Date: Department of English Merrifield Hall Room 110 276 Centennial Drive Stop 7209 Grand Forks, ND 58202-­‐7209 Phone: (701)777-­‐3321 FAX: (701)777-­‐2373 Request for Funds (non-travel related) Name: Purpose of Expenditure (please give a brief description of this expenditure): Source of requested funds: EXPENDITURES COST (if the requested funds involve a speaker, please attach appropriate budget form) TOTAL: TOTAL AMOUNT REQUESTED: 1 In the space provided, please explain the activity for which you are requesting funds. ** Submit all materials to Eric Wolfe ** If permitted by UND policy, I authorize the requested funds in the amount of ____________. _______________________ Eric Wolfe _______________ Date Chair, Department of English I have reviewed this request for funds, have explained the relevant UND policies to the person submitting this request, and have verified that the amount of ____________ is allowable under UND policy. _______________________ Cheryl Misialek, Accounts Manager Department of English _______________ Date 2