Suggested format for signature page



Please read and delete before printing this page.This form is intended to suggest a format for you to use. Before printing, feel free to modify this form by removing, adding, or changing who needs to sign as needed. NOTE: The president’s signature is only needed when establishing a NEW Center or Institute.Proposal for (Establishment or Renewal) of_________________(Name of Center/Institute)__________________Approval Signatures_______________________________________________________________Name, DirectorDateChair(s)_______________________________________________________________Name, Department DateDean(s)_______________________________________________________________Name, CollegeDateDirector(s)_______________________________________________________________Name, CollegeDateAdministration_______________________________________________________________Kathleen E Halvorsen, DateAssociate Vice President for Research Development_______________________________________________________________David Reed, Vice President for ResearchDate_______________________________________________________________Richard Koubek, PresidentDate(Signature of the President is not required for a renewal) ................
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