ࡱ> ^a]@ BbjbjFF 6J,, XXXX8D |}2r)+D1111111$g4R6d1Q5)1XX72kkk0X81k1kk.|/ <"݅k#0./dM20}2.7S7$/XXXX7/,k11@ dk@ ý Book Publication Subvention Application FormSubmit one copy to the Office of Research and Sponsored Programs, Quinn Building 2nd floor. Your application must include:This application form Written statement of the presss editorial policies Brief biographical sketch Copies of prepublication reviewsLetters of support from your department chairperson and dean Copy of final and fully executed contract with the publisher Copies of any correspondence with the publisher concerning subvention required, the costs the subvention will defray, and any royalty arrangementPlace cursor in first box, enter information, tab to next box, continue through form. Questions? Call ext. 7-5370 or e-mail  HYPERLINK "mailto:orsp@umb.edu" orsp@umb.eduAuthor name:  FORMTEXT       Phone:  FORMTEXT      E-mail:  FORMTEXT      Academic rank:  FORMTEXT      Department:  FORMTEXT      Date of appointment:  FORMTEXT      Title of book:  FORMTEXT      Book abstract:  FORMTEXT      Type of book:  FORMTEXT      Price:  FORMTEXT      Publication date:  FORMTEXT      Press run:  FORMTEXT      Academic press name:  FORMTEXT      Editor name:  FORMTEXT      Editor postal address, telephone, email; Publisher Web address:  FORMTEXT      Amount of subvention required by press:  FORMTEXT      Amount requested of Fund (not to exceed $3,000):  FORMTEXT      Other sources and amounts of subvention support requested or received:  FORMTEXT      In the last three years, have you received financial support from the Book Publication Subvention Fund?  FORMCHECKBOX  Yes  FORMCHECKBOX  NoI understand and stipulate that (a) I am not an agent or employee of the publisher, (b) I am solely responsible for any and all tax consequences that may result from the payment of the publication subvention to the publisher, (c) I have not received a cash advance from the publisher, (d) I will assign to UMass Boston any prospective royalty revenue up to the amount of the publication subvention awarded, and (e) if the book is not published for any reason, the funds paid to the publisher will be returned to the university. Furthermore, I agree to acknowledge UMass Boston publication support in the preface, introduction, or acknowledgement section of the book. Signature of Author Date?OPQz ^ _ ` u ~ ŶxnxaXIIIhD'hCJOJQJaJhK:hYCJh ;hCJOJQJhCJOJQJhF"hCJOJQJhK:h6CJhF"hCJaJh ;hCJH*OJQJaJhCJOJQJaJhF"hCJOJQJaJhK:hCJ hK:h56:CJ]aJ!hh5:CJOJQJ\hh5:CJOJQJPQ x$Ifgdbkd$$Ifl4*+064 laf4 $$Ifa$gdBBB 2 S ppppSS & F h #$If^#`gd & F h~ #$If^#`gdrkd$$Ifl4*+  064 laf4p  _ `  UG$x$Ifa$gdkdO$$Ifl40*e 064 laf4p & F h $If^ `gd      ' (     4 ~qhXqHq~h~qhjh)lCJUmHnHujhF"hCJUhK:hCJjhK:hCJUhK:hCJOJQJhh5CJOJQJhF"hCJhD'hCJaJ h fh0JCJOJQJaJ+jjh fhCJOJQJUaJhD'hCJOJQJaJhCJOJQJaJjhCJOJQJUaJ    F ~ ss ($Ifgd ($Ifgdrkd9$$Ifl4*+  064 laf4p 4 6 8 B D F R V X l n p z | ~    , 0 2 F