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Faculty/Staff Technology Support Initiative Application Form 2021-2022

State University of New York - College at Brockport

  • Page 1 of 3 - Contact Information

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  • APPLICANT INFORMATION

  • Applicant Name Applicant Name *
  • Applicant Phone Applicant Phone * - -
  • Funds Requested by Proposal * $ .
  • SPONSOR INFORMATION

  • Sponsor: Department Chair/Unit Head Sponsor: Department Chair/Unit Head *
  • Sponsor Phone Sponsor Phone * - -
  • Department Dean / Division VP Department Dean / Division VP *
  • Dept. matching funds (10%) authorized: $ .
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