Request for Solicitation Approval
Please e-mail this form to: Karen Nippert, V. P. for Institutional Advancement (knippert); Frances Bullock (fbullock); Rose
Landey (rclandey); your senior staff representative; and your immediate supervisor
1. Name of Person Submitting this Request:_
2. E-mail address:
3. Phone:
4. Job Title:______________________
5. Department: ____________
6. Immediate Supervisor’s signature:________________
7. Division Head’s signature: (if other than above
8. All proposals must be reviewed by the Foundation Office prior to submission. Do you need additional assistance with
proposal preparation? Yes: No
If so, please specify below:
9. Working title of the project and brief description of the project:
10. What need, problem, or issue does your project address?
11. Describe your project’s relevance to the college’s mission, goals, and/or objectives
( http:www.southwest.tn.edu/mission_statement.htm
12. Does your project require additional space? Yes No If Yes, please describe:
13. Does your project require collaboration with others? Yes No x
If Yes, with whom will you collaborate?
14. Please complete the section below if you have identified a potential funder/donor:
a. Funder/Donor: _______________
b. Maximum Grant Award (for funders): $__________
c. Amount to be requested (for donors): $ ________
d. Application Due Date (for funders):
e. Does the funder/donor require a funding match? no
f. If so, are in-kind donations acceptable as a funding match? Yes No
g. Describe your prior association with the funder/donor, if any:
_____________________________________ Approved Yes No
Karen F. Nippert, Date
Note: This Request for Solicitation Approval must be approved by Vice President Karen Nippert before a proposal
is submitted on behalf of the college. See Southwest Policy No: 4-01-04-01-29:
http://internal.southwest.tn.edu/policy_manual/section4/4-01-04-01-29.pdf
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