NDSU STAFF SENATE SMALL GRANT PROGRAM APPLICATION COVER PAGE for Staff Development Projects requesting over $300 (use in conjunction with Prop2sal Foffnat sheet)

Check appropriate category:
			_____ IndividualStaffDevelopmentMajorProject ($1,000maximum)
			_____ Intra-/Inter- Departmental or Unit Project ($3,000 maximum)
			_____ Campus-Wide Applicable Project ($3,000 maximum)


Name:                                          Department:
_________________________________________________________________________________________________

Campus Address:                                Phone:
_________________________________________________________________________________________________

Project Title:
_________________________________________________________________________________________________

BUDGET:(Add or delete categories as needed)

Supplies: (e.g., office supplies, other expendable supplies)	Grant $$ Requested	Other Support

____________________________________________________________	__________________	_____________

Educational resources: (e.g., professionaljoumals, books, videos)

____________________________________________________________	__________________	_____________

Communications: (e.g., phone, fax)

____________________________________________________________	__________________	_____________


Equipment > $750 (to be inventoried; requires 10% match by dept.)

____________________________________________________________	__________________	_____________


Travel: (use per them rates, e.g, gas, food, hotel, plane fare - must be carefully justified on budget detail sheet)

____________________________________________________________	__________________	_____________

Fees: (e.g., attend a conference, pay consultant or technician)

____________________________________________________________	__________________	_____________


				   TOTAL $$ REQUESTED	    __________________
				   
			   
SIGNATURES:

Applicant - I agree to abide by the Small Grant guidelines:			Date:
_________________________________________________________________________________________________


Dept/Unit Head - Project is in accord with department goals:			Date:

_________________________________________________________________________________________________

Type Name and Title of Department or Unit Head:

_________________________________________________________________________________________________