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Please Note: Forms are available as PDF Forms or Microsoft Word Forms. For PDF Forms, please remember that the information entered directly into the form fields can be saved only with the full version (not the free version) of Acrobat Reader.

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Graduate School Forms

Graduate School Forms Form Name Purpose
Graduate Faculty Application Request Graduate Faculty Status
Temporary Approval to Teach Graduate Courses Faculty requesting temporary approval
Template for Memo requesting emeritus status for Graduate Faculty This status is distinct from Emeritus status
Course Changes Form Name Purpose
Guidelines For completing program and course requests
Form 89 Implement experimental courses
Form 90A (view in Explorer only) Add a course
Form 90B (view in Explorer) Delete a course
Form 90C (view in Explorer) Modify a course
Form 93 Add an off-campus course
Form 94 Add an online course
Program Changes Form Name Purpose
Program Priorities Request Request funding
Form 91A Change in academic program
Form 91B Terminate portion of program
Form 92A New unit of instruction-cover page
Form 92B Terminate program
Request for New Unit of Instruction (NPR) New unit of instruction
Routing Slip Form Name Purpose
Routing Slip Accompanies forms 90,91,92,93,94


 

Graduate Student Forms

Graduate Student Forms Form Name Purpose
Graduate Student Request Form Completed by students requesting transfer of credit, time extension or other special requests
Registration of Thesis Title Completed by graduate students
Graduation Application Completed by graduate students
Request for Additional Thesis Credit Completed by graduate students
Graduate Retention Form For graduate program advisers to complete
Graduate Assistantship Appointment Packet Form Name Purpose
GA Appointment Checklist Make sure all forms are completed
Assistantship Recruitment Routing Form Completed by hiring unit for GA position approval
Graduate School Bulletin Description of assistantship position to be posted
Graduate Assistant AA/EOA Form Reporting applicants and awardees for EOA office
Assistantship Application Form Completed by departments for students applying for GA
Assistantship Appointment GA contract completed by hiring unit
Statement of Purpose Collection of Social Security Number
Pre-employment Data Collection Form Completed by student at time of hiring
Employee & Graduate Assistant Data Collection and Data Change Form Completed by student at time of hiring. Data Collection form on Human Resources website
Certification of Oral English Proficiency Completed by department at time of hiring, if applicable
Selective Service Completed by student at time of hiring
Health Insurance Marketplace Information Health Insurance Coverage Options and State of Illinois Health Coverage
Loan Default, Tuition Waiver, Acknowledgement Loan Default Form, Tuition Waiver Release of Information Consent & Acknowledgement of Receipt
Direct Deposit Completed by student at time of hiring, if applicable
I-9 Form Completed by student at time of hiring
W-4 Federal Withholding Completed by student at time of hiring
W-4 State Withholding Completed by student at time of hiring
Foreign National and Non-resident Alien Payroll Tax Information Completed by student at time of hiring.
Mandated Child Abuse Reporting Completed by student at time of hiring.
Ethics Training Completed by graduate students who apply for or receive a tuition waiver.
Graduate Assistants Forms Form Name Purpose
Overload/Underload Petition Exception to enrollment requirements
Summer Tuition Waiver Completed by students requesting summer waiver
Job Change Request Form change of assignment
Termination of Employment Form terminate contract
Graduate Student Travel Grants Form Name Purpose
Graduate Student Travel Request Form Request funds supporting student travel to conferences.
Budget Worksheet Travel Cost Estimate
Liability Release Form Waiver of Liability
Clery Act Forms 3 nights or more. Form on SIUE Police Website
Chair Approval Form When not peer reviewed or invited
Temporary Export License Exception International travel
Financial Conflict of Interest Policy
Travel Expense Voucher Submit to Accounts Payble after Travel. Travel Guidelines


 

Research Forms

Quick Links

Go To:

External Grants

Form Name

Purpose

Grant and Contract Routing

Grant and Contract  Routing Form*

(for proposals and awards)

*Form must be downloaded and saved to your computer in order to save changes.

Get an up-to-date version of Adobe Reader

Mac User Instructions for Opening Adobe Forms (OU)

Obtain SIUE approval before submitting all external grants and contracts (including subcontracts)

Submit award documentation to set up grant account

How to route a grant.

Cost Sharing

Cost Sharing Policy

Procedures to follow before submission of a grant if your proposal contains institutional commitments in the budget.

Grant Management Handbook

Download the Post Award Grant Management Handbook

For more information about managing an active sponsored project, visit the External Grants Homepage.

Budget Preparation

Budget Worksheet

Template budget worksheet for calculating grant costs.

Grants vs. Gifts

Grant v Gift Checklist

Is this externally sponsored project a grant or a gift? Attach this checklist to the routing form if the sponsor is NOT provided directly by a government source at the federal, state or local level.

Subcontracts and Contractual Agreements

Subrecipient vs. Contractor Determination Form


Letter of Intent to Establish a Subagreeement Template

If your project budget includes subcontracts/ subawards, complete one "Subrecipient vs. Contractor Determination Form" per subaward or contract.

For each subaward per proposal, submit one "Letter of Intent to Establish a Subagreement."

