DoD Cyber Scholarship Program Grant Proposals

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Overview

Privacy Act-Agency Disclosure
Recruitment - Basic
Recruitment -Student Ranking
Retention - Annex I
Capacity Building - Annex II

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Sheet 1: Privacy Act-Agency Disclosure

PRIVACY ACT STATEMENT:
Authority for collecting information requested on the DoD Cyber Scholarship Program Application is contained in 5 U.S.C. Section 4101-4121, 10 U.S.C. §2200, Executive Order 13111, Executive Order 11348, as amended, and DoD Directive 8500.2. DoD’s Blanket Routine Uses (found at Appendix C of 32 CFR Part 310) and the specific uses found in GNSA27 apply to this information. The requested information will be used to determine eligibility for the DoD Cyber Scholarship Program. Disclosure of the requested information is voluntary. However, failure to provide the requested information will prevent the processing of your application and the determination of your eligibility for the DoD Cyber Scholarship Program.
AGENCY DISCLOSURE NOTICE:
AGENCY DISCLOSURE NOTICE The public reporting burden for this collection of information, 0704-0486, is estimated to average 44 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or burden reduction suggestions to the Department of Defense, Washington Headquarters Services, at [email protected]. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

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Sheet 2: Recruitment - Basic

BASIC (Recruitment Scholarships)
	ENTER INSTITUTION NAME						FILL IN ONLY THE YELLOW SHADDED BLOCKS
							LAPTOPS*		Each institution handles the issuance of laptops differently. In order to accomdate those differences, the laptop allowance is identified in two locations. Pick the one location that works best for your institution.
	NEW
	RETURNING
	Tuition Calculations
	Enter number of credits for full-time enrollment				0	(This number will be used to determine tuition in line 17 and 29)
	If requesting additional credits please provide the cost per credit				$-	Fees per credit	$-	Total Amount	$-	(This number will be used to determine additional tuition in line 18 and 30) (Use per credit cost X additional credits requested as the calculation. Example: $590 + $78 X 12 = $8016)
A	Student Costs
	DIRECT COSTS	New DoD CySP Applicants
		Community College						Undergraduate						Graduate
		In-State		Online		Out-of-State		In-State		Online		Out-of-State		In-State		Online		Out-of-State
	Number of Students	0		0		0		0		0		0		0		0		0
	Name of Students
	Tuition	$-	$-	$-	$-	$-	$-	$-	$-	$-	$-	$-	$-	$-	$-	$-	$-	$-	$-
	Additional Credits	0	$-	0	$-	0	$-	0	$-	0	$-	0	$-	0	$-	0	$-	0	$-
	Fees / Health Insurance	$-	$-	$-	$-	$-	$-	$-	$-	$-	$-	$-	$-	$-	$-	$-	$-	$-	$-
	Stipend	$22,000.00	$-	$22,000.00	$-	$22,000.00	$-	$27,000.00	$-	$27,000.00	$-	$27,000.00	$-	$32,000.00	$-	$32,000.00	$-	$32,000.00	$-
	Laptop*	$1,500.00	$-	$1,500.00	$-	$1,500.00	$-	$1,500.00	$-	$1,500.00	$-	$1,500.00	$-	$1,500.00	$-	$1,500.00	$-	$1,500.00	$-
	Books	$1,250.00	$-	$1,250.00	$-	$1,250.00	$-	$1,250.00	$-	$1,250.00	$-	$1,250.00	$-	$1,250.00	$-	$1,250.00	$-	$1,250.00	$-
	Total	$24,750.00	$-	$24,750.00	$-	$24,750.00	$-	$29,750.00	$-	$29,750.00	$-	$29,750.00	$-	$34,750.00	$-	$34,750.00	$-	$34,750.00	$-
	DIRECT COSTS	Returning DoD Scholars
		Undergraduate						Graduate
		In-State		Online		Out-of-State		In-State		Online		Out-of-State
	Number of Students	0		0		0		0		0		0
	Name of Students
	Tuition	$-	$-	$-	$-	$-	$-	$-	$-	$-	$-	$-	$-
	Additional Credits	0	$-	0	$-	0	$-	0	$-	0	$-	0	$-
	Fees / Health Insurance	$-	$-	$-	$-	$-	$-	$-	$-	$-	$-	$-	$-
	Stipend	$27,000.00	$-	$27,000.00	$-	$27,000.00	$-	$32,000.00	$-	$32,000.00	$-	$32,000.00	$-
	Books	$1,250.00	$-	$1,250.00	$-	$1,250.00	$-	$1,250.00	$-	$1,250.00	$-	$1,250.00	$-
	Total	$28,250.00	$-	$28,250.00	$-	$28,250.00	$-	$33,250.00	$-	$33,250.00	$-	$33,250.00	$-
B	Faculty and Staff						Fringe Benefits
		Name	# Months	Rate	Total				$$	Rate	Total
	PI		0	$-	$-		PI	0	$-	0.00%	$-
	Faculty 2		0	$-	$-		Faculty 2	0	$-	0.00%	$-
	Admin 1		0	$-	$-		Admin 1	0	$-	0.00%	$-
	Admin 2		0	$-	$-		Admin 2	0	$-	0.00%	$-
	Community College Partner		0	$-	$-		Community College Partner	0	$-	0.00%	$-
	Community College Partner		0	$-	$-		Community College Partner	0	$-	0.00%	$-
	Other Staff		0	$-	$-		Other Staff	0	$-	0.00%	$-
	Total				$-		Total				$-
C	Other*
	Student Laptop*		0	$1,500.00	$-
	Faculty Travel to CySP event		1	$1,750.00	$1,750.00		If partnering with a Community College CAE, you may add an additional trip for the Community College PI
	Scholar Security Cert Fee		0	$-	$-		Must state what other is.
	Total				$1,750.00
	Total Direct Costs
	A+B+C				$1,750.00
	INDIRECT COSTS
D	F&A
				Rate	Total
	Percent Rate		$1,750.00	0%	$-		It is the CAE's responsbility to validate F&A rates are currently being charged on the correct items.
	TOTAL
	C+D				$1,750.00
	PLEASE DOUBLE CHECK ALL CALCULATIONS!!!

