ࡱ>  bjbjII 4&++ FFfffzzz84$zg1 LVVVVa40000000,336 1f" 17VV_!1777d8VfV07077r#TN$p["@$0710g1N$V%77%7$7$f^%l  1 17g1%7F :   APPLICATION FORM ADJUNCT FACULTY DEVELOPMENT GRANT ACADEMIC YEAR 2016-2017 Project Title: Total Funding Requested: $ Faculty Applicant: Faculty Department:  FILLIN "Faculty Department:" \* MERGEFORMAT  Semesters of Service at KSC: Contact Information KSC email: Campus Mailstop: Project Abstract: (250 words or less, single spaced)  Project Narrative: Brief description of proposed project: Explanation of how project relates to the course(s) you are teaching: Plan for dissemination of Project Results: Project Timeline: Project Budget: Itemize all expenses for your proposal in the budget chart below (double click on the chart to enter information, rows may be added as needed).  EMBED Excel.Sheet.8  * Please refer to the KSC Purchasing Office Travel manual ( HYPERLINK "http://www.keene.edu/administration/policy/detail/travel/fs-business-travel/" http://www.keene.edu/administration/policy/detail/travel/fs-business-travel/) for current information on mileage rates and travel regulations. Expenses for airfare must be quoted through one of the KSC contracted travel vendors. Other Sources of Funding: Will there be other sources of funding to support your project? If so, please note the funding in the chart below (double-click chart to enter information, additional rows may be added as needed).  EMBED Excel.Sheet.8  Project Budget Justification: Provide a detailed description and justification of each expense noted in your Project Budget. (No more than 2 pages in length. Supporting documentation may be provided, not included in the 2-page maximum) Supplies: Travel: Other: Use of Human Subjects or Vertebrate Animals: Funding of any research projects that use human subjects or any projects that include vertebrate animals must comply with federal guidelines regulating their use in research. Funding of such projects will be contingent upon approval from the KSC Institutional Review Board (IRB) for human subjects or the KSC Institutional Animal Care and Use Committee (IACUC) for vertebrate animals. Does your project include the use of human subjects for research? Does your project include the use of other vertebrate animals? If you answered yes to either question, please contact the Office of Sponsored Projects and Research for further information. 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