SDMCF INNOVATION GRANTS
CHANGE REQUEST
Na
me: _______________________________________________ Date: ______________
Project Name: __________________________________________________________________
Funding Year: ________ Amount Awarded: ________
Please indicate the type of request (check all that apply):
I am requesting a change to use of funds
I am requesting a change to the activities that I carry out
I am requesting a change to the project manager
Current Project Manager Name: __________________________________________________
Original Project Manager Name: __________________________________________________
Please describe the updated activities/scope of work:
Please describe the updated budget/use of funds:
A
nticipated number of students to be served (updated): _____________
Briefly describe the reason for the change:
:
I have attached the original proposal
For Committee Use Only
Review Date:
Decision:
Approved Not Approved Approved with Amendments
Notes and Amendments