NetSCOPE Research and Inquiry Grant Program

2011-2012 Request for Funding

Complete then scan and attach to grant proposal. Use the MS Word version to type the information requested.

I. Researcher Information (add additional rows if necessary)

P-12 Faculty Researcher

Name:

School:

Email:

Work Phone:

Winthrop University Faculty Researcher*

Name:

Department:

Email:

Work Phone:

P-12 Faculty Researcher

Name:

School:

Email:

Work Phone:

Winthrop University Faculty Researcher*

Name:

Department:

Email:

Work Phone:

* In collaboration with the P-12 Faculty Researcher, the WU Faculty Researcher must complete the Research with Human Subjects Training and obtain IRB approval of the project before awarded funds will be available.

II. Project Information

Name of Project:

Project Summary (100 words or less):

Project Budget (total from budget template):

III. Approvals (add additional rows if necessary)

P-12 Faculty Researcher

Principal Name:

Principal Signature:

Date:

Winthrop University Faculty Researcher

Dept. Chair Name:

Dept. Chair Signature:

Date:

P-12 Faculty Researcher

Principal Name:

Principal Signature:

Date:

Winthrop University Faculty Researcher

Dept. Chair Name:

Dept. Chair Signature:

Date:

NetSCOPE District Liaison

Name:

Signature:

Winthrop NetSCOPE Team Member

Name:

Signature:

Date Proposal was received: