Funding Interest Please complete this form to help the Office of Research and Sponsored Projects locate grant sources to support your interests and/or those of your department. This will also be used in sending out specific announcements with short deadlines. NAME TITLE DEPARTMENT EXTENSION EMAIL STATUS FULL TIME FACULTY OFFICE LOCATION PART TIME FACULTY STAFF 1. List key words that reflect your grant and project interests. 1. 2. 3. 2. Indicate if your interests involve: Graduate Student Research Undergraduate Research Curriculum Development Other 4. 5. 6. Staff Training / Professional Development Student Services (mentoring, tutoring) Equipment acquisition 3. Describe, in narrative form, your project ideas and interests. 4. Would you be interested in participating on a collaborative project or cross-disciplinary project? If so, in what areas? Yes No 5. Other Comments. You may email this form to ORSP@neiu.edu or drop it off in our offices: LWH 006a. Questions? Call extension 4674. D:\612931794.doc