Swenson College of Science and Engineering Roy LaBounty Senior Design Project Entrepreneur Fund Request Funding of up to $1,000 grants is provided by the Roy LaBounty Endowment Fund of the Swenson College of Science and Engineering. This funding is for the purpose of promoting entrepreneurship and business development initiatives for students in the UMD Swenson College of Science and Engineering. This form must be typed. We will not accept hand written requests. This form must be submitted with appropriate signatures. Spending must be associated with senior design project. Please attach a draft budget for your project. This could include equipment, supplies, and / or any products you anticipate needing to purchase for the project. Team Members_________________________________________________________________ ______________________________________________________________________________ Team Leader Email_____________________ Department_______________________________ (or person filling out form) Project Advisor_________________________________________________________________ Project Name___________________________________________________________________ Amount requested (up to $1,000) $___________ Total Anticipated Cost of Project $__________ Other sponsors_________________________________________________________________ Brief explanation of project and how funds will be used, and business/entrepreneurial implications. (may use a separate sheet of paper) Signature of Team Leader_________________________________________________________ (or person filling out form) Signature of Department Head _____________________________________________________ Please return to Carrie Kayes, Swenson College of Science and Engineering Development Office, 102Engr Bldg Office Use Only: Date Received_______________ Approved on________________ Approved or Denied by (initials)____________ Denied on_______________ Explanation___________________________________________________________ Notification to students_______________ Fund transfer to EFS #____________________________________ Date_______________ Created February 6, 2008/bjr Revised Feb 2016/clk