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Ursinus College
601
E. Main
Street
• Collegeville,
Pa
. 19426
ursinus.edu
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Funding Inquiry FORM
Completion of this form indicates official sanction of the outgoing proposal.
Please obtain signatures and submit signed form to the Advancement Office
five business days prior to the due date.
Submission Deadline: __________________ Submitted by: Institution or Investigator
FUNDING INQUIRY FORM DATA
Faculty/Principal Investigator:
Project Title:
Department:
Foundation, Agency, Program Name:
COST SHARING: (note: any cost sharing must include the appropriate sign-off below)
College to supply required cost-sharing.
College to supply voluntary cost-sharing.
This proposal includes a request for academic year release time. (Attach justification, see instructions)
PROPOSAL ROUTING:
Electronic signatures are acceptable.
Ursinus Faculty / PI: ________________________________________________________
Ursinus Co‐Investigator(s): ___________________________________________________
The attached proposal has been examined by the officials whose signatures appear below. The principal academic
review of the proposal is the responsibility of the Department Chair and College Dean. These signatures indicate that
the signers are familiar with the proposal, and except as noted and initialed in the remarks section, are satisfied with
and responsible for all commitments in the proposal as they relate to their respective areas (e.g. space, personnel,
financial, etc.).
Department Chair
of PI’s department:
Narrative for Support:
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signature
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