Grant Request Form

Request Date:

Grant Due Date:

Instructions: Fill in as completely as you can. For a (checkbox), place the cursor on the box and right click with your mouse to access the “properties.” Under the default value, indicate “checked.” This will place an “X” in the appropriate box.

Name:	Department Name:

Campus Address:	Campus Phone:

Email Address:

Co-Applicant Name:	Department Name:

Campus Address:	Campus Phone:

Email Address:

Grant Agency Name:

Partnership Grant:	Yes	No

Type of Grant:	Choose an item.	Lead Applicant:	Yes	No

Website:

Grant Amount:

Match Required:	Yes	No	If Yes, indicate type:	Cash In Kind

Grant requires expenditures first that are later reimbursed.	Yes No	Not Sure

The Program can sustain the grant after grant is completed:	Yes No	Not Sure

Requires a Nonprofit 501 (c)(3):	Yes	No	Not Sure/Need Help Answering

Need Assistance with Writing Grant:	Yes No Only Need Editing Help

*Applicants must participate in grant writing and will be responsible for grant transmittal unless it is a federal grant or specific assistance is requested. The amount of time available to assist must be cleared by the Office of Planning and Research.

Identify the College Strategic Directive(s) this request relates to: (Please check all that apply)

Directive 1: Deliver new and current programs in flexible, efficient ways that lead to increased student enrollment and completion.

Directive 2: Improve efficiency and sustainability.

Directive 3: Leverage information to promote College enrollment growth and program excellence.

Directive 4: Invest in effective marketing strategies to support existing programs and services, recruit students, and engage the community in the life of the College.

Directive 5: Build and maintain Excellence among faculty and staff.

Brief Grant Description:

Click here to enter text.

Steps in the Process:

Grants must be approved by signature of your Department Head and appropriate Dean before processing it through the Office of Planning and Research.

The form will then be routed appropriately for signature so we can track progress of your grant submission.

A copy of your grant and the guidelines for the project must be submitted electronically to the Office of Planning and Research before the deadline.

If the grant requires federal submission, the Office of Planning and Research is the only authorized submitter for BCC and you must schedule time to submit the proposal at least one week in advance.

Please plan for submission to occur no later than one day before the due date.

If your grant is awarded, you are required to notify the Office of the President and the Office of Planning and Research immediately.

Submit the original award notification to the Budget Office as soon as received and keep a copy for your records. Forward a copy of the award notification to the Office of Planning and Research.

Grant Approval Signatures: Please sign below as indicated.

Program Grant Contact	Date of Signature
Co-Applicant Name Contact
Department Head for Grant Contact
Department Head for Co-Applicant
Supervising Dean or Assistant Vice President (if applicable)
Mr. Rick Kline, Director of Resource Development *If a 501 (c)(3) required for grant submission
Dr. Kevin Lee, VP of Academic Affairs/CAO (required for specific departments supervised)
Mr. Greg Bland, VP of Continuing Education & CEWD (required for specific departments supervised)
Mr. Bill Allen, VP of Budget & Finance/CFO (required)
Dr. Gene Smith, President (required)

Comments or Specific Follow-Up Requested by Leadership:

Please Do Not Write below this line

Date Received in IE/Grants:

Date Received in Office of the President:

Notice to Applicant of Approval to Apply:

Initial file to Pending - Not Submitted

Grant Awarded:	Yes	No	Amount Funded: $_____________