Name: _______________________________________ Date: ______________________
Department: ___________________________ Phone ext.: ___________________
Purpose for which the funds will be used:
Specific allocation of requested funds (Full-time faculty: $400 per year limit (7/1/20 6/30/21)
Signature
Date
Chairperson’s signature
Please email completed form to the Faculty Development Committee c/o Julie Chalk,
chalk@hood.edu
Request for Research Funds 2020 2021