Funding Request Form - The University Of Georgia
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1Clear Form
The University of Georgia
Please choose one or more:
Senior Vice President for Academic Affairs and Provost
Vice President for Instruction
(A separate form must be
Vice President for Public Service and Outreach
submitted to each office chosen)
Vice President for Research
Vice President for Student Affairs
FUNDING REQUEST
Department/College/Center or Unit making request: ___________________________________________
Individual making request: ___________________________ Title: ______________________________
Date of request: _____________________________ Amount(s) requested: $_______________________
Request is for:
salary
equipment
operating
other: ________________
Request is for:
current year funding
budget development for next fiscal year
multi-year funding
# of years: _________
amount per year: $_____________
Actual date(s) funding is needed: start date: ___________________ ending date: ___________________
If this is matching funding, please indicate the amount and source of the match:
______________________________________________________________________________________
Requirements:
1. Please attach a detailed (1 pg maximum) summary of how the money will be used,
collaborating partners and the benefits to Instruction, Public Service and Outreach,
Research, Student Affairs and/or the University as a whole.
2. An additional one page summary of project results/impact and actual use of funds is due to
the appropriate VP’s office within 30 days of project completion.
3. Any unspent funds as of May 1 (of the budgeted fiscal year) must be returned to the
appropriate VP’s office.
4. Any publicity or written material describing the project MUST include the office of the
appropriate VP as a contributing sponsor.
Signature of person making request: _________________________________________ Date: ___________
Signature of Department Head/Director: ______________________________________ Date: ___________
Signature of Dean: _______________________________________________________ Date: ___________
To Be Completed By Appropriate VP’s Office
Date Reviewed: ____________________________
Date Recorded: _______________________________
Approved: _________ Not Approved: __________ Amount(s) Approved __________ For FY _________
Vice President’s Signature: ___________________________________________ Date: _________________
Transfer made by original budget: ____________________________ Budget Amendment: _______________
Date of Budget Amendment: ________________________________
Print Form
March 1, 2010
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Parent category: Business