| 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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Status: |
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Major: |
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Are you a member of the Honors Program? |
No
Yes |
GPA: |
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Are you a student athlete? |
No
Yes If yes, which sport?
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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/Program: |
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Amount Requested: |
$
Allowed up to $500 |
Have you received prior funding? |
No
Yes |
Would you be willing to accept less than the amount requested? |
No
Yes |
Budget Justification:
Please provide an itemized list of materials needed for the project. Include item description, catalog number, cost and vendor. (Max 1500 characters)
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Project Title:
(Max 1000 characters)
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Project Description:
What are the goals, objectives and specific aims of the project? Please review the design and methodology that will be employed. Justify how and why your proposed budget is needed to complete this project. (Max 3000 characters)
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If applicable, is the project IRB approved? |
No
Yes If yes, date of approval
(mm/dd/yyyy)
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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 |
If funded do you give the OSR permission to post your "Project Description" on the OSR website under the "Current Projects" link? |
No
Yes |
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