Application for allocation of funds from the funding pool for equal opportunity measures

Institution / Field of Study: *
Applicant: *
How can we contact you? (e-mail address, phone number, etc.) *
Name of the measure: *
Short Description: *
Justification of how the measure can help meet the faculty equity mission: *
Anticipated one-time costs (e.g., guest lectures, childcare at meetings, etc.): *
Expected ongoing costs (e.g., childcare arrangements, training, etc.): *

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