University of Connecticut
Storrs & Regional Campuses
New Initiative Request for Funding
Fiscal Year 2010

Name of Unit/Department

Date of Hearing

Contact Person Unit Phone

• Title of Initiative:
  
  
  
• Objectives/Description:
  
  
  
• Expected Outcomes:
  
  
  
• Funding Requested: Please list the funding needed for the initiative and what portion of this will be provided by the unit/department
  

  FY10	Total Funding	Provided by Unit	New Funds Requested (One-Time)	New Funds Requested (Permanent)
  Salaries and Wages
  Fringe Benefits
  Contractuals
  Equipment
  Total

  
  
• Does funding this initiative in FY10 create future year financial obligations? Yes No

Program Director/Department Head Approval:

Name

Signature: _____________________________________________

Date: ____________________

Updated: 1/7/09