Summary: This form is used to obtain the signature(s) of the appropriate department chairman and dean of any professional personnel
outside your department or school who have agreed to participate as a training faculty member on your grant. The form should
be completed for submission with your grant proposal to the Dean's Office, School of Medicine, Office of Grants & Contracts
Administration, McKim Hall 3115.
For informational purposes: PHS398, p.41, subsection B. OTHER SUPPORT:
o "Other Support includes all financial resources, whether Federal, non-Federal, commercial or institutional, available in
direct support of an individual's research endeavors, including but not limited to research grants, cooperative
agreement, contracts, and/or institutional awards. Training awards, prizes, or gifts are not included."
Agreement to Participate as Training Faculty Member
Institutional Research Training Grants
Not assigned to Principal Investigator or program Director's Department
Training Grant PI Preparation Date
Sponsor Budget Period to
Name & Signature of
Participating Faculty Member