OOR Home > Forms > Cost Share Funds Request Form

Cost Share Funds Request Form


Date:
Name:
Department:
I / we request University cost share funds from the Office of Research be made available for:
(State briefly how the funds will be used. If equipment, what equipment will be purchased?)
When, what amount, and for what purpose were cost share: funds last provided to you?
Is this effort to be funded by an external sponsor?
If so, is cost share required by the sponsor?
If “Yes”, what percentage or dollar amount?
Total cost of the project:
University cost share proposed:
SOURCE OF UNIVERSITY COST SHARE
Office of Research - Cash:
Office of Research - In Kind:
Department - Cash:
Department - In Kind:
College - Cash:
College - In Kind:
Other - Cash (including capitalization):
Other - In Kind (including capitalization):
The University cost share funds will be spent only as requested and approved unless re-budgeting is approved by the Office of Research. Also, a report will be required summarizing the effect the funds have had on the PIs research program. The Office of Research will notify the PI when the report is required. Please contact Liz Rulli in the Office of Research (1-7432) if you have questions.
Principal Investigator Signature: