All Fields Required
1. Name
2. Department
3. Total amount of funds requested
(maximum $1200)
4. Date of Proposal
5. Date(s) of Activities
6. Activity/Purpose of Funding Request
7.
Clearly describe the nature of the project/travel
and how it will enhance your professional life, your effectiveness as a classroom teacher and/or scholar. Attach a copy of any printed material that relates to the project. (1000 characters max) *
8. Identify the costs of the project
, specifying all expenses for which you are requesting reimbursement.
9. Clearly state the time schedule for this project
and plans for coverage of campus responsibilities.
(1000 characters max)*
10. Have you applied for or received any other funding for this activity?
If yes, from which source and for what amount? If no, please state reason for not applying or reason for denial. (1000 characters max) *
Contact Information