No-Cost Extension Request

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Name of Engaged Graduate Student Grantee

Research Grants

Engaged Curriculum Grant number and title

Academic Venture Fund Supplemental Grant

Community Engaged Presentation Fund

Engaged Learning Where You Live

Other- Please enter grant type and title

Requested date of extension

CONTACT INFORMATION

First name	Last name
Email address	Net ID

How much money do you have left in your grant?

Are you modifying the existing budget?

YesNo

ECG BUDGET MODIFICATIONS

Original budget Revised budget

Faculty support

DEPARTMENT/UNIT/PROGRAM SUPPORT - BUDGET RELIEF

Original budget Revised budget

Teaching relief

Graduate teaching support

Staff support

Total other support

Description of other support

OPERATING BUDGET

Original budget Revised budget

Student interns

Graduate assistants

Academic staff

Travel

Partner support

Total other support

Description of other support

BUDGET MODIFICATIONS

LOGISTICAL SUPPORT

Original budget Revised budget

Travel, meals and lodging while conducting research

Direct costs while conducting research

Conference/workshop participation

Publication costs

Other logistical support

Description of other support

SALARY SUPPORT

Original budget Revised budget

Support for staff

Student salary/wages

Other salary support

Description of other support

COMMUNITY PARTNER SUPPORT

Original budget Revised budget

Expenses incurred by community partners that facilitate their participation in the research

Other support

Description of other support

BUDGET MODIFICATIONS

GRADUATE STUDENT SUPPORT

Original budget Revised budget

Partial stipend coverage

Partial tuition

Students insurance

Student's project costs

Cost of publications or presentations

Other student support

Description of other student support

COMMUNITY PARTNER SUPPORT-Costs incurred by partners directly related to their participation in graduate research experience

Original budget Revised budget

Partner support

Other support

Description of other support

BUDGET MODIFICATIONS OTHER

Budget Category Original budget Revised budget

Justification for Budget Revision - Provide budget justification that is aligned directly with revised budget categories (maximum: 5,000 characters with spaces)

Please describe key goals and objectives of your project and your progress toward them so far. Please highlight challenges and how you are working to overcome them. (Maximum: 5,000 characters with spaces)

Justification for No-Cost Extension (maximum: 5,000 characters with spaces)

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