Initial Intake Form : College of Liberal Arts : Texas State University

Name *

Txst Email *

Do You Need A Planning Meeting?

Nina’s typical availability = M/W/F(In-person & Virtual); T/Th (Virtual only)

YES

NO

If yes above, where?

In-person

Virtual

If yes above, please type out the day and time you will be available.

Project Title & Brief Description (As it exists)

Collaborators & Contact Information (If any)

Link to Funding Opportunity (if any)

Upload a Document (If Available)

Deadline If Applicable

Examples: Planned turn in date for the funder/OSP/Collaborator deadline/other (please define)