WORKSHEET - GSA Graduate Student Research Grant Application
This document contains the exact same questions and instructions students will see upon logging in to apply. Answers may be composed here and then pasted into the online application.
Top of Form
Status Page / Withdraw Your Application* REQUIRED
Please be sure to read thePolicies and Proceduresand theApplication Instructionsbefore you begin, and review them again before submitting.
Click here for general instructions.
The question mark symbol appears throughout this form. Click on it to get more details regarding the specific question that you're on.
SAVE OFTEN!
Personal Information / Academic InformationEdit your address here if necessary.
*First Name:
*Last Name:
*E-Mail Address:
*Address (Line 1):
Address (Line 2):
Address (Line 3):
*City:
*State/Province:
SELECT CO AB AK AL AR AZ BC CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MB MD ME MI MO MN MS MT NB NC ND NE NF NH NJ NM NS NT NV NY OH OK ON OR PA PE PR QC RI SC SD SK TN TX UT VI VT VA WA WI WV WY YK Other
*Postal Code:
*Country:
SELECT USA USA Canada Mexico Belize Costa Rica El Salvador Guatamala Honduras Nicaragua Panama Virgin Islands - US
Race/Ethnicity:
SELECT American Indian/Native American Asian Black/African American Hispanic/Latino Pacific Islander White/Caucasian Two or more races Other Prefer not to answer
*Citizenship:
SELECT USA Afghanistan Albania Algeria American Samoa Andorra Angola Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Chad Channel Islands Chile China Colombia Comoros Congo, Dem. Rep. Congo, Rep. Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Faeroe Islands Fiji Finland France French Polynesia Gabon Gambia Georgia Germany Ghana Greece Greenland Grenada Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Kuwait Kyrgyz Republic Lao PDR Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Morocco Mozambique Myanmar Namibia Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russian Federation Rwanda Samoa San Marino Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovak Republic Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka St. Kitts and Nevis St. Lucia Sudan Suriname Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Uganda Ukraine United Arab Emirates United Kingdom Uruguay USA Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands (U.S.) West Bank and Gaza Yemen, Rep. Zambia Zimbabwe Other
*Gender
SELECT Male Male Female
*Are you a member of a GSA Division? (Select all that apply.)
(hold "Ctrl" key to select more than one option)
SELECT Archaeological Geology Energy Geology Environmental and Engineering Geology Geobiology and Geomicrobiology Geoinformatics Geology and Health Geology and Society Geophysics Geoscience Education History and Philosophy of Geology Hydrogeology Karst Limnogeology Mineralogy, Geochemistry, Petrology, and Volcanology Planetary Geology Quaternary Geology and Geomorphology Sedimentary Geology Structural Geology and Tectonics None of the Above
*Are you a member of a GSA Section? (Select all that apply.)
(hold "Ctrl" key to select more than one option)
SELECT Cordilleran North-Central Northeastern Rocky Mountain South-Central Southeastern None of the Above
*Did you attend a GSA Grant Writing Workshop or Webinar?”
SELECT Yes No / *University:
*Department:
*Current degree program:
SELECT M.S. Ph.D.
*Do you have a Masters degree?
Yes No
*Yrs in graduate school (Masters):
SELECT None 1st Year 2nd Year 3rd Year 4th Year 5th Year 6th Year 7th Year Other
*Yrs in graduate school (Doctorate):
SELECT None 1st Year 2nd Year 3rd Year 4th Year 5th Year 6th Year 7th Year Other
*What category would your proposal fall under?:
SELECT Archaeological Geology Biogeosciences Climatology/Meteorology Coal Geology Economic Geology Engineering Geology Environmental Science Geography Geophysics/Tectonophysics Geoscience Education Geothermal High Temperature Geochemistry History of Geology Hydrogeology/Hydrology Karst Limnogeology Low Temperature Geochemistry Mapping Medical Geology Mineralogy/Petrology Oceanography/Marine Geology Organic Geochemistry Paleobotany Paleoecology Paleoclimatology/Paleoceanography Paleogeography Paleontology Petroleum Geology Planetary/Space Science Policy/Regulatory Quaternary Geology/Geomorphology Seismology Soil Science Stratigraphy/Sedimentology Structural Geology/Tectonics Volcanology Other
Geographic focus of research:
(hold "Ctrl" key to select more than one option)
SELECT Africa Alaska Antarctica Appalachin Asia Caribbean Central America Circum-Pacific Region Cordilleran U.S. Death Valley Europe Iceland New England Rocky Mountain U.S. South America South-Central U.S. Southeastern U.S. Southwestern U.S. North-Central U.S. Northeastern U.S. Pacific Islands Pacific Northwest U.S. Other
*Project Title:
Appraisal Form
*Project Supervisor who will fill out the appraisal form:
*Supervisor's e-mail:
*Supervisor's Affiliation:
Specialized Awards:
If you would like to be considered for a specialized award, please select up to three from the Specialized Awards list. Specialized awards may be given in an amount greater than $2,500. All applicants will be considered for ExxonMobil grants.
