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.

~Linda S Lephiew, Grants Administrator

870/864.8446, llephiew@southark.edu
Name and position of person submitting this form
Email address
Department
Supervisor's Name
Today's Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Due date for Grant Application

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Project Title
Type of funding
Funding Agency and Grant Number, if applicable
Are you registered on Grants.gov?
Project Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Project End Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
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.
Explain how the project aligns with Strategic Initiative 1--TEAM
Explain how the project aligns with Strategic Initiative 2--HUB
Explain how the project aligns with Strategic Initiative 3--RESOURCES
Explain how the project aligns with Strategic Initiative 4--INCLUSION
Explain how the project aligns with Strategic Initiative 5--VIABILITY
Explain how the project aligns with Strategic Initiative 6--EXPERIENCE
Total Anticipated Budget
Cost to SouthArk
Is a cash match required?
Are in-kind donations required?
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: