SITE CTA MULTIPLE SITES FACILITIES/EQUIPMENT FUNDS / /
Facility
Existing Space Building / OFF CAMPUS / UNIVERSITY FUND / University of Pennsylvania / FELLOWSHIP OTHER RESEARCH RFP/RFA/PA TRAINING ON CAMPUS / / /
IndustryTerm
radiation-producing equipment / /
Organization
Chair’s Signature/Typed Name Date DEAN OF SCHOOL / B.A. Typed Name DEPARTMENT / Center for Technology Transfer / the University of Pennsylvania / UNIVERSITY FUND / UNIVERSITY OF PENNSYLVANIA PROPOSAL DUE DATE SCHOOL LOG# PI NAME TYPE OF PROPOSAL OFFICE OF RESEARCH SERVICES PROPOSAL TRANSMITTAL AND APPROVAL FORM See / TITLE OF PROJECT SPONSORING AGENCY / /
Person
GRANT TYPE / / /
Position
PI/PROJECT DIRECTOR / officer / director / Principal Investigator / manager / Assistant Professor / Major / CHAIR / Signature/Typed Name Date BUSINESS ADMINISTRATOR / Dean / Professor / Associate Professor / /
ORS LOG # UNIVERSITY OF PENNSYLVANIA PROPOSAL DUE DATE