Question Title

* Email address

Question Title

* First Name

Question Title

* Last Name

Question Title

* Institution

Question Title

* Major(s) and Minor(s)

Question Title

* Anticipated Graduation Year

Question Title

* Faculty Research Mentor Name

Question Title

* Faculty Research Mentor Email

Question Title

* Does your institution or faculty mentor have a CUR membership?

Question Title

* Why are you requesting funds?

Question Title

* Total Amount requested (please provide dollar amount)

Question Title

* Date that funds are needed

Date

Question Title

* Itemized budget and justification (list $ amounts for each requested item and describe why it is needed)

Question Title

* Title of research project

Question Title

* Abstract of Research Project (300 word maximum)

Question Title

* In 500 words or less describe why you are seeking an URSA and how you will benefit from the experience

Question Title

* Do you agree to submit the following within 90 days of receiving funds?

(1) Copy of the poster/talk/paper that the funding supported
(2) Description of the experience (250 words or less)
(3) Photo or graphical image with a caption and credit

Question Title

* Do we have your permission to use the information and materials you provide us on our webpage, Facebook page and/or newsletter? *

Question Title

* Attach a Support Letter from your faculty research advisor. Advisor letters should address:

(1) the research abilities of the applicant
(2) the benefits of the research experience to the student
(3) the amount that the institution is matching to support the student.

PDF, DOC, DOCX file types only.
Choose File

T