H&SS Strategic Excellence Funding Request Form
Name:
Email:
Department/Program:
Account number:
Amount Requested:
Matching Amount:
Source of Matching Funds:
Support Staff Contact:
Support Staff E-mail:
Describe your request below (maximum 300 words):
Explain how this request is directly related the H&SS Strategic Plan (maximum 300 words):
Requested by: _______________________________
Signature
Date: ________________
Approved by: _______________________________
Chair/Director
Date: ________________
Please scan and send to HSS-SEF@lsu.edu
College of Humanities & Social Sciences, Dean’s Office
132 Hodges Hall (225) 578-8273