Compliance

Form Name Purpose

Animal Care 

Animal Care Forms

Obtain SIUE approval for research involving animals

Animal Welfare Assurance Document (Word)

Animal Care Protocol (Word)

Continuing Review Report Form (PDF)

Continuing Review Report Form (Word)

Online Training and Certification for Animal Care

Visit the Animal Care Policy Page

Occupational Health and Safety Program For Research with Animals

Forms for all SIUE faculty, staff and students who have, or plan to have, regular contact with live vertebrate laboratory or wild animals,

Health History Evaluation and Vaccination History Form

Letter of Explanation for Your Doctor

Waiver & Release of Liability & Convenant Not to Sue

Vaccination Declination

Health History Evaluation and Vaccination History Form: Completed by Applicant as well as Applicant Doctor.

Letter of Explanation for Your Doctor

Waiver & Release of Liability & Convenant Not to Sue: Signed and Completed by Applicant

Vaccination Declination: Completed by Applicant if declining use of vaccinations

Biosafety

Application

 Risk-Assessment Tool 

Click here to view the Hazardous Chemicals List 

Export Controls

(incl. International Travel)

Temporary Export License Exception Form

Satisfy record-keeping requirements for export control regulation in connection with SIUE-related business

Financial Conflict of Interest

FCOI Disclosure Form_All Investigators including Lead

FCOI Disclosure Form_Lead Investigator Only

FCOI Disclosure Form for Travel

FCOI Disclosure Form: Additional Tables Sheet

FCOI Disclosure Form: Additional Tables Sheet for Stocks and Stock Options Only

FCOI Section VI Signature Page

Disclose Financial Conflicts of Interest
See the  Conflict of Interest Policy

See the Financial Conflict of Interest Procedure

General Conflicts of Interest

Conflict of Interest Disclosure Form

Disclose Conflicts of Interest
See Conflict of Interest Policy

Human Subjects

Human Subjects Forms

Obtain SIUE approval for research involving human subjects

a.IRB Protocol Application

Protocol Exemption Screening Test

Exempt Research Application

Tips for Preparing Exempt Application

IRB Regular Protocol Form

Approval of Ethnographic Research

*If you have questions about whether your research needs ethnographic review and approval, please contact Linda Skelton

b. Consent Forms 

Informed Consent Template for Subjects Over 18 Years of Age

Informed Consent Template for Subjects 17 years of Age or Younger-For Parents

Child Assent Form-For the Child

Informed Consent Template for Scholarship of Teaching and Learning

Recruitment Statement for Research Participation

Audio/Video/Digital Recording Release Consent Form

c. HIPPA Guide 

HIPPA Authorization Form

HIPPA Waiver Form

Examples of PHI Identifiers

HIPPA De-Identification Form

d. Other

Adverse Event/Unanticipated Problem Report

Continuing Review Request/Notice of Study Completion

SIUE Federal Wide Assurance for IRB

Responsible Conduct in Research

Read Guidelines for training students in Responsible Conduct in Research (RCR)

Intellectual Property

Technology Disclosure and Evaluation Request Form

Temporary Export License Exception Form

Satisfy record-keeping requirements for export control regulation in connection with SIUE-related business

Faculty Start-Up

Form Name

Purpose

New Faculty Start-Up Application Form

Apply to receive new faculty start-up funds. See instructions.

Internal Funding

Form Name

Purpose

S.T.E.P.

STEP Program Application Materials

(incl. Cover Page, Checklist, Guidelines, Previous Funding Form)

 STEP Award Guidelines

Hoppe

Hoppe Application Materials

Hoppe Award Guidelines

Vaughnie Lindsay New Investigator

Vaughnie Lindsay Application Materials

Vaughnie Lindsay Guidelines

School/College Evaluation Form

Committee Evaluation Form to submit to R&D

Paul Simon Teacher-Scholar

Paul Simon Application Materials

Paul Simon Award Guidelines

Distinguished Research Professor

DRP Application Materials

Dist. Research Prof. Guidelines

CARI

Competitive Application Resubmission Initiative Program Downloads

CARI Guidelines

Conferences & Workshops

Conferences & Workshops

Program Downloads

Conferences & Workshops Guidelines

Travel

Form Name

Purpose

Faculty/Staff Travel

Faculty/Staff Travel Request Form (latest update 6/4/15) and

Budget Worksheet

Chair Approval Form (for use when peer-review cannot be otherwise documented)

Financial Conflict of Interest Disclosure Form for Travel

Temporary Export License Exception Form

Request matching funds for travel to conferences. See Faculty/Staff Travel Instructions and Policy

Other Relevant Websites

Financial Conflict of Interest Policy (for trips funded by external parties)

Export Control Policy for International trips

SIUE AIS E-Forms : for travel vouchers  to be submitted to Accounts Payable

Travel Voucher Instructions by Accounts Payable

Graduate Student Travel Grants

Graduate Student Travel Request Forms

Publication/Production

Form  Name

Purpose

 

Publication and Production Cost Application Form

Request funds to support publication and production costs. See Guidelines to apply.

Copyright for Journals

Form Name

Purpose

Copyright for Journals Application Form


 

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