Penn State Greater Allegheny Gift Funding Request 1

This form is to request possible funding for a program or research at Penn State Greater Allegheny. This form will assist the Office of Development and Alumni Relations with donors who want to support a program or research in need.

There is no guarantee that funding will be acquired. Requests expire on June 30 each fiscal year and must be renewed on or after July 1 of the following fiscal year.

Requester Information

First Name

Last Name

Date of Request

Phone Number

Penn State Email

Gift Funding Request Information

Program in Need of Funding

Program Description

Briefly describe the program in need of funding.

Division or Unit Benefiting from This Funding Request

Amount of Funding Needed

Budget Line Item Details (if available)

Person Overseeing the Funding

Other Funding Sources, Relevant Stakeholders, and/or Partners for this Program

Benefits to Penn State Greater Allegheny

How will Penn State Greater Allegheny benefit directly and/or indirectly from this program receiving funding.

What metrics measure success for this program?

Briefly describe the outcomes of this program and what metrics will be used to determine its success.

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