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Faculty Pre-Award Intake Form
Faculty Pre-Award Intake Form
Faculty Name
First
Last
FOA Number
Title
Period of Performance (Begins)
MM slash DD slash YYYY
Period of Performance (Ends)
MM slash DD slash YYYY
Budget Information
Years
FTE Requested?
Yes
No
Please provide students, travel and materials information
Have you given ScienCV Delegate Access for RAs?
Yes
No
UFIRST QUESTIONS
Co-PIs
First
Last
Co-PIs
First
Last
Co-PIs
First
Last
Co-PIs
First
Last
Subrecipients
First
Last
Subrecipients
First
Last
Subrecipients
First
Last
Third Parties
First
Last
Third Parties
First
Last
Human subjects including human data or tissue or collection of data through surveys?
Yes
No
Live vertebrate animals?
Yes
No
Travel or send anyone working on this project to a location outside the US for more than 2 weeks in any one visit or more than 1 month over a 12 month period?
Yes
No
Establish any relationships with foreign entities, individuals, or consultants; or have any of the work executed by a foreign entity, individual or consultant?
Yes
No
Pay non-UF personnel salaries, wages, or any other compensation (including goods) for any work performed or engagement in activities outside the US? This includes field workers, research assistants, government representatives, participant payments, translators, drivers, or any other laborers.
Yes
No
Transfer, ship, or pack in personal luggage for transfer out of the US any data, items, supplies, equipment, or materials purchased by UF or sponsored projects' funds?
Yes
No
Perform any other activities not identified above outside the US or engage with any other entity, individual, or consultant outside the US? This does NOT include conference attendance.
Yes
No
Interact with an individual from, ship to, import from, or travel to one of the following countries: Crimea, Cuba, Iran, North Korea, South Sudan, Sudan, Syria.
Yes
No
If Yes, which one?
For required institutional reporting purposes, provide lay abstract or key words (brief 1-2 sentences)
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