Revised 12/04
CONNECTICUT COLLEGE
OFFICE OF CORPORATE, FOUNDATION
AND GOVERNMENT RELATIONS
FUNDING RESEARCH ASSISTANCE FORM
Name of
Investigator(s)_______________________________ Department_____________
Phone____________ Email_____________________ Date_____________
Project Title ____________________________________________________________
Proposed funding amount $_________________ Sabbatical Leave: Yes ___ No___
Possible funding prospects:________________________________________________
________________________________________________
________________________________________________
Project Summary and Budget: Please summarize your project below and check off budget
items that apply:
Salary/Personnel ____ Equipment ____
Travel____ Conferences _____ Research ______ Collaboration ______
Other:
Department Chair Date