| First Name: |
|
Last Name: |
|
AppalNet Username: |
|
Preferred Email: |
|
Phone: |
(123-456-7890) |
ASU Box: |
|
Status: |
|
Major: |
|
Your current GPA: |
(#.##) |
Are you a student athlete? |
No
Yes If yes, which sport?
|
First Name: |
|
Last Name: |
|
Email: |
|
College: |
|
Department: |
|
Amount Requested: |
$
Allowed up to $750 (up to $1000 for International research) |
Would you be willing to accept less than the amount requested? |
No
Yes |
Budget Justification:
(Max 1500 characters)
|
|
Project Title:
(Max 1000 characters)
|
|
Project Description:
(Max 3000 characters)
|
|
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) |
If funded do you give the OSR permission to post your "Project Description" on the OSR website under the "Current Projects" link? |
No
Yes |
|
|
