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Natural and Applied Sciences - Funding Request
Please complete the form below. Please reach out to Dr. Bahram Roughani if you have questions or would like to discuss your proposal in detail(
broughani@loyola.edu
).
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Name
*
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Email address
*
Your answer
Class Year
*
Your answer
Major
*
Your answer
Is this funding request associated with a club? If so, please list the club below:
Your answer
Are you working with a faculty advisor/mentor? If so, please list them below:
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Please describe what you are requesting funds for:
*
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Amount of funds you are requesting:
*
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Have you pursued other funding sources as part of funds needed for this specific project/program? (ie: Education for Life
https://www.loyola.edu/department/education-life-committee
, Departmental funds, Student Activities) If so, please list other secured funding sources:
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