Core Facilities Equipment Funding Application
Spring 2017
This cover page, or a facsimile, must be used as the first page for ALL applications for Core
Facilities Funding
GENERAL INFORMATION
Date
Proposal Title
Name of Core Facility
Director
Manager
Contact (for this proposal)
Contact Phone
Contact Email
Equipment being requested
Total Cost of Equipment
(Prior to cost sharing)
Amount Requested
(Total cost minus cost sharing)
Cost Share Amount
Cost Share Partners
Is this proposal a resubmission
Yes
Type of Equipment Requested
New
SIGNATURES
________________________________________
Facility Director
________________________________________
Chair, Advisory Committee
No
Old *
Duplicative*
(*ReLODE application)