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Sponsored research implies a certain level of commitment of College and DHMC
resources to a project. Primarily for that reason, the Council on Sponsored
Activities has requested that all investigators file a complete copy of
proposals, excluding appendices, submitted to external funding agencies with
the Office of Sponsored Projects. Each proposal submitted to external funding
agencies. under the auspices of Dartmouth College or the DHMC, goes through a
review process at the Office of Sponsored Projects. Part of this review
includes noting that the Dartmouth College Proposal Routing Form has been
completed.
The Dartmouth College Proposal Routing Form is used to route proposals for
on-campus signatures and also serves as the data entry form for the Sponsored
Research database maintained by the Office of Sponsored Projects. Records
maintained by the Office of Sponsored Projects are the official records of the
College and are subject to review by auditors and other officials of funding
agencies. Information contained on the routing form is also used to generate
monthly and annual reports detailing sponsored activity at the College, and is
essential for the College's long range planning efforts. Timely submission of
this form facilitates these information gathering activities.
The Dartmouth College Proposal Routing Form complies with Federal and
Institutional regulations regarding the Conflict of Interest policy.
By signing the Conflict of Interest statement on the routing form, the
Principal Investigator certifies that all relevant individuals on the proposal
have read Dartmouth's Conflict of Interest policy and have current disclosures
on file with the Office of Sponsored Projects. Dartmouth's Conflict of Interest
policy defines "relevant individuals" as:
"...a principal investigator and any other person at the College who is
responsible for the design, conduct, or reporting of research funded by any
external governmental or private organization, or proposed for such
funding."
Some information requested on the routing form may not be applicable to every
proposal. Questions concerning this form should be referred to the Office of
Sponsored Projects.
A Proposal Routing form must be completed for all proposals submitted
to external funding agencies. The form is used to route proposals for on-campus
signatures and serves as the data entry form for the sponsored research
database at the College. Routing forms without the required Institutional
signatures may be returned to the Principal Investigator.
The following items, as appropriate, need to be included for review :
-
- Proposal Routing Form
- Proposal Face Page
- Abstract
- Budget Pages
- Budget Justification
- Checklist (if PHS)
- Animal Subjects Protocol Approval
- Human Subjects Protocol Approval
The Dartmouth College Proposal Routing Form must be completed for all
proposals submitted to external funding agencies. The form is used to route
proposals for on-campus signatures and also serves as the data entry form for
the Sponsored Research database at the College. Please note that the
information requested may not be applicable to every proposal.
The Council on Sponsored Activities has requested that all
investigators file a complete copy of proposals submitted to external funding
agencies with the Office of Sponsored Projects.
This includes all submissions which require the signature of an authorized
Institutional official. Records maintained by Sponsored Projects are the
official records of the College and are subject to review by auditors and other
officials of funding agencies.
Human and Animal Subjects
"If human and/or animal subjects are involved in the project the Office
of Sponsored Projects recommend that in order to avoid delay in the agency
review of the application, human and animal subjects approvals be completed
prior to submission of the application. If approvals cannot be completed in
time for submission deadlines, please indicate they are pending.
IT IS THE PRINCIPAL INVESTIGATOR'S RESPONSIBILITY TO NOTIFY THE AGENCY OF A
CHANGE IN STATUS FROM PENDING TO APPROVAL FOR ANIMAL USE. THE OFFICE OF SPONSORED
PROJECTS WILL, HOWEVER, SEND A LETTER OF APPROVAL TO THE AGENCY UPON
SPECIAL REQUEST."
Instructions for completing the Proposal Request Form
A Proposal Routing form must be completed for all proposals submitted to
external funding agencies. The form is used to route proposals for on-campus
signatures and serves as the data entry form for the sponsored research
database at the College. Routing forms without the required Institutional
signatures may be returned to the Principal Investigator.
The following items, as appropriate, need to be included for review :
-
- Proposal Routing Form
- Proposal Face Page
- Abstract
- Budget Pages
- Budget Justification
- Checklist (if PHS)
- Animal Subjects Protocol Approval
- Human Subjects Protocol Approval
* Forward a complete copy of the proposal and the original signed routing
form to the Office of Sponsored Projects, HB 6210, within ten (10) working days
after the proposal
has been submitted to the sponsor.
* The Office of Sponsored Projects reviewers will keep the original routing
form for the Office files. The Principal Investigator is expected to forward a
complete copy of the
proposal to the Office.
* Routing forms without the required Institutional signatures may be returned
to the Principal Investigator.
Assurances: If human subjects or animals will be used in this
project, the protocol approval date and the CPHS study number (for human
subjects) or the IACUC project number (for animals) must be provided on this
form. In addition, for animal use, the species and quantity must also be
listed.
Environmental Health and Safety (EHS): Work involving the
following require institutional approval and oversight. If applicable to your
proposed or on-going work, failure to complete this section or to withhold
information may be construed as misconduct. Please attach additional sheets, as
necessary, to list all applicable materials. Contact EHS if you have any
question or need assistance (646-1762).
Biological: Human blood or body fluids, tissues or blood borne
pathogens (HBV, HIV, etc.); other potentially infectious materials handled at
Biological Safety Level 2, as defined in the latest edition of the CDC/NIH
publication, Bio safety in Microbiological and Biomedical Laboratories;
recombinant DNA (rDNA) requiring institutional approval.
Chemical: Carcinogens, mutagens, teratogens or chemicals of
unknown toxicity; toxic metals (lead, mercury, cadmium, etc.); acutely toxic
materials or chemicals with poor warning properties/limited margin of safety
(cyanides, phosgene, etc.); reactive chemicals (chemicals capable of releasing
potentially hazardous amounts of energy if subject to static, shock, friction
or contaminated with other chemicals).
Radiation: Ionizing radiation; non-ionizing radiation (lasers,
specifically), (UV light used in molecular biology is excepted).
Sub recipients: Please indicate if there are any sub
recipients included in the proposed budget.
Internal Cost-Sharing: When cost-sharing is required, the
source, type, and amount of funds should be identified with the signatory
approval of the appropriate dean.
External Matching Funds: The Development Office should review
the proposal if they are responsible for raising external matching funds.
Invention Agreement: Check this box if you know you have a
signed Invention Agreement on file in our office. Federal Law (37 CFR 401,
"Bayh-Dole Act") requires that universities have written agreements
with all the employees involved in research, pursuant to which they agree to
assign the university any inventions made with Federal funding. In order to
comply with this law and ensure that the College records are complete, all
Dartmouth employees involved in research are asked to provide the Technology
Transfer Office, HB 6210, with a signed Employee Invention Agreement. Please
contact the Office of Sponsored Projects for Technology Transfer at 646-3027,
if you require a copy of the agreement.
Conflict of Interest Statement: In order to comply with the
Dartmouth Conflict of Interest policy, the Principal Investigator's signature
is mandatory for each proposal submitted.
Proposal Routing Form
GENERAL NOTE ON THIS FORM : A copy of the form for photocopying
purposes is available on this web site in
WORD and PDF for downloading from the Public File Server. An electronic version
is also available. You will need Kerberos and SideCar installed to use the
electronic version. Contact the Office of Sponsored Projects
for further information.
NOTE TO DARTMOUTH MEDICAL SCHOOL DEPARTMENTS: The Office of Sponsored
Projects requires that a department chair, or acting chair sign the Dartmouth
College Proposal Routing Form BEFORE the institutional signature is added to
the form. If the department chair, or acting chair is unavailable, the
following individuals may sign in lieu of the department chair, or acting
chair:
- Kathleen M. Byington
- William Hickey
- Charles Mannix
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