Before beginning this form, download the PDF version of the Title III Proposal Request Form and ensure that you have all the necessary documentation to complete this request. You will need to have obtained the signatures on page 3, and scanned the page back to the computer in order to attach the document in the document attachment section.
If more than seven Key Personnel are being requested with your proposal, download the additional Key Personnel Data form (Word Document), fill it out, save it, and attach the document in the document attachment section.
Performance Period (Please indicate below the performance period of your proposal. The range is from 1 to 5 years.)
Grant Funds cannot be used to do the following:
As the Activity Director/Co- Activity Director of this proposed activity, I acknowledge responsibilities associated with my role and agree to comply with the sponsoring agency’s terms and conditions for awards. I further certify that the information submitted within this form is true, complete and accurate to the best of my knowledge. I understand that any false, fictitious, or fraudulent statements or claims may subject me to criminal, civil, or administrative penalties. I accept responsibility and accountability for implementation of the activity, including provision of required reports where funds are assigned to this activity. I understand that by accepting appropriation of these funds, I have not been relieved of any other duties as defined or assigned by my supervisor. Moreover, my supervisor has authority to deny any aspect of the activity that is in conflict with institutional policies and/or priorities.
Please indicate your acknowledgment and agreement to above statements by checking the appropriate box below and inserting your initial on the line provided.