Principal Investigator (PI) Contact Information

Name: DÅÐÔȡ

Email: Phone:

PI Background Information Indicate your position at Metro State:

Tenured faculty Lecturer Tenure-track faculty Center or Program Director Affiliate faculty Other. Please specify. ____________________________________

Highest degree earned (PhD, EdD, MA, BA, etc). This is sometimes an eligibility factor with specific grants or fellowships: _________________________________________________________________________________________ Year you received your doctoral degree (to determine “early career investigator” eligibility): ________

Previous experience on a grant: As a PI As key personnel None If some experience, what agency/agencies? ______________________________________________ _________________________________________________________________________________________________

Summary of Project What broad categories of issues or opportunities does your project address? (Use key-word phrases, for instance, “Adult literacy”; “Juvenile crime prevention”; etc.) ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ About how much funding is needed for your project?

$1 - $10,000 $10,001 - $50,000 $50,001 - $100,000 $100,001 - $300,000

$300,001 - $800,000 $800,001 - $1,500,000 More than $1,500,000 Not sure

Project duration: ___________________________________________________________________________________________

When is funding needed by? ______________________________________________________________________________

IN ONE SENTENCE describe your project idea: (What will you do? Where? And most important, Why?)

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________

OFFICE OF SPONSORED RESEARCH & PROGRAMS RESEARCH REQUEST FORM

Does your project involve collaboration(s) and/or partnership(s)? (List any potential collaborative possibilities within MSCD or external community and include contact info, if possible)

OFFICE OF SPONSORED RESEARCH & PROGRAMS RESEARCH REQUEST FORM