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SIGNATURE:		DATE:

Summary of Project: State the purposes and goals of the project as well as procedures and anticipated outcomes. If you are requesting funds for an ongoing project, please summarize progress made to date, including publications, if any.   CFCD gives priority to applications for research funding at initial stages, normally in the first 2 years of a project. Please provide the Committee with the following information: (a) When did you commence work on this project? (b) When do you anticipate completion? (c) Have you received CFCD funding for this project in the past? If so when? (d) If the project involves the preparation of a publication, have you made any contractual arrangements with a publisher? (e) Please list grant applications you have submitted to outside funding sources on this project. If you have not applied for outside grants, please explain why this project is not appropriate for external funding. (f) Do you have any other research assistance provided through other sources of funding either from outside grants or through other College programs? (g) Does this project involve the use of human subjects? (This includes interviews and surveys.) If so, have you sought approval from the appropriate Institutional Review Board? BUDGET Research materials:

*Photocopying		$
*Supplies		$
Please list individual items & amounts.     After each entry hit the enter key to drop     down a line in the box.
	*Total Photocopying + Supplies $

Student research assistance: Please justify the need for student assistance and explain specific duties to be performed by the student. Include functions like photocopying, library research, typing/word-processing of Ph.D. dissertations and manuscripts, etc. Please state student's name and class: Estimated hours/week the student will work: hours for weeks = total hours x $8.50 †   Total $ † Academic year rate Funds for Travel and daily expenses: Please explain why travel is necessary and indicate which aspects of the project could be done locally. If another institution is involved, please indicate the amount and purpose of any funds provided by that institution. Inclusive dates of trip: Destination of travel:    Travel (90% of tourist class round-trip air fare to destination): Calculation: 0.90 x $  =           Total $ Daily subsidy (Based on number of days @ $100/day, 14 days maximum [$1400]): Calculation: days x $100/day = Total $ TOTAL REQUEST $ After you press the DISPLAY button, your information will be presented to you in a new format. At that point, PRINT the application and send to: Assistant to the Associate Provost and Dean for Academic Development, College Hall 206 Your information will not be transmitted electronically.       Once you have clicked the "Display" button, and your information from above is re-displayed (in a new format), print the form from your browser. Use the print button at the top of your browser screen, or go to "File" and choose "Print."