External Funding Request Form




Please complete this form and click the Submit button. You will be contacted by the Office of University Advancement or the Office of Academic Services to discuss this opportunity and to receive assistance writing your proposal or submitting you application. Please take time to review the Proposal Writing Checklist and be prepared to share the outlined information.



Date:
Funder's Deadline Date:
Amount of Request:
Funder's Name:
Have you had any communication with a Program Manager from this entity?
   

If so, please indicate who you’ve spoken with, when and the context of the conversation:


General Description of Project/Program:


Name of Faculty Member requesting grant:


Department/Location:


Address:


Office Phone:
Cell Phone:
Home Phone:
The Advancement staff appreciates your accessibility by phone after hours until the proposal has been submitted.

NOTE: In order to prevent SPAM, we need you to add + =


If you have any questions, contact:
Chris Horn, Director of Corporate & Foundation Relations, at 765-5082 or chorn@una.edu or Gail Sutherland, Director of Grant Programming & Development, at 765-5081 or gcsutherland@una.edu