Concurrent to College Update Form

Instructions:

Any NOC employee intending to pursue or apply for an external partnership funding opportunity must complete this form prior to submission of the external application. This form will serve as the official record of all external funding opportunities such as grant applications, except for those through NOC Foundation.

Section 1: Information

First and Last Name:

First Last

Department:

Email Address:

Phone Number:

Position/Title:

Section 2: Grant Information

Grant Title:

Funding Agency/Organization:

Grant Type: (e.g., Research, Curriculum Development, Student Support, Equipment, Other)

Grant Website/Link:

Total Amount Requested:

Submission Deadline:

Grant Duration: (Start Date – End Date)

Is this a new grant or a renewal? (New / Renewal)

New

Renewal

Section 3: External Partnership Details

External Partner(s): (List all organizations/institutions involved)

Partner Contact Name(s):

Partner Contact Email(s):

Nature of Partnership: (Briefly describe the collaboration)

Section 4: Project Overview

Project Title:

Brief Project Description: (2-3 sentences)

Goals/Objectives:

Intended Outcomes/Impact:

Section 5: Institutional Considerations

Does this project require matching funds or institutional support?

Yes

If yes, please describe the support needed:

Will this project require new or additional staff?

Yes

Are there any anticipated risks or compliance concerns?

Yes

If yes, please explain:

Section 6: Approvals & Attachments

Department Chair Approval: (Signature or Email Confirmation)

Max. file size: 100 MB.

Related Area VP Approval: (Signature or Email Confirmation)

Max. file size: 100 MB.

Attach Grant Guidelines/RFP:

Max. file size: 100 MB.

Attach Draft Proposal (if available):

Max. file size: 100 MB.

Section 7: Submission

Date Submitted to Academic Affairs:

Submitted By:

First Last

Thank you for completing this intake form. Academic Affairs will follow up with you regarding next steps and any required institutional reviews.

*Please note: Not all majors can be completed at all campuses. Check the list of majors at www.noc.edu/academics/programs/degreeprograms to view locations and degree requirements.