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Sheet 3: Recruitment -Student Ranking

Basic Recruitment Student Endorsement and Ranking
	ENTER INSTITUTION NAME
Instructions for New DoD CySP Applicants										Instructions for Returning DoD CySP Applicants
• Only identify students that you endorsed as either "Highly Recommended or Recommended" through the AVUE tool • Please indicate the degree program for each student submitted through the AVUE tool (for dual programs: place an X in both Undergrad and Grad) • Please indicate if the student requires In-State or Out-of State tuition. If your university does not charge different rates, select In-State										• Only use this section for returning DoD CySP Scholars • Please indicate the degree program for each Returning Scholars • Please indicate if the student requires In-State or Out-of-State tuition. If your university does not charge different rates, select In-State
NEW DoD CySP APPLICANTS										RETURNING DoD CySP Scholars
Numerically Ranked	Student Name (LAST NAME, First Name)	Student Breakout								Numerically Ranked	Student Name (LAST NAME, First Name)	Student Breakout
		Community College	Undergraduate	Graduate	In-State	Online	Out-of-State	# Additional of Credits				Undergraduate	Graduate	In-State	Online	Out-of-State	# Additional of Credits
1										1
2										2
3										3
4										4
5										5
6										6
7										7
8										8
9										9
10										10
11										11
12										12
13										13
14										14
15										15
16										16
17										17
18										18
19										19
20										20
21										21
22										22
23										23
24										24
25										25
ADD MORE ROWS IF NEEDED

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Sheet 4: Retention - Annex I

