CITRIS Seed Award: No-Cost Extension Request
Our team will review your information and respond via email within 7 business days.
Requestor's Name:
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First Name
Last Name
Requestor's E-mail:
*
Please use your campus email account if possible
Requestor's Primary Campus Affiliation:
UC Berkeley
UC Davis
UC Davis Health
UC Merced
UC Santa Cruz
UC Riverside
ITESM
Other
Seed-Funded Project Title:
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Lead PI Name:
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First Name
Last Name
Co-PI Name:
First Name
Last Name
Co-PI Name:
First Name
Last Name
Co-PI Name:
First Name
Last Name
Proposal for Revised End Date
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Month
-
Day
Year
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Explanation of why this extension is necessary and how it will benefit the seed-funded project (50-150 words):
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Is this request due to a delay with IRB (human subjects) or other required approval process?
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Yes
No
If yes, please provide an expected date for the required approval:
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Month
-
Day
Year
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Optional comments on required approval process:
Funds remaining from CITRIS Seed Award:
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To save extra steps, please confirm the amount with your RA before submitting this form if feasible.
Please explain how and when the remaining funds will be used by the awarded investigators (50-150 words):
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Submit
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