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Application for Research/Creative Assistance Award

 

Request for Research/Creative Assistance Award
College of Arts, Humanities, and Social Sciences

Name: ____________________________       Date: ________________________  

Department: _______________________      Rank:  ________________________    

Office Phone:  ______________________     Campus Address:  ______________   

Years at UCM: _____________________    
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I.  Previous CAHSS-RCAA/Leave/Sabbatical Applications: (Give date, type and results of application)

II. Items Requested:   
Release Time Fall ______  Spring ______  Summer ______
 Travel Funds:  (amount, dates of travel, location, relation to project)
 Equipment:  (itemized list, estimated costs, relation to project)
Other:   (itemized list, estimated costs, relation to project)
 Challenge Grant 

III. Please attach to this application a statement to include the following:
A. Detailed plan of your project: what is to be done, when, where.
B. Explanation of the significance of your project.
C. Explanation of benefits to UCM, the college, the department, students, and how the project fits your research/creative agenda.
D. Explanation of how you will disseminate the results of your project.
E. Documentation - please attach all supporting documentation as appropriate (i.e., letters of acceptance, agreements, etc. relevant to your project).
F. Attach a copy of your curriculum vita.

IV. Award is valid only for the academic year approved.
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____________________________________ _____________________
Applicant’s Signature                                            Date

Department Action: ___ Approved  ___ Denied

____________________________________ _____________________
Department Chair’s Signature                            Date

College Action: ___ Approved  ___ Denied  ______  Amount

____________________________________ _____________________
Dean’s Signature                                                    Date