VALPARAISO UNIVERSITY - Committee on Creative Work and Research

Cover Sheet


Name of Applicant ______________________________________________________________

Academic Rank _______________________________ Highest Degree Attained _____________

Years of Full-time Service to the University __________________________________________

College ______________________________ Department ______________________________

Office Phone and E-mail _________________________ Date of this Application ____________
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Program(s) to which application is (are) being made (please check):

        _____ Wheat Ridge Grant (Maximum award: $7,500)


        _____ University Research Professorship ($4,000)

        _____ Kapfer Research Award -- College of Arts & Sciences ($10,000)


        _____ Summer Research Fellowship (Maximum award: $2,500)

        _____ Expense Grant          Amount $___________

Total funds requested from CWR $_____________________

Are you applying for other funds? _____ No _____ Yes

         If yes, indicate amount and source ____________________________________________

Note: All requests for internal funds are subject to University-established budget priorities.

Project Title ___________________________________________________________________

Reviewed by chair/dean________________________________________ Date ______________
                                                                (signature)

Signature of Applicant:________________________________________ Date ______________
                                                                (signature)
Note: An abstract of your proposed project (typed and not to exceed 200 words) should be attached to this cover page.
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THIS SECTION IS TO BE COMPLETED BY THE OFFICE OF THE PROVOST

Date received ___________ Application complete upon receipt? ____ Yes ____ No

May 2006