University Initiatives Fund
Application Cover Page

Submitting Unit
(College, School, or Administrative Unit):

  

Proposal Title:

 

(please limit to 120 characters)
Abstract of Proposal (limit to space provided):

 

 

 

 

 

Proposal Leader:

  

Phone

  

Department

  

FAX

  

Box Number

  

E-mail

  

Participants:

Name

  

Dept.

  

Name

  

Dept.

  

Name

  

Dept.

  

Name

  

Dept.

  

Signatures:

Proposal Leader:

  

Dean/VP:

  

Print Name/Date

  

Print Name/Date

  

Dean/VP:

  

Dean/VP:

  

Print Name/Date

  

Print Name/Date

  

Dean/VP:

  

Dean/VP:

  

Print Name/Date

  

Print Name/Date