FY2022 Funding Survey » Department of Clinical and Health Psychology » College of Public Health and Health Professions

Name*

Please select all that apply:

I have a clinical assignment
I have a teaching assignment
I have a research assignment
I am primary mentor to students

Will you have funding for your clinical effort beyond standard clinical revenue collections?

For example- FTE coverage from another department

Yes
No

Please provide detail on your clinical funding

Percentage of effort to be covered, dollar amount provided and from which department. If you have an administrative contact for this funding, please include that as well.

Do you teach any classes not managed by CHP?

For example, courses in another college.

Yes
No

In which semester(s) will you be teaching non-CHP courses?

Fall 2021

Please list courses and note if there are multiple sections

Spring 2022

Please list course and note if there are multiple sections

Summer 2022

Please list course and note if there are multiple sections

Will you have funding from research awards?

Please select yes for definite known sources and/or if you have strong evidence that something is going to be awarded

Yes
No

Please outline your percent funded on secured external awards

Please use project number if known. For Example: P0123456- 20% Effort; P8945612- 15% Effort

Please outline all grant funding that you have strong evidence will be awarded

Please outline how each student you mentor will be funded for FY22

If the funding is coming from another college or PI, please include that information and any admin contacts you may know.