COVER PAGE – Due By Mail Only October 18, 2007
EPSCoR Graduate Research Assistantship
Please Print or Type

Name and Title of Faculty Applicant: 

Name of Graduate Student Applicant: 

Project Title: 

Address: 

Faculty Member E-mail: 

Phone number: 

Fax number: 

Department (if not part of address): 

Requested Period of Support:   1/1/08 – 6/30/08          1/1/08 – 6/30/09            

NSF Division to which proposal will be submitted:

Signatures: 

Faculty Member:	________________________________________________________________							
Print				Sign					Date	

Department Chair:	________________________________________________________________		
Print				Sign					Date
COMPLETE WEB BASED APPLICATION DUE By October 18, 2007, 4:00 p.m.