Kelly Memorial Fund for US-Japan Scientific Cooperation

This form is to be used to apply for the Kelly Memorial Fund for US-Japan Scientific Cooperation. You may complete the form in one sitting or use the "save and continue" option to return at a later time. If you encounter technical issues with the form, please email ncstateglobal@ncsu.edu.

Faculty/staff info
Name*
Prefix First Name Last Name
Email*
NC State Address
Street Address Address Line 2 City State ZIP Code
NC State Phone
Position/Title
College*
Please select your primary college affiliation.
Other college
Department/unit
Project Details
Project Title*
Total Amount Requested*
Partner institutions
Please indicate any partner institutions involved in the project.
Start Date of Project*
Date Format: MM slash DD slash YYYY
Duration of Project*
Relevance to the UN Sustainability Development Goals*
Please select the goal(s) (you may select up to three) that best align(s) with your proposal. Use the "ctrl" button to select multiple.
Name of Collaborating, Japan-based Institution/Organization*
Project Description*
Executive summary-type description of project (maximum 250 words). Please include expected deliverables of this project.
"Vision" for Sustained Relationships and Visibility*
Please include how applicant’s project will lead to sustainable relationships with collaborating, Japan-based institutions/organizations, and will benefit and provide visibility for NC State, the Office of Global Engagement, and the NC Japan Center (maximum 250 words).
Itemized Projected Budget for this Project*
This can be a simple table inserted into this document; please remember that the NC Japan Center does ask applicants for a 25% cost-match of total budget from internal or external sources; this can be “in-kind,” with a proper description. Cost match source must be documented, with appropriate signature, appended to this application.
List any prior Funding received from the Office of Global Engagement or NC Japan*
Include grant name, project title, and year, as well as resultant deliverables from grants. (maximum 150 words, total.)
Required Appendices
Letters of Support*
Please upload ONE letter of support/signature from applicant’s direct supervisor or department head and ONE letter of support/signature per collaborating, Japan-based institution or organization (director-level)
Drop files here or

Accepted file types: pdf.
Confirmation of Cost Match*
Please upload a cost match source document, with appropriate signature.
Drop files here or

Accepted file types: pdf.
Additional documentation (optional)
If applicants wish to include more information RELEVANT to current application, they may attach appendices (maximum 2 pages, 11 point font, double-spaced). This may include, but is not limited to: publications, grant funds leveraged, students trained, press coverage or popular articles specifically relevant to the proposal.
Drop files here or

Accepted file types: pdf.
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Phone
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Kelly Memorial Fund for US-Japan Scientific Cooperation

Faculty/staff info

Project Details

Required Appendices