STRATEGIC INVESTMENT PROGRAM 2015-16 SIGNATURE PAGE FOR ASSIGNED TIME FUNDING REQUEST

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STRATEGIC INVESTMENT PROGRAM 2015-16
SIGNATURE PAGE FOR ASSIGNED TIME FUNDING REQUEST
A Signature Page should be completed for each PI requesting assigned time funding as part of a proposal
to the Strategic Investment Program. If no assigned time funding is requested, these pages should not
be included. All information except signatures must be typed. Forms with signatures must be scanned
and included with the rest of the application materials in a single pdf file sent to csucoast@csumb.edu.
Principal Investigator:
# of WTUs Requested:
Academic Rank (e.g. Full Professor):
Semester or Quarter:
Academic Term to Apply WTUs:
Signature:
Date:
Chair:
Department:
Email:
Phone:
Signature:
Date:
Dean:
College:
Email:
Phone:
Signature:
Date:
Campus Pre-Award Officer:
Email:
Signature:
Phone:
Date:
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