CURS Grant Application
Student Name
*
First Name
Last Name
Additional student team members can be added later in this form
BGSU Email
*
A BGSU email is required
BGSU Student ID Number
*
Current Class Standing
*
Please Select
Freshman
Sophomore
Junior
Senior
Phone Number
*
Please enter a valid phone number.
Major/Minor
*
Current Cumulative GPA
*
Anticipated Date of Graduation
*
-
Month
-
Day
Year
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Which CURS grant are you applying for:
*
Please Select
a. Fall Grant
b. Winter Grant
c. Spring Grant
d. Summer Grant
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Faculty Mentor Information
Faculty Name
*
First Name
Last Name
Faculty Email Address
*
example@example.com
Office Phone Number
*
Please enter a valid phone number.
Department
*
Department Chair
*
First Name
Last Name
Department Chair Email Address
*
example@example.com
College
*
College Dean
First Name
Last Name
College Dean Email Address
example@example.com
Do you have an additional faculty member helping?
*
Yes
No
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Additional Faculty Information
Please fill out the section below for the additional faculty member.
Additional Faculty Name
*
First Name
Last Name
Email Address
*
example@example.com
Office Phone Number
*
Please enter a valid phone number.
Department
*
Department Chair
*
First Name
Last Name
Department Chair Email Address
*
example@example.com
College
*
College Dean
First Name
Last Name
College Dean Email Address
example@example.com
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How many additional students will be participating on the grant?
*
Please Select
0
1
2
3
4
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Please enter only information for additional team members here, i.e., please do NOT re-enter the student's information already submitted on the first page of this form.
Additional Team Member
Name
*
First Name
Last Name
Email
*
example@example.com
BGSU Student ID Number
*
Current Class Standing
*
Please Select
Freshman
Sophomore
Junior
Senior
Phone Number
*
Please enter a valid phone number.
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Additional Team Member
Name
*
First Name
Last Name
Email
*
example@example.com
BGSU Student ID Number
*
Current Class Standing
*
Please select
Freshman
Sophomore
Junior
Senior
Phone Number
*
Please enter a valid phone number.
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Additional Team Member
Name
*
First Name
Last Name
Email
*
example@example.com
BGSU Student ID Number
*
Current Class Standing
*
Please Select
Freshman
Sophomore
Junior
Senior
Phone Number
*
Please enter a valid phone number.
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Additional Team Member
Name
*
First Name
Last Name
Email
*
example@example.com
BGSU Student ID Number
*
Current Class Standing
*
Please select
Freshman
Sophomore
Junior
Senior
Phone Number
*
Please enter a valid phone number.
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Total amount of funding support requested to cover the cost of the project?
*
Project Title
*
Project Summary (100-250 words)
*
0/250
What is your scholarly or research question to be addressed by this project?
*
Will Human Subjects be involved in any manner?
*
Yes
No
Has IRB (Institutional Review Board) approval been obtained? (Please contact the Office of Research Compliance for any questions.)
*
Yes
No
What is the IRB Project Reference Number?
*
When is IRB approval expected?
*
-
Month
-
Day
Year
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Will Live Vertebrate Animals be involved in any manner?
*
Yes
No
Has IACUC (Institutional Animal Care and Use Committee) been obtained? (Please contact the Office of Research Compliance for any questions.)
*
Yes
No
What is the IACUC Project Reference Number?
When is IACUC approval expected?
-
Month
-
Day
Year
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Will Recombinant DNA be used in any manner?
*
Yes
No
Has IBC (Institutional Biosafety Committee) approval been obtained? (Please contact the Office of Research Compliance for any questions.)
*
Yes
No
What is the IBC Project Reference Number?
When is IBC approval likely to be given?
-
Month
-
Day
Year
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Will Radioactive Materials be used in any manner?
*
Yes
No
Has Radiation Safety Training been completed? (Please contact the Radiation Safety Office for any questions.)
*
Yes
No
When is Radiation Safety Training likely to be completed?
-
Month
-
Day
Year
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Upload other necessary files for the grant
*You will not be able to submit the application until these files are uploaded.
Project Narrative
*
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Project Budget
*
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Reference Letter From Faculty Mentor
*
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Reference Letter From Second Faculty Mentor (if applicable)
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