CENTERS/INSTITUTES
Requirements to become a Center
Center Name:
Acronym:
Center Mission/Description (25- 50 words):
URL:
Director(s) Name:
Office Address:
Phone:
Email:
Administrative Assistant or Managing Director (can't be same as director):
Office Address:
Phone:
Email:
Colleges/Schools involved with the center:
Director Reports to (governance plan):
How will the Center be funded:
Expenditures:
From external sources such as contracts, grants, and gifts solicited by the center
Total Dollar Amount:
Sources:
From internal sources such as general funds, faculty release time, cost share, PRF
awards, gift funds to the University that were distributed to the center (e.g., Lilly
Endowment funds)
Total Dollar Amount:
Sources:
Total Number of Faculty directly Involved:
Names of Faculty:
Total Number of Staff directly Involved:
Names of Staff:
Key Accomplishments for 2008-2009 (bulleted list of up to ten of the most significant
achievements of the center): when applicable
Goals for 2009-2010 (bulleted list of up to five of the most significant goals for the center
in the coming year):
Space:
Total area of space allocated to the activities of the center (only include space currently
controlled by the center for its activities):
Briefly describe how the space allocated to the center is used:
Date of Establishment:
Documentation of Approvals, e.g. letters or email from Associate Dean or appropriate
Dean and Dept. Head(s):
Dept. Head__________________________ Date____________________
Assoc. Dean_________________________ Date____________________
Dean_______________________________ Date____________________