Staff Retiree Development Grant 应用程序

A FINAL REPORT must be submitted to the 人力资源 within 1 month of the end 授予期的.

Maximum Award is $1,500.

Failure to submit a final report will result in disqualification from future grant 机会.

All materials and/or equipment purchased with the aid of grant funding become the property of 火博体育大学 when the funded project is completed.

Fields marked with an asterisk (*)是必需的.

姓名*:*

Email Address (you@skidmore.*:*

通讯地址*:*

Department of record at Retirement * :*

退休日期:

资助期*:*

所需资金*:*

项目名称*:*

Description of Project * :*

Provide a statement of 750 words or less describing the project in language understandable 给非专业人士. Please explain how the project would promote continuing education, benefit the 大学 or local community, and/or model creative approaches to life in 退休.

Projects involving research with human subjects or human tissues, or vertebrate animals, may require review by the Institutional Review Board (IRB) or Institutional Animal Care and Use Committee (IACUC). The staff retire grant review panel will advise applicants whenthis procedure is relevant.

If your application is for the benefit of a non-profit organization, please add this additional information:

Name of the organization:

Address of the organization:

Mission of the organization:

Website of the organization:

Does the organization have an official 501(3)(c) designation?

是的

What is your role or affiliation with the organization?

What is your involvement in the project?

Proposed Budget Information

Itemized Supplies Budget:

Itemized Fees and Contracted Services Budget:

Itemized Travel Budget:

Itemized Equipment Budget:

Other Itemized 成本 (be specific):

Estimated Total Budget * :*

PLEASE NOTE: Original, itemized receipts for all items must be attached to expense 报告. Your credit card bill and the receipt showing the total amount paid for restaurant charges are not considered adequate proof of purchase.

If the committee is unable to fille the total amount of your grant request, will you be able to supplement the funding or modify the project to accomplish some of the 项目目标? A yes/no answer is sufficient, or you may feel free to elaborate.

详细说明如下*:*

Please provide information regarding source(s) and amount(s) of funding for this project from sources outside Skidmore.

Other Sources of Funding:

By entering your name here, the staff retiree grant review panel will accept this as a fully-signed document.

签名*:*

日期(月/日/年)*:*

Staff Retiree Development Grant 应用程序

退休人员联系

教师的问题:

Retiree Committee and Website Submissions:

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