Institute for Society, Culture and Environment (ISCE) Institute for Critical Technology and Applied Science (ICTAS) Ethical Development of Autonomous Vehicle Technologies Project Title: Click here to enter text. Total Budget Request: Click here to enter text. PI and Team Members [Please Print/Type]: I agree to the condition of participation in the ED-AVT Program and understand that unused funds will be returned to ISCE/ICTAS. Click here to enter text. Name (PI) Department email Department email Department email Department email Click here to enter text. Name Click here to enter text. Name Click here to enter text. Name Signatures of Department Head/Chair or Center Director: I support the faculty member’s participation in the ED-AVT Program and understand that funds are to be used for designated expenses in accordance with University policies. All unused funds will be returned to ISCE/ICTAS. Click here to enter text. Name [print/type] Department email __________________________________________________________________________________________ Signature Date Click here to enter text. Name [print/type] Department email __________________________________________________________________________________________ Signature Date Click here to enter text. Name [print/type] Department email __________________________________________________________________________________________ Signature Date Click here to enter text. Name [print/type] Department email __________________________________________________________________________________________ Signature Date 1