University Honors Program
Honors Thesis Research Proposal and Fellowship Request
Cover Sheet
Student Name: ______Email
Expected Graduation Date: ______Current GPA: ______ID#:
Major(s): ______Minor(s)
Preliminary Title of Thesis:
Funding Requested (please check all that apply):
□ UHP Summer Housing Fellowship No___ Yes: 1st term___ 2nd term___ Full term___
□ Thesis Fellowship (Materials, supplies, etc.) $
□ Palermo Fund Fellowship
□ Arnold Scholarship
Proposal Checklist (please check all that apply):
□ Cover letter signed by advisor and student
□ Timeline, itemized budget and narrative budget justification completed
□ Does your thesis research involve human subjects? ___ Yes ___ No
If yes, include either the IRB approval letter or IRB proposal as an appendix; or RREC approval
for students working with faculty in the Psychology Department
□ Does your thesis research involve the use of vertebrate animals? ___ Yes ___ No
If yes, include either the IACUC approval letter or IACUC proposal as an appendix.
□ Attended Library Research Workshop and Completed Workshop Assignment
□ Completed Responsible Conduct and Research CITI Course (Ethics training)
□ Proposal online submission form with attached PDF of proposal and all materials
□ Advisor letter of support submitted electronically
Student Signature Date
THESIS ADVISOR APPROVING GRANT PROPOSAL:
Advisor Name:
Department: ______Telephone:
I have reviewed and approved the Honors Thesis Research Proposal and Grant Request. The budget request
for $______is consistent with the needs of this research.
The thesis mentor’s department account number for transfer of funds, if awarded, is
Advisor Signature Date
Students should complete the online submission form and upload the Cover Page, Proposal and all other materials as one PDF file. Mentors should upload letters of recommendation as a PDF file to .
University Honors Program form As of 8/4/17