| First Name: |
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Last Name: |
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AppalNet Username: |
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Preferred Email: |
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Phone: |
(123-456-7890) |
ASU Box: |
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Graduate Program: |
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First Name: |
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Last Name: |
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Email: |
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College: |
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Department: |
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Amount Requested: |
$
Allowed up to $400 |
Have you received prior funding? |
No
Yes |
Would you be willing to accept less than the amount requested? |
No
Yes |
Project type: |
Capstone/Exit Research Project
Product of Learning
Thesis
Dissertation |
Course number for project: |
(ex. BIO-1234) |
If applicable, date thesis or dissertation committee approved by Graduate School: |
(mm/dd/yyyy) |
Date prospectus submitted to Graduate School: |
(mm/dd/yyyy) |
Project Title:
(Max 1000 characters)
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Project Description:
(Max 3000 characters)
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The total amount the project will cost upon completion: |
$
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Budget Justification:
Please provide an itemized list of materials needed for the project. Include item description, catalog number, cost and vendor.
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Other Funding Sources:
Please list other funding sources for this project. Include source, amount, date, and whether it is an internal or external source.
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What are your plans for formal dissemination of results?
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If applicable, is the project IRB approved? |
No
Yes If yes, date of submission for approval
(mm/dd/yyyy) |
If applicable, is the project IACUC approved? |
No
Yes If yes, date of submission for approval
(mm/dd/yyyy) |
Does your research project require travel outside of the United States? |
No
Yes |
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