Funding Opportunities Request Form

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Funding Opportunities Request Form
Faculty Name ________________________________________________________
School
________________________________________________________
Department
______________________________
Rank ______________
Office Phone Number ______________________ Email ______________________
Tenure
_________________________
Non Tenure
______________
Cumulative Years of Service ____________________________________________
Number of Years with DSU ____________________________________________
Degree _______________ Discipline
_______________ Year Awarded ______
Please submit a current via (updated within the past year).
Languages Spoken
__________________________________________________
U.S. Citizenship
________________ Permanent Resident ________________
If no, National of
___________________________________________________
RESEARCH INTEREST:
1. What topic(s) are you interested in investigating? Do you have proposal ideas or research
questions, which beg an answer?
2. In general, what do you see as being mainstream research topics in your field?
a. ________________________________________________
b. ________________________________________________
c. ________________________________________________
d. ________________________________________________
3. How do you find out about requests for proposals (RFPs) and other external solicitations?
4. Describe your research experiences within the last five years. You may attach a copy of the project
summary. (List additional projects on separate sheet of paper)
Project Title: _______________________________
Funding Agency: ___________________________
Name PI/PD: ______________________________
Duration:
From ____________ To ____________
Award Amount: _____________________________
Synopsis: ____________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
5.
List keywords that will describe your research interests and expertise.
a. ____________________________
d. __________________________
b. ____________________________
e. __________________________
c. ____________________________
f.
__________________________
6. Review Panels: __________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
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