Please submit electronically as a Word document to ltsipc@uvic.ca.
Rename your file as <Surname_First Name_CRGrant_Final>
	e.g. <Doe_Jane_CRGrant_Final>

Principal Investigator: _________________________________________________________

Phone: ________________________       E-mail: ____________________________________

Department/Program: _________________________________________________________

Project Title: _________________________________________________________________

Total Grant Amount Received: $__________________________________________

Details of completed project

1.	What were your original curricular needs and goals?

2.	What changes actually were made to the curriculum? If the actual changes differ from your original plans, please explain.

3.	How do you anticipate the changes made will meet the original needs and goals?

4.	How will you share your experience with others?

5.	Final budget
	a.	Please indicate in the “Comments” column the reasons for discrepancies between planned and actual costs, if applicable.
Item	Planned costs	Actual costs	Comments	
1.	Salaries (including benefits 	and 4% holiday pay). Indicate 	type (e.g. TA).				

				

2.  Supplies and Operating 	Expenses				

				
				
3. Travel costs				

				

4.  Other costs (please specify)				

				
Total costs				
Less funding obtained from other sources, if applicable				
Total 				
Balance*			

	b.	*If funds remain, please propose how unused funds will be spent and by when.  Please note that this proposal must be approved by the LTSI Executive Director in writing before proceeding.