MicrofabricationProjectProposalForm
Principle Investigator: (Person/Professor responsible for project)
Name: ____________________________________ ________ E-Mail Address: ___________________________________
Department: _____________________ _________________ __ Phone Number: _________________________
Project Information:
Project Title: ________________________________________________________________
Funding Agency: ____________________________________________________ Funding Amount: ________________________
Budget Code : ___________________________________ Project Expiration Date: _______________________________
ProjectDescription:(brief summary to include materials, chemicals, and machines)
ProjectApplicationAgreement:
OFFICE USE ONLY: Project Approved by ____________________________________ Date__________________________________
PRN ___# ____________________________________________ Date__________________________________
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PI and advising professor agree to submit to CAMD a copy of all publications resulting from this project.
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PI agrees to submit a summary of the project for the CAMD annual report due yearly in December
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Yearly updates of this form are required for any changes to the project or users assigned.
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PI and advising professor agree to include the following statement in publications and/ or presentations
of work performed at CAMD or affiliated with CAMD staff contributions: “ This work was supported in part
by the Center for Advanced Microstructures and Devices at Louisiana State University “
‐ PI Signature _____________________________________________ Date ______________________
‐ Users Signature___________________________________________ Date ______________________
‐ Users Signature___________________________________________ Date ______________________
