External Funding Pre-approval Form

External Funding Pre-approval Form

Please make an appointment with me, prior to submitting this form.

Once this form is submitted, it will be shared with the Executive Cabinet.

You must have their approval before moving forward on any kind of external funding.

Incomplete forms will be returned.

grants@southark.edu

870/864.8446
Name and position of person submitting this form
Email address
Department
Supervisor's Name
Today's Date

Month Day Year
Date
Due date for Grant Application

Month Day Year
Date
Project Title
Type of funding
Funding Agency and Grant Number, if applicable
Are you registered on Grants.gov?

Yes No
Project Start Date

Month Day Year
Date
Project End Date

Month Day Year
Date
Purpose or need for proposed project
What will the project entail? (major activities and deliverables)
With which elements of SouthArk’s Strategic Plan does your proposal align? Choose all that apply.

Foster student success through pathways to completion Connections Campus Culture Student Experience
Explain how the project aligns with Strategic Initiative 1--Foster Student Success through pathways to completion.
Explain how the project aligns with Strategic Initiative 2--Connections
Explain how the project aligns with Strategic Initiative 3--Campus Culture
Explain how the project aligns with Strategic Initiative 4--Student Experience
Total Anticipated Budget
Cost to SouthArk
Is there a cash match?

Yes No
Are in-kind donations required?

Yes No
If yes, please give details.
Does the grant require any components or positions to be institutionalized? If so, explain.
Which college departments will be involved?
Which external partners are required?
Who will serve on the grant development team?
Type in your name in lieu of a signature. Do not attempt to add an electronic signature.
Email address of immediate supervisor
Should be Empty: