North Orange County Community College District

CONCEPT PAPER

(To be used for all specially funded projects)

Site:	Date: 10/21/2005

*Project Director/Extension

**Project Administrator/Extension

Funding or Contracting Agency

Contact Name/Phone:

Title of Project:

Federal, State, or Local Funds?

Submission Deadline:

Problem and Need Statement: (Attach an additional sheet if necessary)

Project Description: (Attach an additional sheet if necessary)

Mission or goals that this proposal supports:

Performance Period:

Estimated Expenses

(Please attach all budget pages)

Estimated Revenues:

Match Requirement:

(Must Attach Detailed Match Budget Pages and list Banner General Fund Numbers)

Indirect Cost Rate:

Source of Match:

Signature	Date

Project Director

Project Administrator

Grants Office (if applicable)

Campus Budget Director

Campus Vice President

President/Provost

Vice Chancellor,

Finance & Facilities

*	The Project Director is the person involved with the day-to-day activities of the project.

**	The Project Administrator supervises the project, and is not involved with the day-to-day activities.

-	This form is to be signed by all parties before the application is submitted to the funding agency.

Revised 10-05	1	Instructional Resources Office

NORTH ORANGE COUNTY COMMUNITY COLLEGE DISTRICT

tfoy

2005-10-21

fixit

NOCCCD