Notification of Intent to Seek External Grants or Fellowships

(*) denotes required information.

* Name:

* Phone:

* Email:

* Department:

* Project Name:

* Anticipated Start Date:

* Have you already identified funding sources for your project?
Yes No

* If you have already identified funding sources, please list them. If not, write "N/A."

* Brief (1-2 sentences) description of project:

Faculty Staffing Impact (course release, sabbatical, research leave, summer salary).

* Will you request a course release?
Yes No

If you plan to request a course release, have you already received approval from your department chair?
Yes No

* Will you request summer salary?
Yes No

* Will you be applying for a sabbatical?
Yes No

* Will you be applying for a research leave?
Yes No

* Describe any administrative assistant staffing impact. If none, write "N/A."

* Describe any other personnel, equipment, or space impact. If none, write "N/A."

* Are matching funds required by the funder?
Yes No