CFAC Cost-Sharing and Matching Fund Request Submission Form

CFAC Cost-Sharing and Matching Funds Request Form

CFAC Criteria for funding decisions:
1) Is the request strategic? Does it add new/unique technology?
2) Is there a strong user base?
3) Is there a commitment of matching funds?
4) Is the core compliant (current planning survey and rates?)
5) Are letters of support specific and convincing?

"*" indicates required fields

Requestor Name*

Requestor Email*

Requestor Department*

Core Name*

Please Indicate the FY23 Submission Cycle for this Request*

Your request will be considered alongside all other requests for matching funds or cost-sharing made within the same submission cycle.

July 22, 2022

September 16, 2022

November 23, 2022

January 13, 2023

March 24, 2023

May 26, 2023

Intended use of funds*

CFAC does not typically fund salaries for personnel.

Justification of funds*

Submission deadline*

We will consider your request at the CFAC meeting following the next request deadline. For FY budget planning purposes, please indicate when you intend to submit your grant or purchase your equipment.

Approximate Total Cost*

Amount Requested from CFAC*

List Financial Contributions from other units (commitment of matching funds is a key criteria). If you are planning to submit a request to LCCC or OVCR but have not done so or received approval yet, please indicate that as well*

Please provide the amount of indirect (F&A dollars) currently available to re-invest in the core

Discuss any cancer research relevance and list Cancer Center members who will benefit (if applicable).

Discuss how future costs associated with this request (service contracts, etc.) will be managed.

Please upload multiple Letters of Support*

Your letters of support should detail the benefits to the user, impact on existing and future research programs ,and/or unique capabilities.

Drop files here or

Max. file size: 98 MB.