Complete this form in regard to the current project designated in the Project Title field below and submit it to the Office of Research. Please note that this form cannot be completed by a proxy. If you mark "yes" to any of these questions, please contact the Office of Research at email@example.com.
Certifications: Please note that by completing and submitting this form, you certify that:
(1) The information submitted within the application is true, complete, and accurate to the best of your knowledge. (2) You understand that any false, fictitious, or fraudulent statements or claims may subject you to criminal, civil, or administrative penalties. (3) You are qualified to perform the work outlined in this proposal.