SURF Optional Budget Form

Please complete this form only if you are requesting EAST funds to help cover some of the costs of conducting your research. You may apply for a maximum of $400 for materials and supplies, books, research-related travel, or photocopying costs. Please be as specific as possible.

The following form is styled especially for printing from your browser [File > Print]. When printed, its layout will be optimized for paper.

The form may be completed by typing directly into the fields using your keyboard prior to printing. Alternatively, you can print out the form and fill it out by hand. The formed should be signed and dated after it is printed, by both the student and the research supervisor.

Budget Categories (amount and brief explanation)
Student Information
Student's Signature: ___________________________
Date: _________
Research Supervisor
As the research supervisor, I certify that this budget is reasonable for the proposed project.
Research Supervisor's Signature: ___________________________
Date: _________

Mail or FAX with rest of application pages to:

Nancy Lightbody
EAST
University of Southern Maine
Lewiston Hall, Building 4
60 Pineland Drive
New Gloucester, ME 04260-5113
FAX: (207) 688-4036