program Officer
Phone
Email
Have you made contact with the program officer?
- Yes
- No
External Collaborators (Name, Title, Address, Phone, Email)
Budget Informatiion - Check the following boxes, if appropriate, and attach a proposed budget
- Select All
- Technology costs (equipment)
- Facilities costs (construction/furnishings)
- Personal costs
Check all that apply
Will Wagner be expected to provide matching funds?*
- Yes
- No
If yes, please provide the name of Senior Team member who approved.*
Wagner College Account Name
Total Amount Requested in this Proposal
Other Funding Sources (explain)
Total Project Budget
Upload your most up to date draft of your grant package.*
Comments
This field is for validation purposes and should be left unchanged.