Intent Form - for OSU Administrative Units and Institutes

If you/your institute/unit plans to submit a proposal to an external sponsor OR plans to create a contract for services with a sponsor, please complete and submit this form.

Your Name (person submitting this intent form):
Your Email Address (person submitting this intent form):
Title of Project:
What type of activity is being requested?

What type of activity is being requested? New proposal submission Create a contract/agreement with a sponsor for services provided Third option
Due Date (date due to sponsor): Due Date (date due to sponsor): / MM / DD YYYY
Sponsor/Agency Name:
Link to solicitation or RFP document:
PI Name:
PI Email Address:
PI Phone Number: PI Phone Number: - ### - ### ####
PI Department/Office Address:
Provide the physical address where the activity will occur (campus building/room #):
List your Co-PI(s) -- Give name(s), department, and office address:
Is cost share or match involved?

Is cost share or match involved? Yes No
Does the funding flow from a prime sponsor through a second agency?

Does the funding flow from a prime sponsor through a second agency? Yes - Indicate PRIME sponsor below No
Name the PRIME sponsor here:
Project Start Date: Project Start Date: / MM / DD YYYY
Project End Date: Project End Date: / MM / DD YYYY
Please describe any research compliance aspects here (e.g., Human Subjects, Animal use, classified information, CUI language, export control regulations, etc.):
Does a potential or actual Conflict of Interest exist?

Does a potential or actual Conflict of Interest exist? Yes No
Please upload any pertinent documents here.

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