Preliminary Proposal Routing Form

Certificate of Proposal Routing Form
All extramural sponsored programs shall complete this form to begin the certification of proposal process (pre-award submission). Your form will be reviewed and approved by the required institutional channels prior to proposal submission.

Failure to complete this process will result in institutional cancellation of your program.

All received proposals shall be triaged and distributed to the offices and working staff who will be responsible for assisting you/your team for submission.
Program Director/Principal Investigator (PD/PI)
PD/PI Name

First NameLast Name
PI Email
example@uiwtx.edu
School/College
Department
Dean/VP Name

First NameLast Name
Dean/VP Email
example@uiwtx.edu
UIW Co-Investigator(s)
Are any UIW Co-Investigators affiliated with the same school/college as the PD/PI?
Name

First NameLast Name
Email
example@uiwtx.edu
Name

First NameLast Name
Email
example@uiwtx.edu
Name

First NameLast Name
Email
example@uiwtx.edu
Name

First NameLast Name
Email
example@uiwtx.edu
Are any UIW Co-Investigators NOT affiliated with the same school/college as the PD/PI?
Name

First NameLast Name
Email
example@uiwtx.edu
School/College
Department
Dean/VP Name

First NameLast Name
Dean/VP Email
example@uiwtx.edu
Name

First NameLast Name
Email
example@uiwtx.edu
School/College
Department
Dean/VP Name

First NameLast Name
Dean/VP Email
example@uiwtx.edu
Name

First NameLast Name
Email
example@uiwtx.edu
School/College
Department
Dean/VP Name

First NameLast Name
Dean/VP Email
example@uiwtx.edu
Name

First NameLast Name
Email
example@uiwtx.edu
School/College
Department
Dean/VP Name

First NameLast Name
Dean/VP Email
example@uiwtx.edu
Sponsor
Please select the sponsor type from the list below.

Other
Is this a federal pass-through grant?
Pass-through institution name:
For example, UCLA or FSU.
Sponsor Name
For pass-through grants, enter the name of the prime sponsor to which that the pass-through institution is submitting the proposal.
For other, please specify.
How will you be providing the sponsor's program description and/or request for proposals (RFP)?
Opportunity #
Website Link
File Upload

Cancelof
Does your proposal have a submission deadline?
Proposal Due Date

MonthDayYear
Provide the due date given by the sponsor.
Target Submission Date

MonthDayYear
Provide the target date to submit the proposal.
Proposal Information
What type of proposal do you intend to submit?

Other
Proposal Activity Type

Other Sponsored Activity
Proposal Title
Project Description
Project Start Date

MonthDayYear
Project End Date

MonthDayYear
Total Amount Requested
Institutional Impacts
Will the proposal involve any of the following? Check all that apply.
List the faculty name(s) and percentage(s) of course release requested.
List the cost-sharing, matching, or in-kind contribution(s) and amount(s).
Describe the capital equipment or technology including product name(s) and cost(s).
Describe the new construction or renovation of existing facilities needed.
Describe the institutionalization expected and indicate whether internal (school/college will take on the costs or support) or external (facilities, buildings, or new staff that will require support beyond the school/college).
Regulatory Compliance
Will the proposal involve any of the following? Check all that apply.
Are you ready to submit this form?

Before submitting the form, please carefully review all the information provided for accuracy and completeness to avoid delays.
Co-Investigators
CFDA # & Title:
Only if funding source is federal. For example, 47.084 NSF Technology, Innovation, and Partnerships.
External Collaborators (Name and Institution/Organization)
Will you need grant writing or editing assistance for this proposal?
List the Co-PIs involved in this proposal (up to five).
Targeted sponsor
Estimated project duration
Will faculty course release be requested for this project?
Are cost sharing, matching, or in-kind resources required?
If yes, provide a description with the estimated amount(s).
Will UIW be committed to institutionalizing or sustaining any part of this project after the end date?
Will the project involve alteration or renovation of existing facilities or new construction?
Will the project involve any capital equipment or technology purchases that will be retained beyond the grant period?
Faculty Course Release #1
Faculty Name:

PrefixFirst NameLast Name
Percentage
Supervisor Email: (old)
example@uiwtx.edu
Do you need to add another faculty course release?
Faculty Course Release #2
Faculty Name:

PrefixFirst NameLast Name
Percentage
Supervisor Email: (old)
example@uiwtx.edu
Do you need to add another faculty course release?
Faculty Course Release #3
Faculty Name:

PrefixFirst NameLast Name
Percentage
Supervisor Email: (old)
example@uiwtx.edu
Do you need to add another faculty course release?
Faculty Course Release #4
Faculty Name:

PrefixFirst NameLast Name
Percentage
Supervisor Email: (old)
example@uiwtx.edu
Do you need to add another faculty course release?
Faculty Course Release #5
Faculty Name:

PrefixFirst NameLast Name
Percentage
Supervisor Email: (old)
example@uiwtx.edu
Do you need to add another faculty course release?
Faculty Course Release #6
Faculty Name:

PrefixFirst NameLast Name
Percentage
Supervisor Email: (old)
example@uiwtx.edu
Are there UIW Co-Investigators in this proposal? Up to 5 may be entered.
School/College
Department
Co-I #1 Supervisor Email (old)
example@uiwtx.edu
If yes, please list the faculty name(s) and percent(s) of release time requested.
Will this investigator be requesting course release?
Please specify the percentage of course release below.
School/College
Department
Will this investigator be requesting course release?
Please specify the percentage of course release below.
School/College
Department
Will this investigator be requesting course release?
Please specify the percentage of course release below.
Co-I #3 Supervisor Email (old)
example@uiwtx.edu
Co-I #2 Supervisor Email (old)
example@uiwtx.edu
School/College
Department
Will this investigator be requesting course release?
Please specify the percentage of course release below.
Will this investigator be requesting course release?
Please specify the percentage of course release below.
Co-I #4 Supervisor Email (old)
example@uiwtx.edu
Will this investigator be requesting course release?
Please specify the percentage of course release below.
Office Use Provost Email
Should be Empty:

Certificate of Proposal Routing Form

Program Director/Principal Investigator (PD/PI)

UIW Co-Investigator(s)

Sponsor

Proposal Information

Institutional Impacts

Regulatory Compliance

Are you ready to submit this form?