Effort Certification

Morehouse College Sponsored Projects Effort Certification Form

Every Morehouse College employee who is paid from federal funding must submit an Effort Certification Form for every month that they receive compensation from said grant(s). The form will be routed to your direct supervisor (or PI) for approval, then submitted to Grants Accounting.

Note: Division Deans, Program Directors, and Institute/Center Directors should select Academic Affairs as their Division/Area.

Name*

First Name

Last Name

Period Beginning*

Period Ending*

Email*

Morehouse M#*

Division/Area*

Name of supervisor/manager*

First Name

Last Name

Supervisor's Email*

Effort Breakdown

For sponsored projects/programs: list the name of the project and provide a brief summary of the tasks that were completed during the reporting period; Fund code (6-digit fund code); percentage of your time that was spent on each project during the reporting period. Your total effort must equal 100%.

1. Sponsored Project/Program

1. Fund #

1. Percentage of Effort

2. Sponsored Project/Program

2. Fund #

2. Percentage of Effort

3. Sponsored Project/Program

3. Fund #

3. Percentage of Effort

4. Sponsored Project/Program

4. Fund #

4. Percentage of Effort

Additional Sponsored Program effort

If you are paid from more than four grants, please list the program name(s), fund code(s) and % effort in the space above

List your effort on non-sponsored initiatives/programs (institutional), including teaching, below. Use Fund 100 for all institutional initiatives

5. Non-sponsored Instruction

5. Fund #

5. Percentage of Effort

6. Other non-sponsored

6. Fund #

6. Percentage of Effort

7. Other non-sponsored

7. Fund #

7. Percentage of Effort

Total*

I certify that this distribution of effort represents an accurate accounting of effort expended by the above named.

Signature of Employee*

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Use your mouse or finger to draw your signature above