Proposal Transmittal Log #_________________________ Date ________________________
Disclosure Made By ______________________________________________________________
Project Title ___________________________________________________________________
Sponsoring Agency _______________________________________________________________
Initial Review Authority ________________________________________________________
Significant Financial Interests have been disclosed, reviewed by the SFI Review
Committee named below, and resolved as follows:
__________ 1) The Interests do not require any further action or imposition of
conditions, and the Investigator may proceed with the proposed activity.
__________ 2) The Interests require the imposition of conditions, as specified in the
Memorandum below, to resolve or mitigate the Interests before the
Investigator can participate in the proposed activity.
__________ 3) The Interests present a conflict of interest which cannot be resolved,
and the award will be refused by NDSU.
|
Memorandum-of-Understanding(if appropriate): Please attach a sheet if additional space is
needed.
If this Memorandum-of-Understanding is executed, the Investigator agrees to abide for by the condition set forth above. Investigater_______________ Date_________________________ |
________________________________________________________________________________
College Dean or Administrative Head Date
________________________________________________________________________________
Member, Research & Consulting Committee Date
________________________________________________________________________________
Dean, Graduate Studies and Research Date
(Original document is filed in Office of Graduate Studies and Research, 1735
NDSU Research Park Drive, with copies to those signing.)