SUMMARY INSTRUCTIONS FOR SUBMITTING A NEAR-MISS AWARD APPLICATION

When completing and submitting a Near-Miss Grant application, keep in mind the following requirements:

Submission of Applications: To apply for Near-Miss funding, submit one PDF file by email to Kristi Katcher at kkatcher@siumed.edu by the due date of Friday, October 30, 2020 by 4 p.m.

Assemble the pdf components in the following order:

Near-Miss Cover Page

Application introduction (limit 2 pages maximum) explaining how the PI will use Near-Miss funds to address the concerns raised in the critique.

A one-year itemized budget for a maximum of $25,000 (1 page), plus budget justification (1 page).

The critique for the original application.

The original application.

If you have any questions, please contact Kristi Katcher at kkatcher@siumed.edu or 217/545-7936.

APPLICATION FOR NEAR-MISS AWARD

Submission Deadline: Friday, October 30, 2020 by 4 p.m.

1.	Directions: ALL of the information requested must be supplied. Electronic submission is required (1 collated pdf document). Electronic submissions need to be sent to Kristi Katcher at kkatcher@siumed.edu. A hard copy is not required.

PRINCIPAL INVESTIGATOR:

Typed Name:	Signature:

DEPARTMENT:	% of time devoted to this project:

MAIL CODE AND PHONE NUMBER (if Springfield)/COMPLETE ADDRESS AND PHONE NUMBER (if Carbondale, Quincy, or Decatur):

TITLE OF PROJECT:

Grant number assigned by parent

Funding agency for PARENT GRANT:	funding organization

CO-INVESTIGATORS:	DEPARTMENTS:

A.
B.
C.

TOTAL DIRECT COSTS REQUESTED FROM FUNDING AGENCY:

TOTAL INDIRECT COSTS REQUESTED FROM FUNDING AGENCY:

TOTAL NEAR-MISS BUDGET AMOUNT REQUESTED:

2.	Application Introduction--Explanation of how the PI will use Near-Miss funds to address the concerns raised in the critique (limit 2 pages, 11 font Arial, 0.5” margins),

3.	One-year itemized budget for a maximum of $25,000, plus budget justification,

4.	The critique for the original application, and

5.	The original application submitted to the external agency.

APPROVALS:

Department Chair (typed name):	Signature:

(Chair’s signature indicates that the Chair approves this application for scientific merit and availability of facilities and personnel.)

PROTOCOL APPROVALS (check appropriate box(es): write N/A if not applicable:	N/A or PROTOCOL NUMBER/APPROVAL DATE:

SCRIHS YES	NO	PENDING
IACUC YES	NO	PENDING
ICSC YES	NO	PENDING
RCC YES	NO	PENDING

All necessary protocol approvals must be secured before grant monies can be made available.

9/3/20