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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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Department: |
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Graduate Program: |
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Are you currently enrolled in the University Honors Program or have Honors Designation? |
No
Yes |
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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First Name: |
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Last Name: |
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Amount Requested: |
$
Allowed up to $500 |
Would you be willing to accept less than the amount requested? |
No
Yes |
Project type: |
Capstone/Exit Research Project
Product of Learning
Thesis
Dissertation
Independent Research Project |
Project Title:
(Max 1000 characters)
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Project Description:
(Max 3000 characters)
Briefly explain the project including goals, expected outcomes, and what role the student will have in the project.
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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. |
Other Funding Sources:
Please list other funding sources for this project. Include source, amount, date and whether it is an internal or external source. |
If applicable, is the project IRB approved? |
No
Yes If yes, date of approval
(mm/dd/yyyy) |
If applicable, is the project IACUC approved? |
No
Yes If yes, date of approval
(mm/dd/yyyy) |
Does your research project require travel outside of the United States? |
No
Yes |
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