ɻɞɕɅ⮻ukhh5CJjhhCJUjhF"hCJUhK:hYCJjhF"hCJUhK:hCJOJQJhh5CJOJQJhK:hCJjh)lCJUmHnHujhK:hCJUjthF"hCJU%~  X vkkk ($Ifgdkdd$$Ifl4F*a06    4 laf4F H J T V X Z t x z  *,.8<>RɕɲɅɲukɲjhCJUj hhCJUj hF"hCJUj"hhCJUhK:hCJOJQJhh5CJOJQJhK:hYCJhK:hCJjh)lCJUmHnHujhK:hCJUjhF"hCJU%X Z vk ($Ifgdkdr$$Ifl44F * g 06    4 laf4 .d.bkd $$Ifl4Q*+064 laf4 ($Ifgdbkd$$Ifl4O*+064 laf4RTV`bd024>@BX\^rtvɻɞɻɎɅuɻej hF"hCJUj2 hF"hCJUhK:hYCJj hF"hCJUjT hF"hCJUhK:hCJOJQJhh5CJOJQJhK:hCJjh)lCJUmHnHujhK:hCJUj hhCJU'dBTII ($Ifgdkdl $$Ifl4\!*   064 laf4 ($Ifgdv *,0|   "$.02\^_möڦöږöچövöjhhCJUjzhhCJUjhhCJUjhhCJUhK:hCJOJQJhh5CJOJQJhK:hYCJhK:hCJjhK:hCJUjh)lCJUmHnHu-.z ($Ifgdukd8$$Ifl40Z*B064 laf4.02 ($IfgdbkdX$$Ifl4w*+064 laf4vi <<$Ifgdkd$$Ifl4{F X**  D06    4 laf4mnoqtz{0EIJK@jAlAAAAAAAAAAAAշǮ}sq}՛}ծcR!h : h56CJOJQJ\h)l56CJOJQJ\UhK:h6CJhK:h6CJOJQJ]hK:h6CJOJQJ$jhK:hCJUmHnHuhK:hCJjh)lhCJUhh5CJOJQJhK:hCJOJQJjhK:hCJUj@h)lhCJU 0J~ x$Ifgd xh$Ifgdbkd6$$Ifl4*+064 laf4JKjAAAAAmgXK (($Ifgd $Ifgd$If h$Ifgd xh$Ifgdrkd$$Ifl4L*+  064 laf4p I have reviewed the authors application and am familiar with the book manuscript for which the subvention support is requested. I acknowledge the significance of the book and its importance for the authors career development. Furthermore, I acknowledge the availability of any departmental or ý subvention support included in the authors application.  Signature of Chairperson Date  Signature of Dean Date For Office of the Vice Provost for Research (OVPR) use only: Action: Approved Not Approved Date: ____________ Amount: $___________ Signed: ______________________________________________ Comments: AAA~BByy P$Ifgd <$Ifgdokdq$$Ifl*+  064 lap AAAA0B1BBBBBBBhhh : hCJhK:hCJh : hCJOJQJh : hCJOJQJ\'jh : hCJU\mHnHuh : h56CJOJQJ BBBBBBBgdqkd$$Ifl *+  064 lap 4 00&P1hP:p/ =!"#$%$$If!vh5+#v+:V l406,5+/ 4f4$$If!vh5+#v+:V l4  06,5+/ 4f4p $$If!vh5e5#ve#v:V l4 06,5e5/  / / / / 4f4pDyK  orsp@umb.eduyK @mailto:orsp@umb.eduyX;H,]ą'c$$If!vh5+#v+:V l4  06,5+4f4p D(PINameThis is a testxD PIPhonexDPIEmail$$If!vh55a5#v#va#v:V l406,55a54f4xDPITitlevD(PIDeptjD $$If!vh5 5g5 #v #vg#v :V l44065 5g5 4f4tDTitle$$If!vh5+#v+:V l4O065+4f4zDAbstract$$If!vh5+#v+:V l4Q065+4f4D(TypeThis is a testD Price$#,##0;($#,##0)This is a testD PubDateThis is a testDPressRun#,##0$$If!vh5 55 5 #v #v#v #v :V l4065 55 5 4f4D<PressThis is a testvDEditor$$If!vh55B#v#vB:V l40655B4f4DThis is a test$$If!vh5+#v+:V l4w065+4f4D SubRequired$#,##0;($#,##0)DAmtReq$#,##0;($#,##0)D OtherSupport$$If!vh5* 5 5D#v* #v #vD:V l4{065* 5 5D4f4|De SupportYeszDe SupportNo$$If!vh5+#v+:V l406,5+4f4$$If!vh5+#v+:V l4L  065+/ 4f4p $$If!vh5+#v+:V l  065+4p $$If!vh5+#v+:V l   065+4p @@@ NormalCJ_HaJmH sH tH @@@ Heading 1$$@&a$5\:@: Heading 2$@&5\D@D Heading 3$$@&a$ 5CJ\>@> Heading 4$@& 5CJ\DA@D Default Paragraph FontVi@V  Table Normal :V 44 la (k(No List 2B@2 Body TextCJ Z Table GridA:V0a_HmH sH tH 6U@6 So Hyperlink >*B*phFV@!F ,q{FollowedHyperlink >*B* ph4@24 WN2Header  !4 B4 WN2Footer  !.)@Q. 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