Procedure No. 503.1 - Supplement 1

                       GRANT PRE-PROPOSAL FORM
Directions:
1.  Please complete the items of information on this form as
concisely as possible.
2.  Submit completed forms to supervisor for processing.
 _____________________________   ___________________________
 Project Originator               Department                  
 Deadline for Submission: __________________________________ 
 ____________________________________       ________________ 
 Project Title                              Funding Source
1.  Purpose of Project (Needs):
2.  Target Population (Objectives):
3.  Term of Project:
______________________________________________________________
Renewable                           
   _____Yes        
  
   _____No
Conditions:
______________________________________________________________
   
______________________________________________________________
4.  Personnel (New/Existing):
5.  Equipment, Facilities, Location:
    a. Equipment:
    b. Facilities:
    c. Location:
6.  Budget:
    a.  Approximate budget total: ________________________
    b.  Matching funds:  Yes _____    No _____
        If yes, please specify:
        __________________________________________________
    c.  Institutional in-kind contribution:  
        Yes _____    No _____
        If yes, please specify:
        _____________________________________________
       
_________________________________________________________________
7.  a.  Other participating departments (please identify):
        
        _________________________________________________________
 
    b.  Other participating agencies (please identify):
      
        _________________________________________________________
8.  Originator comments:
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
9.  Administrative comments: 
_________________________________________________________________
10. Approvals (Signatures):
    a. Originator's Supervisor(s):
       ______________________________________ 
  Date:_______________________
       ______________________________________   
  Date:_______________________
    b. Dean(s):
       ______________________________________  
  Date:_______________________
    c. President:
       ______________________________________  
  Date:_______________________

Procedures:

RFP Grant Review Form, Supplement 2 No. 503.1s2

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