Request for Funds – Funding Assistance Program
Name:
Status:
Unit:
Academic Title/Affiliation:
Project Name:
Dates (From/To):
Please check all that apply:
Budget Details:
Faculty
Staff
Student
Estimated Expenses:
Alumni
Conference
Departmental Support
Editorship
Equipment
Guest Speaker
Journal
Non-Instruction salary support
Pre-Med
Recruiting
Total Estimated Cost:
Research
Unit Contribution:
Retention
Other Contribution:
Student Organization
Other Contribution:
Subvention
Total Remaining Estimated Cost:
Technology
Other (Specify)
________________________
Requested Funding Amount from CAS:
_
Please attach:



A brief one-two page narrative stating the purpose and benefits of the support to the applicant
A copy of any supporting documentation for the project
A letter of support from Chair/Director
Signature
Date
Applicant:
Chair/Director:
To be completed by
CAS Dean’s Office:
Signature
Previous:
Comments:
Date
Approved amount (up to):
Dean:
Please submit original form and supporting documentation to the CAS Dean’s office.
CAS DEAN
UPDATED
AP 8.25.14
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