Resource Request Form

This form will be reviewed by the Research Activity Committee (RAC) for approval. Approval could take up to 30 days from date of request. If needed immediately, please specify and explain in the justification section.

Requestor’s Name*
Requestor's Email*
Date Requested
Date Format: MM slash DD slash YYYY
Type of Resource Requested*
Other- please explain
Total cost for service*
Attach quote if available
Funds needed by:*
Date Format: MM slash DD slash YYYY
Justification for support: Please provide a detailed description below of how this service will enhance your scholarly work.*
For RAC committee entry only:
Approved: YES or NO

Amount approved:

Date approved:

College of Nursing

Resource Request Form

For RAC committee entry only: