| From: | (Name, rank, department) |
| To: | Academic Dean and Provost |
| Via: | (1) Department Chair |
| (2) Division Director | |
| Subject: | INTERNAL RESEARCH PROPOSAL |
| Ref: | (a) ACDEANINST 3920.1L |
| 1. Equipment: | |
| 2. Supplies: | |
| 3. Materials: | |
| 4. Travel: | |
| 5. Purchased Services: | |
| Total: |