George Mason University
Request for Assistance with Proposal Submission

NOTE : Fields marked with an "" are required.

Requester's Information (if different from Principal Investigator)
Requester's Name :
Requester's Email :

Principal Investigator's Information
PI's Name :
PI's Email : PI's Contact Phone :
School/College/Institute [Lead Unit only]
Other School/College/Institute:
Department/Center :

Program Information
URL link for Program/Announcement :
Program/Announcement Name :
Sponsor Name :
Application Type : | New | Renewal | Resubmission | Revision |
Application Deadline Date: (mm/dd/yyyy) Date should be after 05/16/2008
George Mason University Project Title :
Projected Budget Amount : $
Project Start Date : Project End Date : (mm/dd/yyyy)
Project Location :| On Campus | Off Campus (if Off Campus, Please enter the location) |
Co-Principal Investigator(s) (List Co-PI's separated by commas)
Other Faculty/Staff (List Faculty/Staff separated by commas)
 
Sub Contractor(s) (List Subcontractor(s) separated by commas)
Consultant(s) ( List Consultant(s) separated by commas)

Type of Activity (check all that apply)
Research Training Service Fellowship Clinical Trial Other

Type of Funding (check all that apply)
Grant Contract SubContract Coop Agreement MOU Other

Research Involves
Mandatory Cost Sharing
| YES | NO | Amount : $ or Percentage %
Course Buyouts
| YES | NO |
Human Subjects
| YES | NO |
Animal Subjects
| YES | NO |
Hazardous Material
| YES | NO |
Intellectual Property Issues
| YES | NO |
Specialized Equipment and/or Space Requirement
| YES | NO |
Export Control Concerns
| YES | NO |
Foreign nationals (PI/Grad students)
| YES | NO |

Additional Information/Comments/Special Requirements

If you experience technical difficulties or require immediate assistance, please contact 703-993-2988 or email proposal@gmu.edu