Please read and delete before printing this page.
This form is intended to suggest a format for you to use. Before printing, feel free to modify
this form by removing, adding, or changing who needs to sign as needed. NOTE: The
president’s signature is only needed when establishing a NEW Center or Institute.
Proposal for (Establishment or Renewal) of
_________________(Name of Center/Institute)__________________
Approval Signatures
____________________________________________________
Name, Director
___________
Date
Chair(s)
____________________________________________________
Name, Department
___________
Date
Dean(s)
____________________________________________________
Name, College
___________
Date
Director(s)
____________________________________________________
Name, College
___________
Date
Administration
____________________________________________________
Kathleen E Halvorsen,
Associate Vice President for Research Development
___________
Date
____________________________________________________
David Reed, Vice President for Research
___________
Date
____________________________________________________
Richard Koubek, President
___________
Date
(Signature of the President is not required for a renewal)