CLA Brain Imaging Infrastructure Funding Application

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College of Liberal Arts
Application for Funding for Brain Imaging Infrastructure
Deadline: Friday, May 15, 2015
Application for CLA Research Supplements for Brain Imaging Infrastructure (e.g., equipment, supplies,
computer hardware and software, etc.). Applications must include the signature of your unit chair/director.
Applications are due in the Office of Research and Graduate Programs, 113 Johnston Hall or by email to
[email protected] by noon, May 15, 2015
Name:
Rank:
Department:
Email:
Campus Address:
Please indicate if this is a joint proposal and if so, with whom?
Brief proposal:
Include a proposal up to two pages and list any additional faculty or graduate students who are involved.
Proposal Budget:
Include itemized budget for all items up to $10,000.
Please indicate any set-up, retention, grant funding or other funding that you propose to
contribute to the overall cost of the project. (Cost share is not required, but should be considered
if appropriate).
Total dollar amount requested?
EFS string for fund transfer?
1
___________________________________
Applicant Signature
____________________
Date
___________________________________
Chair’s/Director’s Endorsement
____________________
Date
___________________________________
Funding Approved by
____________________
Date
Submit application form:
Office of Research and Graduate Programs
College of Liberal Arts
113 Johnston Hall; Delivery Code 3774
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