COVER PAGE – Due By Mail Only by 4:00 p.m. on October 9, 2007
EPSCoR Graduate Research Assistantship – CSYS Core 
Please Print or Type

Name and Title of Faculty Applicant(s): 

Name of Graduate Student Applicant: 

Project Title: 

Faculty Address(es): 

Faculty Member E-mail(s): 

Phone number(s): 

Fax number(s): 

Department(s) (if not part of address): 

NSF Division to which future proposal will be submitted:

Signatures: 

Faculty Member(s):	________________________________________________________________							
Print				Sign					Date	

Department Chair(s):	________________________________________________________________		
Print				Sign					Date

Department Chair(s):	________________________________________________________________		
Print				Sign					Date

COMPLETE WEB BASED APPLICATION DUE by 4:00 p.m. on October 9, 2007