APPENDIX B

AWARDS TO LOUISIANA ARTISTS AND SCHOLARS (ATLAS) PROGRAM
	        PROPOSAL SUBMISSION FORMS

                                                             Form 1: ATLAS Cover Page
                                                             Form 2: ATLAS Budget Form
                                                             Form 3: ATLAS Notice of Intent Pages

COVER PAGE FOR REGENTS AWARDS TO LOUISIANA ARTISTS AND SCHOLARS PROGRAM PROPOSALS
BOARD OF REGENTS SUPPORT FUND, FY 2010-11

1. Submission Category:    __ Humanities                 __ Arts
   (check one)                     __ Social Sciences	
(For Board of Regents' Use Only)
Application Number:	

2. Name(s) of Submitting Institution(s) of Higher Education:          
   (Include Branch/Campus/Other Components)	

3. Address of Institution of Higher Education:
   (Include Dept/Unit, Street Address/P.O. Box Number,
   City, State, Zip Code)	

4. Title of Proposed Project:

5. Proposed Duration:
   (Circle One)    One semester   Academic Year   Other	
6. Total Funds Requested:
    $	
7.  Primary Discipline in Which Proposal Is Submitted (check one only):	
Humanities:
__  Art History, Theory, & Criticism
__ English Language & Literature
__ Foreign Language & Literature
__ History
__ Linguistics 
__ Music History, Theory, & Criticism
__ Philosophy
__ Religion 
__ Humanities - Other    
	Creative Arts:
__ Performance Arts
     __ Dance/Choreography
     __ Drama/Theater Arts
     __ Music Composition
     __ Filmmaking/Video & Audio    
__ Studio Arts
     __ Painting, Sculpture & Installation Art
  __ Photography
     __ Digital Art 
     __ Design (including landscape & industrial)
__ Creative Writing
     __ Fiction    
     __ Poetry    
  __ Creative Nonfiction    
__ Creative Arts - Other    	Social Sciences:
__ Anthropology/Archaeology
__ Economics
__ Geography     
__ Law
__ Planning    
__ Political Science    
__ Psychology
__ Sociology/Social Work
__ Social Sciences - Other

8. Does This Proposal Contain Confidential or Proprietary Information Which Falls Into a Category Described in R.S. 44:4(16)? 
      __ YES            __ NO              	(NOTE:  If YES, the proposal MUST be appropriately marked.)	

By signing and submitting this proposal, the signators are certifying that:  (1) the proposed research has not already been funded/is not currently being funded/has not been promised funding; (2) this proposal has been approved by an Institutional Screening Committee; and (3) the institution and the proposed project are in compliance with all applicable Federal and State laws and regulations, including 45CFR 620, Subpart F (Requirements for a Drug-Free Workplace).	

	Name/Title (typed)
	Institution (if different from #2 above)	
	Dept./Telephone #
              FAX #	
	    Highest Degree/Year	
	Signature	

Principal Investigator/Project Director:

	

Co-PI/PD:

	

Other Investigator:

	

	Campus Head/Authorized Campus Representative	
	                               Dean	
	Authorized Fiscal Agent	

Name/Title: (typed)

Name/Title: (typed)	
Name/Title: (typed)	

Signature:
	
Signature:	
Signature:	

Date:	
Telephone Number:
     	
Date:	
Telephone Number:
     	
Date:	
Telephone Number:

	

	BOARD OF REGENTS SUPPORT FUND
	REGENTS AWARDS TO LOUISIANA ARTISTS AND SCHOLARS PROGRAM
	FISCAL YEAR 2010-11
                                        
	BUDGET
	PROJECT YEAR:  2011-12
	
Title of Proposed Research: _________________________________________________________

Principal Investigator(s): ___________________________________________________________

Institution(s) of Higher Education: ____________________________________________________

I.  PROPOSED BUDGET:
                             		Support Fund 		Institutional     		Private Sector/
                              		Money Requested           	  Match*          		 Other Match** 
    
