INCO FUND 
GROUP APPLICATION FORM

Name of Primary Applicant: _______________________________________________

Department: __________________________ College: _______________________________

Names of other members of the proposed project committee (if applicable):

_______________________________________________________________________________________________________________

_______________________________________________________________________________________________________________

Proposed Project/Activity: _________________________________________________

Date(s) of the proposed activity: ____________________________________________

Amount of funds requested: $_______________ Total cost of project/activity: $________________

Campus Location of Project/Activity: ________________________________________________

Has the Organizer or Group received a Queen or INCO Faculty Development Grant within the past five years? Yes _________ No _________

If "YES, " list the recipients, dates and purpose of the previous awards:

Name: _______________________________________________________________

Date: ____________________ Purpose: _________________________________________
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Name: _______________________________________________________________

Date: ____________________ Purpose: _________________________________________

Are you applying for other funds to support this activity? Yes _______ No ______

If "YES" to what source(s) have you applied?
__________________________________________________________________________________________________________

__________________________________________________________________________________________________________

Applicant Signature: _____________________________ Date: ________________________

Please attach a typed summary of your activity of the proposed project (not to exceed 400 words) to this form and return by the appropriate deadline to the Faculty Senate office (Memorial Student Center, BW14).