Research faculty reserve benefit form

URL

This field is for validation purposes and should be left unchanged.

Name(Required)

First Last

Email(Required)

College

Department or research center

List the date you request support from the salary reserve to begin.

List the date you request support from the salary reserve to stop. If an end date has not yet been identified, please select “open."

An end date has not been identified

Open

What percent of your annual effort do you wish to have supported through the salary reserve fund? Input your answer as a whole number between 1 and 100%.

Are you targeting extramural opportunities for salary support over this period?

Yes

List the Cayuse numbers that correspond to applications in process or recent proposal submissions. If applications have not yet been initiated, please list the sponsor, RFP, and application date for opportunities you plan to pursue.

Explain why extramural salary support is not being pursued at this time.

Add any comments you wish to include to clarify your request.

Date

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