Faculty Summer Research Grant Program Application Form

Faculty name *

Faculty ID *

Faculty email *

Select your rank: *

Check the box below if you are tenured:

Select your home unit: *

Enter the number of years since your initial appointment: *

Provide the title of your project: *

Indicate the IRB/IACUC/IBC status of the project: *

Provide the IRB/IACUC/IBC number if the project has been approved:

Previous FSRG?

Year of FSRG award:

List the outcomes of this project:

Year of FSRG award:

List the outcomes of this project:

Year of FSRG award:

List the outcomes of this project:

Check any sources of internal funding you are applying for. If other is checked, please provide the name of the funding source in the field below. URC research grant
URC paid leave
Other (enter source information in field below)

List all other funding sources that you are applying to:

If you have received support for the proposed project from other sources, please describe the nature of that support:

Most recent external funding award (agency, number, year, and amount):

Most recent external funding proposal submission (agency, year, and amount):

Please check off the specific goals of this project: Article
Book
Presentation
Other (list goals in the field below)

Please list any additional goals of this project:

Enter the appropriate faculty stipend ($5,300 untenured, $5,800 tenured): *

Enter the amount requested for expendable supplies:

Enter the amount requested for permanent equipment:

Enter the amount requested for travel:

Enter the amount requested for student assistant wages:

Enter the amount of any additional costs:

Check this box if you have any remaining startup funds:

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Research

Smart Form Standard Web Part 2 ‭[2]‬

Applicant information

Project information

Previous Faculty Summer Research Grant program support

First FSRG award

Second FSRG award

Third FSRG award

Internal funding sources

Previous funding sources for this project

External funding sources

Project goals

Project budget summary

Application attachments

Smart Form Standard Web Part 2 ‭[1]‬

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