Interest Form - Grants Office - University of Minnesota, Crookston

Grants Office
University of Minnesota, Crookston
www.UMCrookston.edu
1-800-UMC-MINN

Contact Information
*First Name	*Last Name
*Title
*Department
*Phone Extension	*Fax Extension
*E-Mail
*May we send grant information by e-mail? Yes No

Grant Information
*I am interested in developing grants for (check all that apply):
Research Curriculum New or Enhanced Training	Provide Training Receive Training Community Service/Outreach Other
If "Other" was checked, describe:
*List keywords to describe your proposal interests:

List any possible funding sources you believe may fund your areas of interest:

*Have you submitted grant proposals before? Yes No
If yes, where?
If yes, to whom?
Do you need funding by a specific date? Yes No
If yes, when?
Grant Services Information (optional)
Describe services that would facilitate your grant-seeking efforts, (funding search, idea development, proposal development, help in writing, review, budget, etc.):

Use this space for suggestions for facilitating grant-seeking opportunities at UMC:

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