SELECT Marland Pratt Billings and Katharine Fowler-Billings Research Award John A. Black Award Gretchen L. Blechschmidt Award John T. Dillon Alaska Research Award Robert K. Fahnestock Memorial Award Robert D. Hatcher Research Award John W. Hess Research Grant Roscoe G. Jackson II Award Lipman Research Award John T. and Carol G. McGill Award John Montagne Award Bruce L. ''Biff'' Reed Award Charles A. & June R.P. Ross Research Award Alexander Sisson Award Parke D. Snavely, Jr., Cascadia Research Award Harold T. Stearns Fellowship Award Alexander & Geraldine Wanek Award Lauren A. Wright & Bennie W. Troxel Student Research Award
For multiple selections, hold down the Ctrl key (PC) or the Command key (Mac) while clicking the desired selections.
CHARACTER COUNT INCLUDES SPACES AND PUNCTUATION.
*This section should present the problem, hypotheses, and the overall objectives of the project. (1,000 character limit, including spaces).:
*Upload a pertinent, well-organized figure that enhances the proposal. Successful figures will be referenced in the proposal text and include at least: title, stand-alone caption, and a citation if not the original work of the student. If you already have an image on file and upload a new image, the new image will overwrite the old image.Applications without a figure will not be reviewed.
[UPLOAD PDF IMAGE].
*This section should discuss the scientific and societal significance; what is the importance of this project? (2,500 character limit, including spaces):
*This section should concisely state your research plan and how it will test your hypothesis stated above. (2,500 character limit, including spaces):
*Duration of investigation (dates):
This section should have an itemized budget and detailed justification for each item listed. MAXIMUM of $2,500 to be requested from GSA. List in order of priority and be sure to total up each column of budgeted item costs.
*Budget Item / *Total Amount Budgeted / *Amount Requested from GSA(maximum of $2,500) / Amount Requested from Other Sources
(list details in following funding matrix)
1. / $.00 / $.00 / $.00
*2. / $.00 / $.00 / $.00
*3. / $.00 / $.00 / $.00
*4. / $.00 / $.00 / $.00
*5. / $.00 / $.00 / $.00
*6. / $.00 / $.00 / $.00
*7. / $.00 / $.00 / $.00
*8. / $.00 / $.00 / $.00
*TOTAL : / $.00 / $.00 / $.00
*Budget justification for funds requested from GSA (1,200 character limit, including spaces):
*Amount and nature of other available funds, facilities, materials, etc. (1,200 character limit, including spaces):
Other grants that (a) have supported this project, (b) are currently supporting this project, and (c) are being applied for as listed in your budget above. This list should include funds available to or applied for by the thesis supervisor, if these can support the proposed work:
YearApplied / Agency Title Applied to / Amount Requested / Amount Granted if
Received / Amt. remaining as of
March 30 this year (projected)
1. / $.00 / $ / $.00
2. / $.00 / $ / $.00
3. / $.00 / $ / $.00
4. / $.00 / $ / $.00
5. / $.00 / $ / $.00
*Have you ever received a GSA graduate student research grant?
Yes No
Related to this project?
Yes No
Year(s) applied:
Year(s) granted:
If you have received a previous GSA graduate student research grant, please copy and paste your progress report form below.
Click here forProgress Report Form(Word Format). (4,000 character limit, including spaces):
*Abbreviated resume. List education, major positions held, and significant accomplishments. Provide information relevant to your qualifications to undertake proposed research. List up to 5 of your publications and presentations (2,500 character limit, including spaces):
*References cited in proposal (2,500 character limit, including spaces):
*Confirmation Check Box1. All text entered is original; I have not copied text from other proposals or have had anyone else write the text for me.
2. I am currently studying in the US, Canada, Mexico or Central America.
3. I have read all of the Policies and Procedures and all of the Application Instructions.
SOCIAL SECURITY NUMBER VERIFICATION
If you are aU.S. Citizen or Resident Alien, the following must be filled in. This is in accordance with the IRS. Failure to do so will eliminate your application from being reviewed. If awarded a grant, this money may be taxable by the IRS.
Enter your name and Social Security Number (SSN). Name must match the SSN you provide in order to avoid backup withholding. We work to protect the security of your information during transmission by using Secure Sockets Layer (SSL) software, which encrypts information you input.
*Name:
/ *SSN:(no spaces or hyphens)
*Under penalties of perjury, I certify that:
1. The SSN shown on this form is my correct SSN and
2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and
3. I am a U.S. citizen or U.S. resident alien.
I accept
If you are not a U.S. Citizen or Resident Alien, please check the button below.
I am not a U.S. Citizen or Resident Alien
What's the difference between these three buttons?
Bottom of Form