    A.  Salary Support   
     	  1. Faculty Salary    	 $_____________     	$_____________   	$_____________
        2. Fringe Benefits
           (% of A.1)          		   _____________      	   _____________    	   _____________
        3. Graduate Asst.  		   _____________       	   _____________   	   _____________
        4. Student Asst.      		   _____________     	   _____________   	   _____________
        5. Subtotal A        		 $_____________    	 $_____________    	$______________

    B.  Supportive Expenses:

        1. Travel             		$_____________     	$_____________   	$ _____________
        2. Publishing Costs    		  _____________      	  _____________   	   _____________
        3. Other Expenses (Identify)
           a.                  		  _____________       	  _____________    	   _____________
           b.                  		  _____________      	  _____________    	   _____________
        4. Subtotal B         		$_____________     	$_____________    	$_____________

    C.  Overhead:

        1. 				$ NOT PERMITTED    	$_____________  	 $_____________

    TOTAL PROJECT COST:       	$_____________     	$_____________   	$_____________

*	Stipulate for all institutional and private sector matching funds whether in-cash or in-kind.  
**	The budget page(s) must reflect and the budget justification page(s) must explain any external funds that are claimed in the proposal. These funds must be itemized and their expenditure accounted for in the same manner as Support Fund money and institutional match.  Refer to Section II.F of this RFP for details on matching requirements. 

II.  BUDGET JUSTIFICATION:  Attach a Budget Justification page to the submitted budget page. 

Each line item on the preceding budget page under "Support Fund Money Requested" must be itemized, fully explained, and justified in terms of the project for which support is requested.  Each line item under Institutional Match and Private Sector/Other Match must also be itemized, explained, and justified.					

BOARD OF REGENTS SUPPORT FUND
	REGENTS AWARDS TO LOUISIANA ARTISTS AND SCHOLARS PROGRAM
       
 NOTICE OF INTENT, FY 2010-11

1. General Category:        __ Arts                        __ Social Sciences
   (check one)
                                     __ Humanities	
(For Board of Regents Use Only)
Application Number:	

2. Title of Proposal:

3.	Name/Title (typed):

Principal Investigator/Project Director:

	
                 Dept/Institution/Telephone #:	
  Highest Earned
   Degree/Year:	

Co-Principal Investigator:

	

Other Investigator:

	

4. Name(s) of Submitting Institution(s) of Higher Education:
   (Include Branch/Campus/Other Components)

5. Address of Institution of Higher Education:                                    
   (Include Dept/Unit, Street Address/P.O. Box Number,
   City, State, Zip Code)

6. Support Funds Requested:
    $	
7. Proposed Duration:

    (Circle Duration)   One semester     Academic Year      Other (Specify)	
8.  Category in Which Proposal Will Be Submitted (check one only):	
Humanities:
__  Art History, Theory, & Criticism
__ English Language & Literature
__ Foreign Language & Literature
__ History
__ Linguistics 
__ Music History, Theory, & Criticism
__ Philosophy
__ Religion 
__ Humanities - Other    
	Creative Arts:
__ Performance Arts
     __ Dance/Choreography
     __ Drama/Theater Arts
     __ Music Composition
     __ Filmmaking/Video & Audio    
__ Studio Arts
     __ Painting, Sculpture & Installation Art
  __ Photography
     __ Digital Art 
     __ Design (including landscape & industrial)
__ Creative Writing
     __ Fiction    
     __ Poetry    
  __ Creative Nonfiction    
__ Creative Arts - Other    	Social Sciences:
__ Anthropology/Archaeology
__ Economics
__ Geography     
__ Law
__ Planning    
__ Political Science    
__ Psychology
__ Sociology/Social Work
__ Social Sciences - Other
	
9. Will Proposal Contain Confidential or Proprietary                                               __   YES          __   NO 
      Information Which Falls Into a Category Described in R.S. 44:4(16)?  If Yes, and if any of the proprietary or confidential information is contained in the attachments to this Notice of Intent, the applicant must clearly mark--in the manner described in the current Support Fund R & D RFP--each page containing the information to be protected.	

Notice of Intent	Support Fund ATLAS Program	Page 2 of 2

10. Project Summary:  (Do Not Exceed 250 words)