| Proposal Request FormRLE at MIT

Sponsor Name*

URL for solicitation/Solicitation Number and/or Solicitation Name or Sponsor/Industry Contact*

Date proposal due at sponsor

Is this a request for a budget or full proposal?*

Select Major Research Field and Subfield*

PI Name (Principal Investigator/Supervisor)*

Your Email*

Your Name (if you are not the Principal Investigator/Supervisor)

Co-PI Name(s)

Is MIT the main organization submitting?*

What is the main organization submitting? (contact info)*

Name of PI*

Contact Information*

Are there subcontractors?*

Who are the subcontractors?*

Tentative Proposal Title

Project Start Date (MM-DD-YYYY)

Duration of Proposed Project

Budget Parameters*

(including annual amount, M+S, # RA’s, # Posdocs, summer salary, personnel effort, equipment, travel, etc)

Special Circumstances*

Name of the Institution*

(international collaboration)

Name of PI*

(international collaboration)

Contact Information*

(international collaboration)

Is this equipment under a restricted use provision?*

If Yes, please explain:*

Equipment Dimensions (Height, Length Depth, weight):*

Do you have approved space?*

Location of approved space?*

Please provide URL or manufacturer PDF describing equipment:*

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Proposal Request Form