Submission Form – 2024 IEEE R10 NI

Submission Form

SPNIC Call for Proposal

Name

First

Last

Affiliation (University, Company, or Organization)

IEEE Membership

Duration of the Project

Withing 6 months

Withing 12 months

Project Period

Mention the Project Period

Project/Activity/Event Title

Project/Activity/Event Description

0 of 50 max words

OU name(s), that work together

Funding Requested

Seeking proposals in the US $1,000-$10,000 range.

Project/Activity/Event Funding Breakdown for each OU

Identify major expenditures, Other expenses.

Upload Budget Excel Document

Maximum file size: 5MB

In one Excel file, please include the following sheets: 1) Total budget summary (1 sheet), 2) Breakdown budget for each OU (1 sheet for each OU). Max 5 MB

Plan for Fund Management

0 of 50 max words

Please indicate whether funds will be managed by IEEE Section/Chapter, or others.

Key Objectives, Milestones, and Timeline

0 of 250 max words

Please indicate alignment with IEEE Strategy, comment on the impact, and consider the full lifecycle and long-term sustainability, if applicable.

Expected Results in 2-5 Key Measurements

0 of 100 max words

Identify top goals (outcomes) and how they will be measured.

Top impacts expected

Lead Team Members with Short Biographies

Limit to 300 words/each

Upload Principles of Business Conduct/Conflict of Interest form

Maximum file size: 10MB

Individuals involved in making procurement decisions or other activities that could represent a potential COI must complete and submit the Principles of Business Conduct/Conflict of Interest form (IEEE R10 New Initiatives Program TOR) with the proposal application. Project proposer(s) must also submit disclosure forms for the vendor and contract(s) exceeding US$5000, which will require IEEE Finance approval. https://www.ieee.org/about/compliance/conflict-of-interest/coiandpob.html

Upload Proposal Document

Maximum file size: 10MB

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