Co-applicant(s), if any (add rows if needed): Name Title & Affiliation Signature *add rows as needed Executive Committee Current members (if applicable) Proposed members (name/title/affiliation (name/title/affiliation *add rows as needed Board Current members (if applicable) Suggested members (name/title/affiliation) (name/title/affiliation) *add rows as needed Advisory Committee Current members (if applicable) Proposed members (name/title/affiliation (name/title/affiliation *add rows as needed Proposed Membership Full members (for each name tick boxes to indicate the nature of the member’s intended involvement) Will Will join Will Will Will obtain Will have Will be Will join a Would like office or other , title, in encourage help research external actively committee space at the ORU if grad or design admin research involved in or available (provide details of support undergrad or at funding ways of space request) students to deliver ORU for grant (please of the ORU be involved applicants, by specify) events or ORU of projects offered other the or by clusters ORU
Co-applicant(s), if any (add rows if needed): Name Title & Affiliation Signature *add rows as needed Executive Committee Current members (if applicable) (name/title/affiliation Proposed members (name/title/affiliation *add rows as needed Board Current members (if applicable) (name/title/affiliation) Suggested members (name/title/affiliation) *add rows as needed Advisory Committee Current members (if applicable) (name/title/affiliation Proposed members (name/title/affiliation *add rows as needed Proposed Membership Full members (for each name tick boxes to indicate the nature of the member’s intended involvement) title, of Will of the Will join in projects or clusters Will encourage grad or undergrad students to be involved Will help design or deliver offered by ORU Will obtain research admin support at ORU for grant applicants, events or other Will have external research funding by ORU Will be actively involved in ways (please specify) Will join a committee or of the ORU Would like office or other space at the ORU if available (provide details of space request) ,
CharterApplicationTemplate2016-2017Final.docx