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can answer <br />'~°h~ ZJrliraaxsit~ of North G~olana ~~ ~"h~p~l Mill <br />or <br />Coeus InstituteePropoos~al / <br />Nur~~' ~ 1 ~ ~ ( Q. v <br />_ ....~._ <br />nstrecc one: rase Y ey 40 obtain details about a particular question. Press tie rob key Clinical Trials <br />or nee the mouse to move throughout the fields. If more help is required, detailed (Check this box): [] <br />Instructions are available online at ttp•// research unc edu/osr/lnf instructions odf _ <br />Principal Investigator {Pn: MadeIe'ne m,met PI's Appointing (Home) Dept. No.: <br />PI's Appointing Dept. Name: 3401 Dept. No. for Award Admin.:__ <br />Dept. Name for Awazd Admin: 341, (If different than Appointing Dept,) <br />Appointing Dept. Chair/Director Cif applicable}: _____ <br />School, College or Uther IJniversity Unit of PI: School of Education <br />Dean of Schoot: Thomas James <br />Director of Institute/Center: <br />I, Mailing/Electronic Submission Deadline (m/d/yy): /1 /04 2. Type (Please check <br />3. Previous UNC Account Number (x-xxxxx): ~,~ 'a, ®New Proposal <br />4. Funding Agency: Qrange County i b. ^ Revised Request <br />a, Prime Funding Agency (If applicable): ~ c, ^ AmendmenUSuppleme <br />5. Co-Investigator/Fellowship Applicant: ~ d, ®Renewal or Compering <br />5. Title of Project (300 character limit): _ <br />Educational Resources in Chapel Hi1UCarrbom and Urange County School Systems: Description <br />AnalyaiS <br />and <br />__ ~ <br />_ _ Begin Date (m/d/ _ <br />6/1/64 ____ ~ Period/ Total R <br />a in Date m/d/ } <br />_ ~ B Fnnest <br />6%1 0 <br />-_~_ End Date m/d/ <br />Direct <br />~ 12/31!04 <br />$25,000.00 _ <br />~ _ <br />~_ End Date m/cU <br />Direct 12./31/04 ~ ~~ <br />$25 000.00 <br />F&A rate: 0% <br />F&A amount $0.00 <br />' F&A rate: 0. "/o M~F&A amount $0.00 <br /> <br />L__ _. ______..__ Total <br />Total ` <br />8. <br />10.. <br />Does this proposal include funds or contributions in the form of cost sharing or cash matching? No <br />a. If yes, check the appropriate type(s) (Please check all that apply): <br />1 Mandatory ^ V'oluntary ^ <br />2 Indirect ^ In-Kind ^ Matching ^ Salary Cap ^ <br />Have all EPA employees named in this proposal filed Conflict of Interest forms for the current year, Yes <br />including any required appendices and updates? <br />Does the proposal involve research with human or animal subjects? No <br />a. If yes, check as applicablc and provide date Submitted (S) for review or indicate status of review such <br />as Reseazch in Stages (R,S) -provide expected 1Z2B approval date, Exempt (E) -provide IRB exemption letter, <br />Approved (A) -provide aooroval date. or lust in Time (71T1 _ nrnvi~ir Px„P~rP,t mn a,,,,r,,.,ot ,to*p <br />Sub act <br />Human Subjects ^ _ (S) (R5) _ <br />~ <br />~ (E) <br />~ - - -(A~ .-_ -- <br />~'~ --_ ~,ily)_ . <br />T- V Aate ~ tnuildd/ <br />/ / <br />Anima] Subiects ^ __ ..__~ ~~ ~_ ~ ~_. % / "'~"' <br />11. Does the proposal involve reseazch with any of the follovring materials? <br />(Please cheek all that apply): <br />a. ^ Radioactive Materials <br />b. ^ Potcntial Biological Hazards (viruses, reconebin~nt DNA, etc) <br />a ^ Chemical Hazards (poisons, explosives, reagents, flammablcs, carcinogens, etc) <br />d. ^ This study involves the use of botulinum neurotoxins, botulinum neurotoxin producing species of <br />clostridium or preparations or pharmaceuticals captaining botulinum neurotoxins, <br />If yes, contact the Department of Environment, Health and Safety (DENS) for required approvals at 952.5>07 <br />(email: dchs ~nc.edul <br />OtTice of Sponsored Research IPF v 1 A <br />Nc <br />8. <br />9, <br />10. <br />11. <br />V' <br />~~~ <br />