===============================================================================
                    Center for Teaching Excellence
===============================================================================

                        Small Grants Form
                        =================


Name:  ________________________________________________________________________

Department:  __________________________________________________________________

School: _______________________________________________________________________

Underline One:  Full-Time Faculty/ Part-Time Faculty/Adjunct Faculty

Office Address: _______________________________________________________________

_______________________________________________________________________________

Extension or Home Phone Number:  ______________________________________________


Reason/Use of Grant:














** Include Original Receipts with Form and Return to CTE Hurst Hall 206D **