By submitting this form, I agree to accept responsibility for the scientific conduct of this project. I certify that the information that is included in this application is true and complete to the best of my knowledge and understand that willful provision of false information is grounds for rejection of the application. I also understand that I must receive my advisor's prior approval and that by submitting this form I am indicating that approval has been given for the research described in this application and its related budget. I further understand that I must receive approval from the Human Subjects Board at the institution where I am currently enrolled before funding will be awarded for research involving human subjects.
Name:
Academic Affiliation (department, college or university):
Anticipated graduation date and expected degree:
Email:
Daytime Phone:
Address (for correspondence):
Advisor’s Information
Name:
Email:
Daytime Phone:
Description of the Research Plan
A description of your research plan is also required. State the research objectives and the specific aims of the research. Describe concisely the methods for achieving these goals. The research plan should not exceed 1500 words.
Budget
Period for which funding is requested (from/to):
Total amount of funding requested:
Would you be willing to accept partial funding if the entire requested
amount is not granted? (yes/no)
List each budget item. For each, indicate its associated cost and provide a brief justification of the expenses.
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