REQUEST FOR WBS ELEMENT (Sponsored Projects)
Advance Account:
Yes
No
Project Title________________________________________________________________________________________________
Person Completing Form: ________________________________________ Phone No: __________________________________
Project Type: ______________________________________________________________________________________________
Proposal ID No: __________________
Date proposal sent to Office of Research: _____ - _____ - _____
Grant/Award No: ________________________________
Does this WBS Element need to be associated with an existing project?
YES
NO
(If so, what is the project definition number____________________________________________________ )
WBS Element Funds Center Number (REQUIRED): __________________________________
College and Department Number: _____________________________________________________________________________
MOU Reporting Area /Vice Chancellor Code: ________________________ Dean/Director Code: ________________________
Business Area: ____________________________________
Functional Area: ________________________________________
Requested/Expected funds: $ ____________________ Performance Period: _____ - _____ - _____ to _____ - _____ - ______
RESPONSIBLE PERSON:
PRINCIPAL INVESTIGATOR:
DEPT. BOOKKEEPER:
Name: ___________________________
Name: ___________________________
Name: _________________________
Personnel No: ____________________
Personnel No: ____________________
Personnel No: __________________
Sponsoring Agency Name: ____________________________________________________________________________________
Source of Funds:
Federal
State
Local
Private
If federal or federal flow-through funds involved, CFDA number________________________
IRIS Customer No: ______________________
Does WBSE pay for Staff Benefit?
Yes
No
Is Cost-Sharing or matching required? If so, explain requirement and indicate cost-sharing cost center or WBS numbers
(Attach any supporting documentation):
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
Additional Relevant Information:
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
*** APPROVALS FOR ADVANCE REQUEST ***
By signing this request form, I am fully aware that if for some reason the project is not funded by the sponsoring agency all
expenses incurred on this WBS element must be paid with departmental funds.
NOTE: FOR THE KNOXVILLE CAMPUS,
THE DEAN’S SIGNATURE IS REQUIRED FOR ADVANCED WBS ELEMENT REQUESTS.
PLEASE FORWARD THE COMPLETED AND SIGNED FORM TO YOUR CAMPUS BUSINESS OFFICE.
___________________________
____________________________
___________________________
Department Head
Dean
Chief Business Office
____________________________
____________________________
___________________________
Date
Date
Date