Office of University Research

Internal Clearance Form Cost-Sharing Addendum

Project Director:
Project Title:
Indicate the Departmental and/or College cash match to this project or research:

Amount:	Period of commitment:	Fund Source: Signature of Chair and Dean
$	Begin: End:	Fund Source: Signature of Chairand Dean
$	Begin: End:	Fund Source: Signature of Chairand Dean
Transfer total to line 9.g. of Internal Clearance Form
Indicate the Division cash match to this project or research:
$	Begin: End:	Fund Source: Provost Designee Sig.:
Combine to total in line 9.i. of Internal Clearance Form

Indicate the External cash match to this project or research: (attach letters of support)

Amount:	Period of commitment:	Source: Signature of PI and Dean:
$	Begin: End:	Source: Signature of PI and Dean:
Combine to total in line 9.j. of Internal Clearance Form

Indicate the Forgone Indirect Costs approved by the Associate Vice President for Research and External Support

Rate Proposed Amount Forgone AVP's Signature

% $