Retention Scholarships - Annex 1
	ENTER INSTITUTION NAME
									OPTION - STUDENT OPTIONS - MAXIMUM NUMBER - NDU PARTNERSHIPS ONLY
	DIRECT COSTS	CURRENT ANNEX 1 STUDENTS							If you particpate in ANNEX I (NDU Partnership) and accept new students this funding year, indicate the number of students you can accept below. If a student selects your school and option will be exercised based on the figures below.
	Students
	FILL IN ONLY THE YELLOW SHADDED BLOCKS								FILL IN ONLY THE GREY-PURPLE BLOCKS
	# of students	Community College	0	Masters	0	PhD	0				Masters	0	PhD	0
	Tuition	$-	$-	$-	$-	$-	$-			Tuition	$-	$-	$-	$-
	Fees	$-	$-	$-	$-	$-	$-			Fees	$-	$-	$-	$-
	Books	$1,250.00	$-	$1,250.00	$-	$1,250.00	$-			Books	$1,250.00	$-	$1,250.00	$-
											$1,250.00	$-	$1,250.00	$-
A	Total	$1,250.00	$-	$1,250.00	$-	$1,250.00	$-
	Faculty and Staff
	Position:	Name	# Months	Rate	Total					Name	# Months	Rate	Total		Tot. Dir. Costs	Rate	Total
	PI		0	$-	$-					0	0	$-	$-		$-	0%	$-
	Faculty 2		0	$-	$-					0	0	$-	$-
	Admin 1		0	$-	$-					0	0	$-	$-		Max Student Option		$-
	Admin 2		0	$-	$-					0	0	$-	$-
B	Total				$-								$-
	Fringe Benefits										$$	Rate	Total
			$$	Rate	Total					0	0.00	0.00%	$-
	PI	0	0.00	0.00%	$-					0	0.00	0.00%	$-
	Faculty 2	0	0.00	0.00%	$-					0	0.00	0.00%	$-
	Admin 1	0	0.00	0.00%	$-					0	0.00	0.00%	$-		**Student travel is only for students who are required to be on campus one weekend a month per residency requirements of the degree program. Students are not eligible for funding if they choose to be on campus and are not required to be there as part of the degree program. For example: Student A is required to be on campus as part of his/her cohort in a Doctoral Program. NOTE: Students must follow: * the posted Government Per Diem or University Per Diem rates * the posted Government Travel Process or University Travel Process * Students who are within 50 miles of the campus are not authorized travel funding
	Admin 2	0	0.00	0.00%	$-						0.00		$-
C	Total		0.00		$-
										Other - note, student related items added above
	Other - note, student related items added above										# trips	amount	Total
			# trips	amount	Total					Student Travel**	0	$1,750.00	$-
	Travel Faculty		1	$1,750.00	$1,750.00								$-
D	Total				$1,750.00
	Total Direct Costs									B+C+D			$-
E	A+B+C+D				$1,750.00
										Tot. Dir. Costs		Rate	Total
	INDIRECT COSTS									SEE NOTE	$-	0%	$-
	F&A
		Tot. Dir. Costs		Rate	Total
F	Percent Rate	SEE NOTE	$1,750.00	0%	$-
										Admin Option			$-
G	GRAND TOTAL OF ANNEX I STUDENTS				$1,750.00
	*value will change once a percent factor is applied.									Max Student Option			$-
										Total Option			$-
	F&A NOTE:			F&A Percent calculation is on what your university is authorized to charge on. In this form it is based upon "C", but this may not be applicable to all of the universities.
	CURRENT STUDENT NAMES:				YEAR	ANTICIPATED GRAD DATE	ORIGINAL AWARD DATE

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Sheet 5: Capacity Building - Annex II

ANNEX 2 CAPACITY
	ENTER INSTITUTION NAME
	DIRECT COSTS
	Project Name	Outreach to DoD					Project Name	Outreach to Academia
	Faculty and Staff						Faculty and Staff
	Position:	Name	Months	Rate	Total		Position:	Name	Months	Rate	Total
	PI		0	$-	$0.00		PI		0	$-	$0.00
	Faculty 2		0	$-	$0.00		Faculty 2		0	$-	$0.00
	Faculty 3		0	$-	$0.00		Faculty 3		0	$-	$0.00
	Faculty 4		0	$-	$0.00		Faculty 4		0	$-	$0.00
A	Total				$0.00		Total				$0.00
	Fringe Benefits						Fringe Benefits
			$$	Rate	Total				$$	Rate	Total
	PI		0.00	0.00%	$0.00		PI		0.00	0.00%	$0.00
	Faculty 2		0.00	0.00%	$0.00		Faculty 2		0.00	0.00%	$0.00
	Faculty 3		0.00	0.00%	$0.00		Faculty 3		0.00	0.00%	$0.00
	Faculty 4		0.00	0.00%	$0.00		Faculty 4		0.00	0.00%	$0.00
B	Total		0.00		$0.00		Total		0.00		$0.00
	Other						Other
			#	Cost	Total				#	Cost	Total
	Equipment		0	$-	$0.00		Equipment		0	$-	$0.00
	Travel		0	$1,750.00	$0.00		Travel		0	$1,750.00	$0.00
	Admin		0	$-	$0.00		Admin		0	$-	$0.00
	Other*		0	$-	$0.00		Other*		0	$-	$0.00
	Other*		0	$-	$0.00		Other*		0	$-	$0.00
C	Total				$0.00		Total				$0.00
	Total Direct Costs						Total Direct Costs
D	A+B+C				$0.00		A+B+C				$0.00
	F&A						F&A
		Tot. Dir. Costs (may not include particpant costs, or dissertation costs.)		Rate	Total			Tot. Dir. Costs (may not include particpant costs, or dissertation costs.)		Rate	Total
E	Percent Rate		$0.00	0%	$0.00		Percent Rate		$0.00	0%	$0.00
	TOTAL						TOTAL
F	D+E				$0.00		D+E				$0.00
Grand Total					$0.00