ࡱ> VYU .bjbjss 4B}  cccccwww8TTwo'Wggggxt&&&&&&&$g( +&Qc  &ccgg4)' & & & dcgcg& & & & & &g@w &&?'0o' &+!,+ &+c &G0w" &GGG&&#,GGGo' +GGGGGGGGG  ): 91Ƭ REQUEST FOR SPONSORED PROGRAMS TUITION SCHOLARSHIP Return completed form no later than one week prior to submission of grant application/ proposal to the Dean/Director or designee of your college/school/center. Project Director/Principal Investigator FORMTEXT       Date FORMTEXT       Department  FORMTEXT       School  FORMTEXT       Campus Address  FORMTEXT       Phone  FORMTEXT       Email  FORMTEXT       Proposed Sponsor of Research/Project/Program  FORMTEXT       Proposed Funding Period  FORMTEXT       Title of Proposed Research  FORMTEXT       Are Indirect Costs Included?  FORMCHECKBOX Yes  FORMCHECKBOX No If Yes, Calculated At  FORMTEXT      % Number of Assistantships to be Funded by Sponsor  FORMTEXT       Annual Stipend per student $ FORMTEXT       Length of Assistantship:  FORMTEXT      mos. Health Insurance to be Paid by Sponsor?  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Request Approved  FORMCHECKBOX 2. Request Denied  FORMCHECKBOX 3. Partial Approval  FORMCHECKBOX 4. Tentative Approval Pending Available Funds Explanation for 2, 3, or 4:  FORMTEXT       Signature: Dean/Director (or designee) FORMTEXT       Date FORMTEXT       Date copy sent to PI FORMTEXT       Once approved, the PI is responsible for uploading this form to his/her eRS transmittal page. 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