EASTERN MICHIGAN UNIVERSITY
DIVISION OF ACADEMIC AFFAIRS

AUTHORIZATION FOR SUPPLEMENTAL GRANT-RELATED WORK

(NO WORK MAY BE ASSIGNED OR UNDERTAKEN UNTIL ALL APPROVAL SIGNATURES HAVE BEEN OBTAINED.  Work must not interfere with regular University duties.)

Name of Applicant: ____________________________________________________________________________

Home Department: ___________________________________ 	Home Org. # ________________________

Classification: ________________________________  Position Title: ____________________________________

Grant Account Name: ___________________________________  Grant Account Number: ___________________

Grant Account Administrator: ____________________________________________________________________

Duration of work to be performed (dates) ___________________________________________________________

Days/time of day work is to be performed: __________________________________________________________

Approximate number of hours of involvement per day: ________________ 	Total hours: _________________

Total Amount of Payment: ______________________________

Briefly describe the nature of the work to be undertaken and state the locations(s) where it will be performed: *

	

	

	
DIVISION APPROVALS:		I agree to the terms described above. 

___________________________________________________	Date: _________________________
Grant Applicant

___________________________________________________	Date: _________________________
Grant Administrator 

___________________________________________________	Date: _________________________
Department Head/Supervisor 

___________________________________________________	Date: _________________________
Academic Human Resources & Budget

*Attach additional pages if needed.

Send copies to:		Academic Human Resources
			Office of Research Development
			Faculty Member/Employee
			Grant Administrator
			Department Head
			Grants Accounting