Student Research Grant Application

First Name

Last Name

Phone

Status

Undergraduate

Graduate Student Arts & Sciences

Graduate Student Boler

Name of Class/Independent Study Course

Is this research being conducted as part of a class or independent study course? If so, list the class here.

Department/Major

Where will the work on the project will be done?

Funds Requested (up to $250)

A copy of your application will be sent to your faculty sponsor.

Does any work in this study require utilizing human subjects or animal and therefore IRB/IACUC approval?

Yes

If Yes, please provide a copy of your IRB/IACUC approval letter.

Describe: 1) the purpose of the project; 2) the anticipated results; and 3) the significance of the research to your field of study.

How will the funds be used?

Supporting Letter

Yes

My faculty sponsor will send a supporting letter directly to the Associate Academic Vice President.