Student Research Grant Application

Project Title:

Applicant's Name: * (required)

Email: * (required)

Phone Number:

Address

City/Town

ZIP/Postal Code

Faculty Advisor's Name:

Faculty Advisor's Department:

Will you apply for academic credit for this research?

yes

no

If yes, for how many credit hours:

Describe the proposed research project:

Describe how the grant will be used (itemize expenditures with estimates of actual costs):

Student and faculty advisor's roles in the proposed project: