Research Equipment Grant Program Step 1 of 4 0% Application Year(Required) Equipment Name(Required) Equipment Cost(Required)Match Contributor 1 Amount ($)Match Contributor 2 Amount ($)Match Contributor 3 Amount ($)Other ExpensesTotal Amount Requested ($)This will be automatically calculated based on cost inputs. Section I - Applicant InformationName(Required) Last First Phone(Required)Email(Required) Department/School(Required) College(Required) Academic Rank(Required) Section II - Research Compliance ChecklistIf your proposed project involves any of the following, please submit a copy of the approval letter or approval form from the relevant committee. If the proposal is selected, funding will not be released without the appropriate approvals. Check each box that applies to your project. Use of human subjects in research.(Required)Website for the NAU Institutional Review Board (IRB): https://nau.edu/research/compliance/human-subjects/ Yes No Use of live vertebrate animals in research.(Required)Website for the NAU Institutional Animal Care and Use Committee (IACUC): https://nau.edu/Research/Compliance/Animal-Care/ Yes No Use of bio hazardous agents, human materials or recombinant DNA molecules in research.(Required)Website for the NAU Institutional Biosafety Committee (IBC): https://nau.edu/Research/Compliance/Environmental-Health-and-Safety/Biological-Safety/ Yes No Use of radioactive materials, radiation producing devices, or lasers in research.(Required)Website for the NAU Radiation Safety Committee: https://nau.edu/Research/Compliance/Environmental-Health-and-Safety/Radiation/ Yes No Section III - Intellectual Property ChecklistIs there IP associated with the proposed project?(Required) YES NO - There is no IP that will be developed under this project. NOT SURE - I'm unsure if there is IP associated with this project and I would like advice on this issue. If you selected YES, please check all that apply An invention (new and useful process, machine, composition of matter, article of manufacture, or improvement), has been or will be developed (describe below in Invention and other IP description). Other IP (e.g., software) has been or will be developed (describe below in Invention and other IP description). IP associated with this project has already been disclosed to NAU. I own IP that will be developed under this project. A third-party owns IP that will be developed under this project. Invention and Other IP Description Upload your completed proposal document(s) here. Drop files here or Select files Max. file size: 20 MB. TRIF Terms and ConditionsTo view the TRIF terms and conditions, please visit https://in.nau.edu/researchers/trif-terms-and-conditions/. TRIF Terms and Conditions Consent(Required) By checking this box, I certify that I agree to the TRIF terms and conditions. PhoneThis field is for validation purposes and should be left unchanged.