Fillable REQUEST FOR WBS ELEMENT (Sponsored Projects) (University of Tennessee, Martin)

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REQUEST FOR WBS ELEMENT (Sponsored Projects) (University of Tennessee, Martin)

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REQUEST FOR WBS ELEMENT (Sponsored Projects)
Advance Account: Yes No
Project Title________________________________________________________________________________________________
Person Completing Form: ________________________________________ Phone No: __________________________________
Project Type: ______________________________________________________________________________________________
Proposal ID No: __________________ Date proposal sent to Office of Research
: _____ - _____ - _____
Grant/Award No: ________________________________
Does this WBS Element need to be associated with an existing project? YES NO
(If so, what is the project definition number____________________________________________________ )
WBS Element Funds Center Number (REQUIRED): __________________________________
College and Department Number: _____________________________________________________________________________
MOU Reporting Area /Vice Chancellor Code: ________________________ Dean/Director Code: ________________________
Business Area: ____________________________________ Functional Area: ________________________________________
Requested/Expected funds: $ ____________________ Performance Period: _____ - _____ - _____ to _____ - _____ - ______
RESPONSIBLE PERSON: PRINCIPAL INVESTIGATOR: DEPT. BOOKKEEPER:
Name: ___________________________ Name: ___________________________ Name: _________________________
Personnel No: ____________________ Personnel No: ____________________ Personnel No: __________________
Sponsoring Agency Name: ____________________________________________________________________________________
Source of Funds: Federal State Local Private
If federal or federal flow-through funds involved, CFDA number________________________
IRIS Customer No: ______________________ Does WBSE pay for Staff Benefit? Yes No
Is Cost-Sharing or matching required? If so, explain requirement and indicate cost-sharing cost center or WBS numbers
(Attach any supporting documentation):
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
Additional Relevant Information:
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
*** APPROVALS FOR ADVANCE REQUEST ***
By signing this request form, I am fully aware that if for some reason the project is not funded by the sponsoring agency all
expenses incurred on this WBS element must be paid with departmental funds. NOTE: FOR THE KNOXVILLE CAMPUS,
THE DEAN’S SIGNATURE IS REQUIRED FOR ADVANCED WBS ELEMENT REQUESTS.
PLEASE FORWARD THE COMPLETED AND SIGNED FORM TO YOUR CAMPUS BUSINESS OFFICE.
___________________________ ____________________________ ___________________________
Department Head Dean Chief Business Office
____________________________ ____________________________ ___________________________
Date Date Date
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REQUEST FOR WBS ELEMENT (Sponsored Projects) (University of Tennessee, Martin)

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Completed 30 August 2020

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