Alpha Delta Phi and David P. Patchel Funds Online Application Name: * AC#: * Email: * Advisor: * Advisor Email: * Term: Fall 2016 Spring 2017 Thesis Title: * Amount Requesting: * $ Acknowledgement of Responsibility: *I accept responsibility for submitting a final report on my expenditures and on the contribution made by this funding of my project. YES Application: * A single Word document that includes: Page 1-description and justification; Page 2-grant proposal; Page 3-budget proposal. Does your project involve international travel? * YES NO What countries are you traveling to? Have you registered with AIG/Travel Guard? YES NO International Travel Waiver of Liability (only if project involves international travel): Validation Different Image What text is in the image? * Enter the characters shown in the image or use the speaker icon to get an audio version.