SOM Letter of Support

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Please complete the following form and upload a copy of the draft Letter of Support in order to have it reviewed by the appropriate parties and be placed on the appropriate stationary with letterhead and Chair's signature.

SPS Number:

* must provide value

PI First Name:

* must provide value

PI Last Name:

* must provide value

PI Duke Unique ID:

* must provide value

PI Email Address:

* must provide value

Secondary Email Address for CC on System Notifications Related to This Form Submission:

Admin First Name:

* must provide value

Admin Last Name:

* must provide value

Admin Email Address:

* must provide value

Project Owning Department BFR

Sponsor Name:

* must provide value

Sponsor Due Date:

* must provide value

M-D-Y

Enter the FOA number:

Sponsor Type

State Government

Local Government

Non-Profit

Foundation

Educational Institution

Commercial

Federal

Other

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SPS Activity Type:

Clinical Trial

Research

Inst. Training Program or CME

Fellowship

Public Service

Institutional Support

Construction/Renovation

Equipment

Conference

Other

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SPS Record: ______
Sponsor: ______
Sponsor Type: ______
Activity Type: ______
FOA #: ______
PI: ______, ______ - ______ - ______
Unit Admin: ______, ______ - ______

THIS PROCESS IS FOR SOM UNITS ONLY, PLEASE CLOSE THIS WINDOW, DO NOT SAVE THIS FORM

Prime Sponsor Type:

If the sponsor is not a pass through entity, select N/A

N/A

Federal

Non-Federal

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Prime Sponsor Name (if applicable):

Is this proposal for T32?

Yes

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Is this for a Basic Science PHd Program that is overseen by OBGE?

Yes

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For all T32 proposals originating from a Basic Science department, the initiation of the Letter of Support must start with the Office of BioMedical Graduate Education.

Proceed with completion of this form, but DO NOT upload a letter of Support. Select "save and return later" at the bottom.

Take note of the return code provided (A), and send survey link to Beth Sullivan, Ph.D - beth.sullivan@duke.edu (B). An additional email must be generated to Beth Sullivan detailing the SPS # and the return code, as this information is not in the letter forwarded above.

Funding Opportunity Announcement: Please provide access to the FOA either by:

* must provide value

Hyperlink (web address)

Document Upload

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Please enter FOA Hyperlink (web address):

Attention:
All files attached may not exceed 7mb cumulatively.
If the cumulative file size exceeds 7mb, your request will fail to send. This will delay your request!

Attach copy of FOA:

Upload file

Attach LOS here:

Attachment must be in an editable Word document format

* must provide value

Upload file

Does the Letter of Support include a cost share commitment (including in kind contributions)?

* must provide value

Yes

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What Type of Cost Share is included

Mandatory Cost Share - required by the sponsor and described in the FOA
Voluntary Committed Cost Share - not required by the sponsor or described in the FOA
In Kind - Third Party Contribution

See GAP 200.140 for additional guidance on cost sharing

* must provide value

Mandatory Cost Share

Voluntary Committed Cost Share

In Kind

Has cost sharing been approved?

* must provide value

Yes

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Attach a PDF of the cost share approval

Upload file

Does the sponsor limit F&A cost recovery

* must provide value

Yes

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REMINDER: F&A reduction requests should be submitted via the Submit a Request feature in myRESEARCHhome

What is the reduced F&A rate?

* must provide value

Has the F&A rate reduction request been submitted to ORA via the Request for F&A Rate Reduction process?

See more details here https://myresearchpath.duke.edu/fa-waiver-requests-school-medicine

F&A rate reduction request must be submitted and approved before you can proceed with letter of support

Yes

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Attach a pdf of the approval notification from the F&A Waiver process

Upload file

Additional notes or information that pertain to this request:

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To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.

SOM Letter of Support

General Information

THIS PROCESS IS FOR SOM UNITS ONLY, PLEASE CLOSE THIS WINDOW, DO NOT SAVE THIS FORM

Letter of Support Details

You have selected an option that triggers this survey to end right now.