Faculty Grant Application

Faculty Grant

Please indicate your role in this application
I am a Faculty Member of a Consortium Affiliated College or University applying for a GrantI am the Dean of the College approving one of my Faculty Member's ApplicationsI am a representative of the Office of Sponsored Programs approving a Faculty Member's ApplicationI am the Campus Director for my Institution

Grant Verification Form
Applicant Name:*

First NameLast Name
Consortium Member Institution:*
Do you approve of this application?*

YesNo
Eligibility Certification*

I certify that the applicant indicated above is faculty and meets the eligibility requirements, as outlined in the CT Space Grant Faculty Application Booklet and as summarized below.
Reason(Optional)

Faculty Applicant
Verification:*

I certify that all of the information contained in this application is complete and correct and that I meet all of the eligibility requirements for this form. I agree to submit this application by electronic means. By signing this application electronically, I certify under penalty of perjury and false swearing that my answers are correct and complete to the best of my knowledge, including information provided about the citizenship or alien status of any recipient.
Applicant Signature:*

First NameLast Name
Date*

MonthDayYear

Campus Director
Campus Directors should check with OSP/Grant Office for any special requirement of each institution that is not included or required by NASA or CTSGC office.
Campus Director Signature:*

First NameLast Name
Date*

MonthDayYear

Signatures below certify that the PI’s institution approves of the matching funds commitment indicated above and acknowledges an understanding that if this proposal is awarded, the PI’s institution will need to enter into a sub-contract between itself and the University of Hartford before any NASA CT Space Grant Consortium funds can be disbursed.

Faculty Grant