ࡱ> _a^ Gbjbjxx |Zjj t=IIII$T,G!#Q2$$22IIO2 IIp2I-<xe0$R$&$22222222222222$222222222 {: Walvoord-Verizon Wireless Work-Family Research Endowment Award Application Graduate students may apply for the endowment award to support research activities. The application selected for the award will be decided based on a faculty review of the application according to criteria detailed in the endowment announcement communication. Reimbursable research activities include but are not limited to photocopying materials, mileage to collect data, paying participants, and purchasing tests/ instruments. Only expenses for which applicants will ultimately be able to supply receipts or documentation are accepted in the application. To apply, complete this application and attach a maximum of three pages describing the research project (see endowment announcement on the web). Student Name  FORMTEXT       Program area  FORMDROPDOWN  Title of project  FORMTEXT       Date the project will begin  FORMTEXT       Anticipated completion date  FORMTEXT       Is this project currently expected to receive other funding?  FORMDROPDOWN  If yes, please specify the amount $ FORMTEXT      , and Source:  FORMTEXT       Itemized Budget: Please use the space below to identify the research costs for which you request funding. Only include those costs for which you can provide receipts or other documentation. Please be specific. Research Expenses Estimated Cost FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTE9:KLMiR  9 [ z | }     ' ( )     Ͽzdzzzzzzz+jh%hICJOJQJUaJ%jh%hICJOJQJUaJh>CJOJQJaJhICJOJQJaJh%hICJOJQJaJh:FhIOJQJhhI5OJQJ\^JhI5OJQJ\^J&h%hI5CJOJQJ\^JaJh:FhI5OJQJ\^J'9:LM| }   N P l n tv $$Ifa$gdIgdI$a$gdI * , H J L N P r t B D X Z \ ޙwޙa+jFh%hICJOJQJUaJ+jh%hICJOJQJUaJh>CJOJQJaJ0jh%hICJOJQJUaJmHnHu+j^h%hICJOJQJUaJ+jth%hICJOJQJUaJ%jh%hICJOJQJUaJh%hICJOJQJaJ&\ ^ ` b d f h j l n   BJZ\prtvxz|~ĵsgԵQԵ+j`h%hICJOJQJUaJh>CJOJQJaJ *h%hICJOJQJaJ+jh%hICJOJQJUaJhICJOJQJaJjhICJOJQJUaJh%hICJOJQJaJh%hI>*CJOJQJaJ%jh%hICJOJQJUaJ0jh%hICJOJQJUaJmHnHuzDtv쮮ݜݐ݀݀s]쮮+jh%hICJOJQJUaJhY5CJOJQJaJh%hI5CJOJQJaJhD4QCJOJQJaJ"h%hI5CJOJQJ\aJ0jh%hICJOJQJUaJmHnHu+jh%hICJOJQJUaJh%hICJOJQJaJ%jh%hICJOJQJUaJ$ wk $$Ifa$gdI $IfgdI~kdH$$IfTl0L,"8 t0644 laT  $&(*,.02468LNPRTVXZ\^`bvxz|~ȯȯȯmȯ+jh%hICJOJQJUaJ+jh%hICJOJQJUaJ+jJh%hICJOJQJUaJ0jh%hICJOJQJUaJmHnHu%jh%hICJOJQJUaJ+jGh%hICJOJQJUaJh%hICJOJQJaJ* 6^~ui $$Ifa$gdI $IfgdIkd$$IfTl0L,"8 t0644 laT^`wk $$Ifa$gdI $IfgdI~kd2$$IfTl0L,"8 t0644 laTůřԎx+j h%hICJOJQJUaJh%hICJaJ+j0 h%hICJOJQJUaJ+j1h%hICJOJQJUaJh%hICJOJQJaJ%jh%hICJOJQJUaJ0jh%hICJOJQJUaJmHnHu(wk $$Ifa$gdI $IfgdI~kd$$IfTl0L,"8 t0644 laT,Twk $$Ifa$gdI $IfgdI~kd $$IfTl0L,"8 t0644 laT "$&(*,.BDFHJLNPRTVXlnprtvxz|~ֲֽֽ֣֣֣wֲֽ֣aֽ+j h%hICJOJQJUaJ+j h%hICJOJQJUaJ+j h%hICJOJQJUaJh%hICJOJQJaJh%hICJaJ0jh%hICJOJQJUaJmHnHu%jh%hICJOJQJUaJ+j h%hICJOJQJUaJ&TV~wk $$Ifa$gdI $IfgdI~kd $$IfTl0L,"8 t0644 laT "$8ůԤŎxԤ+jh%hICJOJQJUaJ+j h%hICJOJQJUaJh%hICJaJ+j h%hICJOJQJUaJh%hICJOJQJaJ%jh%hICJOJQJUaJ0jh%hICJOJQJUaJmHnHu*wk $$Ifa$gdI $IfgdI~kd $$IfTl0L,"8 t0644 laT"Jwk $$Ifa$gdI $IfgdI~kdg$$IfTl0L,"8 t0644 laT8:<>@BDFHJLNbdfhjlnprtvֽֽ֮֮֍֮wֽ֮֮aֽ+jh%hICJOJQJUaJ+jh%hICJOJQJUaJh%hICJaJ+jeh%hICJOJQJUaJh%hICJOJQJaJ0jh%hICJOJQJUaJmHnHu%jh%hICJOJQJUaJ+jfh%hICJOJQJUaJ&JLtwk $$Ifa$gdI $IfgdI~kd$$IfTl0L,"8 t0644 laTwk $$Ifa$gdI $IfgdI~kdM$$IfTl0L,"8 t0644 laT@@@ @ @@@@@@@@.@0@2@4@6@8@:@<@>@@@B@D@X@ԺԺԺԺvԺԺ+jh%hICJOJQJUaJ+jKh%hICJOJQJUaJU+jLh%hICJOJQJUaJh%hICJOJQJaJh%hICJaJ%jh%hICJOJQJUaJ0jh%hICJOJQJUaJmHnHu-@@@wk $$Ifa$gdI $IfgdI~kd$$IfTl0L,"8 t0644 laTXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      Total: $ FORMTEXT      * You must save all receipts and submit them within one year of the award date. I hereby affirm that the above budget accurately represents the costs associated with my research study. If I am awarded the scholarship, I agree to submit a progress report each year until the results are submitted for publication. Student s Signature ______________________________________ Date ___________ My signature affirms that I am supervising the above project and that I attest to its scientific merit. 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