Undergraduate Research Program 2015-2016
Application form for Undergraduate Student Research Funds

 This application form and all other required material must be submitted electronically to Pam Bucher (psbuch@ship.edu) by 5:00 P.M. on 10/9/2015.

We strongly encourage you to work closely with your faculty research sponsor in developing your proposal.  The selection criteria for the Undergraduate Research Grants are available at 2015/2016 Call for Proposals.

Please:

  •  Use tab key or use your mouse to move from field to field
  •  Answer all the questions and review you answers for accuracy before submitting.
  •  Contact the IPSSP office at psbuch@ship.edu if you have any questions. 

 Lead Student Researcher Information 

 First Name:   
 Last Name:  
 Email Address:  
 Student ID Number:  No Social Security Numbers      
 Phone number at which you can easily be contacted:  
 Student Year:  
 Student Major:  

 UGR Proposal Information  

 Project Title  
Proposed Budget  
Supplies Funding Request (a)  

$ 

Poster Printing Funding Request (b)

 $ 

 Student Field Travel Request (c)  

 Student Conference Travel Request (d)

$
 Student Total Budget Request - [sum of (a) thru (d)]

$

Faculty Field Travel Request (e)

$400 Maximum award allowed for faculty through UGR program.

$

TOTAL BUDGET REQUEST FOR YOUR RESEARCH PROJECT. [sum of (a) thru (e)] 
$

Total  Number of Students (including you) taking part in this project.

   

   List ALL Students Assisting you with this Project:  
  First Name Last Name Email Address
Student # 2        
Student # 3      
Student # 4      
Student # 5      
Student # 6      
Student # 7      
Will your research involve laboratory animals?
                                     

If you answered yes, what is the status of your Institutional Animal Care and Use application?   
Will your research involve human participants, including the use of surveys and/or focus groups?
                                                           

If you answered yes, what is the status of your Committee on Research with Human Subjects application?
Primary Faculty Research Sponsor  
  Faculty Research Sponsor's First Name:   
Faculty Research Sponsor's Last Name:  
  Faculty Research Sponsor's Email Address:  
  Faculty Research Sponsor's Department:   
Additional Faculty Research Sponsor  
Faculty Research Sponsor's First Name:
Faculty Research Sponsor's Last Name:  
Faculty Research Sponsor's Email Address:  
Faculty Research Sponsor's Department:   
Additional Faculty Research Sponsor  
Faculty Research Sponsor's First Name:     
Faculty Research Sponsor's Last Name:  
Faculty Research Sponsor's Email Address:  
Faculty Research Sponsor's Department:   

 

 This application form and your full proposal must be submitted electronically to Pam Bucher (psbuch@ship.edu) by 5:00 P.M. on 10/9/2015.

 

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