NSF UWF Faculty ADVANCE Program Faculty Career Networking and Grant Proposal Development Award Signature Form Date: _______________ Faculty name: __________________________ E-mail: __________________________ Department: _______________________ Faculty networking partner: __________________________ E-mail: ____________________ Proposal Title: ______________________________________________ 1. (Optional) Identify potential funding opportunit(ies) that you wish to apply in the coming 12 years. Contact the grants specialist for your area to review for eligibility or issues relating to submission. Name of Agency: _______________________________ RFP link: _______________________________ 2. Support and Amount of Funds Requested (be specific, such as summer stipend, graduate assistance, travel expenses, including other potential sources of funding, etc.) ______________________ Approvals: Chair: Typed/Printed Name: ______ Date: Dean: Typed/Printed Name: ______ Date: AVP: Date: Rick Harper, PhD Return this completed form to the ADVANCE office, Bldg. 41, room 244.