GRANT IMPACT AND APPROVAL FORM
Complete Part I & II of this form PRIOR to any preparation of grant proposals. Grant
opportunities under consideration must be approved by the CNM Executive Team (Part III).
Complete Part IV of this form PRIOR to submission of the grant proposal to the Funding
Source. For CNM grant proposals, the Comptroller must sign prior to the submission.
PART I – GRANT PROPOSAL INFORMATION
Grant/Project Name:
Project Director (PI):
Renewal
Date:
New
Grant:
Fiscal Entity: CNM
Foundation
Ingenuity
School / Department to be affected:
Funding Source:
Grant Prospect (check this box if this is a request to identify potential prospects):
Are Grant Plant Services Requested: Yes:
No:
If Yes – attach Grant Plant Scope of Work/Cost
Sub-award/Partner (indicated entity(s):
Date Due to Funding Agency:
Duration of Grant/Project:
Estimated Amount Requested:
Indirect Costs:
Indirect Costs Rate:
0%
No Indirect Cost Rate
If indirect costs not permitted or less than 35% President’s approval
required:
Justification for indirect costs of less that 35%:
Match Required: Yes:
No:
Matching Source/Cost Account:
If “Yes”, describe the amount or percentage required and the type of in-kind to be provided:
How proposed project aligns with CNM’s Strategic Direction:
Provide a synopsis of grant proposal:
PART II - IMPACT ON INSTITUTION RESOURCES
Personnel – Faculty:
Reassigned, course release or overload:
Faculty paid via participation
agreements:
Stipend for non-teaching duties:
Personnel – Staff:
New Hires:
Reassign
Staff:
Work-study
student:
Other (describe):
Contractor(s) :
Full-Time (FT)
Employees
Reassign FT Employees
Part-Time (PT) Employees
Reassign PT Employees
Facilities:
Office/Lab or Classroom Space:
Facilities Modifications (e.g. new
walls):
Other (describe):
If Facilities impacted Executive Director for Physical Plan approval
required:
Information Technology Resources:
Software Purchase /
Installation:
Hardware Purchase /
Installation:
Other (describe):
If Information Technology impacted ITS Director approval
required:
Other Considerations (i.e. PBIR research, training, maintenance costs, etc):
Project Director/Principal Investigator
(PI)
Email Approval
Date
Email Approval
Grant Development Analysis (Pre-Proposal Approval):
Date
School Dean or Department Director:
Reviewed by CNM Foundation
Office:
Email Approval
Date
Fiscal Impact Assessment - (Business Office Contracts & Grants Pre Proposal Approval):
Key Considerations & Comments:
Reviewed by Contract & Grant
Office:
Email Approval
Date
PART III – EXECUTIVE TEAM PRE-PROPOSAL APPROVAL
CNM President Approval:
Email Approval
Date
Email Approval
Date
Email Approval
Date
CNM Vice-President
Approval:
CNM Vice-President
Approval:
PART IV – FINAL APPROVAL BEFORE GRANT IS SUBMITTED
Prior to submission of a grant proposal the following approvals are required.
For CNM Grants, once the Comptroller has approved, the grant proposal may be submitted
to the funding Source.
CNM Foundation Grants do not require CNM Comptroller’s approval.
CNM Foundation Office
Approval:
Email Approval
Date
Email Approval
Date
Email Approval
Date
CNM Vice-President Approval:
CNM Comptroller:
Notes: