Part 2 Breakdown of Expenditure of Grant
Amount of Grant received $ __________
Travel (Destination) ____________ $ ___________
Living Expenses __________ days at $ __________ per day ___________
Student Assistants ___________
Other salaries ___________
Field trips ___________
Materials and supplies ___________
Other (please list items)
____________________ $__________
____________________ __________
____________________ __________ Total ___________
Equipment (please list)
____________________ $__________
____________________ __________
____________________ __________ Total ___________
Total Expenditure to date $ ___________
Unspent Balance as of ______________________ $ ___________
Part 3 Request for Grant extension (if necessary)
Please check appropriate box.
An extension of the unspent and uncommitted grant is
required for the purpose for which the grant was made.
An extension is not required and any unspent and
uncommitted balance should be refunded to the University .