COST SHARING TO BE PROVIDED BY OTHERS: For each commitment, please provide email confirmation and clearly list below: 1. Who has committed support; e.g. Vice Chancellor/Dean/Department/ORU/Faculty member/3rd Party 2. Type of support; e.g. cash/in-kind/admin effort, etc. 3. Is the commitment new or previously committed (e.g., prior seed funds, retention, startup, fellowships, etc.)? 4. Amount of support PROJECT SUMMARY/JUSTIFICATION: (See specific program guidelines for additional required information) BUDGET: (Please provide an itemized budget; may be attached to this document) CAMPUS-WIDE BENEFITS: (Please explain the broad access of this project- ex. multiple department use of facility) FINANCIAL SUSTAINABILITY PLAN: (Please explain how this program will be funded long-term) SIGNATURES OF APPROVAL ___________________________ _________________________ __________________ Principal Investigator: Name Signature Date Department Chair/ ___________________________ _________________________ __________________ ORU Director: Name Signature Date Department ___________________________ _________________________ __________________ ORU Director: Name Signature Date Dean: ___________________________ _________________________ __________________ Name Signature Date
COST SHARING TO BE PROVIDED BY OTHERS: For each commitment, please provide email confirmation and clearly list below: 1. Who has committed support; e.g. Vice Chancellor/Dean/Department/ORU/Faculty member/3rd Party 2. Type of support; e.g. cash/in-kind/admin effort, etc. 3. Is the commitment new or previously committed (e.g., prior seed funds, retention, startup, fellowships, etc.)? 4. Amount of support PROJECT SUMMARY/JUSTIFICATION: (See specific program guidelines for additional required information) BUDGET: (Please provide an itemized budget; may be attached to this document) CAMPUS-WIDE BENEFITS: (Please explain the broad access of this project- ex. multiple department use of facility) FINANCIAL SUSTAINABILITY PLAN: (Please explain how this program will be funded long-term) SIGNATURES OF APPROVAL Principal Investigator: ___________________________ Name _________________________ Signature __________________ Date Department Chair/ ORU Director: ___________________________ Name _________________________ Signature __________________ Date Department ORU Director: ___________________________ Name _________________________ Signature __________________ Date Dean: ___________________________ Name _________________________ Signature __________________ Date