Fillable DIVISION OF ADMINISTRATIVE SERVICES AUTHORIZATION TO SUBMIT A (Mississippi Delta Community College)

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DIVISION OF ADMINISTRATIVE SERVICES AUTHORIZATION TO SUBMIT A (Mississippi Delta Community College)

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DIVISION OF ADMINISTRATIVE SERVICES
AUTHORIZATION TO SUBMIT A GRANT APPLICATION
(A copy of the completed grant application (with attachments) must accompany this form)
Principal Investigator/Project Director: _____________________________________________________
Tel#: _________________________ E-mail#:______________________________________________
Division/Department: ___________________________________________________________________
Office Location: _______________________________________________________________________
Proposal Title: ________________________________________________________________________
_____________________________________________________________________________________
Proposed Period: From: ________________________________ To: _____________________________
Sponsoring Agency/Organization: _________________________________________________________
Total Grant Amount Requested: $ _____________________________________________
APPROVAL FOR SUBMISSION
The attached proposal has been examined and approved by the officials whose signatures appear below.
The signatures also indicate that the signees are familiar with the proposal and are satisfied that it meets
all stated requirements under the College’s policies, procedures, and practices.
Note: As appropriate, when this form is properly executed, the proposal or contract will be forwarded to
the College President for final approval.
_________________________________________ ________________________________
Principal Investigator/Project Director Division’s Vice President
_________________________________________
Vice President of Administrative Services
DO NOT WRITE BELOW
󠆯 Approved 󠆯 Disapproved
___________________ ________________________________
Date President’s Signature
Appendix “B”
Mississippi Delta Community College does not discriminate on the basis of race, color, national origin, sex, disability, or age in its
programs and activities. The following person has been designated to handle inquiries regarding the non-discrimination policies: The
Associate VP for Institutional Effectiveness, Boggs-Scroggins Student Services Center, P.O. Box 668, Moorhead, MS 38761, 662-246-6558.
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DIVISION OF ADMINISTRATIVE SERVICES AUTHORIZATION TO SUBMIT A (Mississippi Delta Community College)

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Completed 19 September 2020

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