Undergraduate Research Assistantship Application Form

Faculty Member
First Name:
Last Name:
Email:
College:
Department:
Student Information
First Name:
Last Name:
AppalNet Username:
Preferred Email:
Phone:
(123-456-7890)
ASU Box:
GPA:
Status:
Major:
Funding Period
Amount Requested For Student:
$ Allowed up to $2,000 ($1,000/semester)
Semester Requesting Funding for:
(If requesting for both Fall and Spring, check both)
Fall 2008
Spring 2009
Summer 2009

Project Title:
Max 1000 characters.

Project Goals (hypothesis, objectives, etc):
Please explain how this is a scholarship for your academic discipline. Max 2000 characters.

Role of the Faculty Mentor:
Briefly explain what role you will play as the faculty member in mentoring this student, also discuss any previous experience you have in mentoring undergraduate students. Max 2000 characters.

Role of the Student:
What do you expect the student to get out of this experience? Please provide a summary as to what specific tasks the student will be engaged in. Why is this student appropriate for this experience? Max 2000 characters.

Demonstrated Outcome:
This is with respect to what the student will gain and how your research program will benefit. Max 2000 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)
Does your research project require travel outside of the United States?
No Yes  

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