Request for Salary/Hourly Wage/Stipend Paid from



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Request for Salary/Hourly Wage/Stipend Paid

from

National Science Foundation (or other US government) Grant

|Name of recipient: |AU ID No.: |

Method of payment:

|Summer salary (faculty only, requires 100% effort on THIS grant for the 2 month duration of payment) |

|Amount requested (maximum of 22% of annual salary): |Beginning Date: |Ending Date: |

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|Hourly wage: |Rate: |Beginning Date: |Ending Date: |

|Stipend (not available to PIs or CoPIs): |Amount: |Beginning Date: |Ending Date: |

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|Description of research to be performed, services to be rendered. (Please be complete enough for the Office of Research to evaluate the |

|appropriateness of support by the grant indicated below, the amount of effort and the outcomes expected – use a continuation page(s) as |

|needed). Include the types of reports, presentations, or other documentation of accomplishments expected at the termination of this |

|support. This document must be followed, in every case, with a separate report that describes the actual effort and the accomplishments of|

|expected outcomes at the end of the period of payment indicated above. (Failure to report the outcomes of the above will result in |

|deferring all future requests until the outcomes report is received. We will contact you at the end of the period indicated above.) |

|Please write your description in the box immediately below this line. The space will expand automatically |

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|NSF Grant No/Other.: |Andrews Account Number: |

|Signature of PI: | |

|Must have either Gary Burdick or Jeff Boyd’s |Approved by: |Date: |

|signature. | | |

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