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Emeritus Academy Small Grant Application
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Applicant Information
Name.# (OSU Username)
First Name
Middle Initial
Last Name
College
Department
Small Grant Request Details
Total amount requested
Title of project/grant
Date of the proposed activity
Description of how the funding will be used. (Under 500 words)
Is this for a conference
Yes
No
Are you on the program
Yes
No
Itemized Expenditures
Itemized Expenditures
Expenditure
Amount
Description
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Add an expenditure
Other Expenditures
Do you have other sources of support for this activity?
Yes
No
Pending
Other Expenditures
Expenditure
Amount
Description
Source
Secured
Delete
Add an expenditure
Vita and Other Supporting Materials & Attachments
Files
Acceptable File Types: .xlsx, .xls, .jpg, .png, .pptx, .pdf, .doc, .docx
File
Description
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Emeritus Academy Grants Awarded
Emeritus Academy Grant Amount
Emeritus Academy Grant Date
Turned in Report
Add an award