University Research Council 2017-18

Faculty Collaboration - Graduate Student Stipend and Research Cost Awards —TEMPLATE

Use the Word template to create a single Word document following the proposal guidelines. Please start each section (1-5) below on a separate page.

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1)  Graduate Student Information (Include the following information on a page separate from the proposal.)

Student Name:

Graduate Credit Hours Earned at UC through Autumn 2017 ______(must be less than 260)

Qualifying Exam (date exam was passed): ______

Anticipated Graduation Date: ______

¨ If this proposal is accepted for funding, I certify that I shall devote a total of 340 hours between May 1 through August 31, 2018 on this project.

¨ I am seeking $1,000 in research costs payable to my department to support my proposed research.

¨ I am seeking $4,000 in stipend costs.

Education and Career Objectives: (Briefly state personal educational and career objectives, including any significant achievements since coming to the University of Cincinnati.)

Academic and Research Achievements: (Describe professional activities, publications, creative works, performances, teaching or work experience, awards, recognitions, service to the University, professional and/or community organizations, or any additional items relevant to an evaluation of the your professional achievements. You may include a copy of your vita in lieu of completing this section.)

Presentations: (List presentations (oral, performances in the arts, posters, or publications) made while a member of a UC graduate program. Do not include undergraduate level presentations. Indicate whether the presentation is oral or poster and include the following information: presenter's name, names of other authors, title, name of conference or meeting, location and date.)

Course Transcripts: Include a copy of your unofficial transcript. Do not submit copies of individual quarter grade reports. Do not pay for an official copy of the transcript for this purpose. If you already have a copy of the transcript, you may include a copy with the application. If you do not have one, it is acceptable to submit the course work information using the One Stop student services web application. Go to http://www.onestop.uc.edu/. Select My Classes from the left-hand menu. Select Get My Degree Audit. Scroll to the bottom and click Continue. Log in following the on-screen instructions, using your Central log-in ID and password. The default option will produce a degree audit of your declared major (you may optionally produce a degree audit for any major). Click Submit a New Audit. The Audit screen will appear listing the major for which you have requested an audit. Click Open Audit. Once the degree audit appears, click Printer Friendly to produce an audit showing all courses and grades. You can then copy and paste the information from the printer friendly page or print the pages and scan them into the application.

2)  Proposal (5 pages maximum, double-spaced with 1 inch margins and minimum of 12 point font)

Statement of the Problem

Background

Specific Aims, Research Questions or Hypotheses

Research Strategy or Plan

Faculty Collaborator’s Role

Timeline

References

3)  Research Costs and Justification

List your research costs using the following template. Also indicate how the items relate to the research project.

COST BREAKDOWN / AMOUNT
Materials & Supplies / ______
Equipment (specify below) / ______
Other / ______
TOTAL / ______

4)  Human Subjects and Animal Research:

Are human subjects involved in this research project? Yes: ____ No: ___

If yes, please provide the protocol number ______to indicate that a protocol has been submitted or approved.

Are animals involved in this research project? Yes: ______No: ______

If yes, please provide the protocol number ______to indicate that a protocol has been submitted or approved.

5)  Faculty Collaborator Agreement (Legibly complete the form below including the Faculty Collaborator’s signature, scan the completed form, and include the scanned copy in the single-document grant application.)

FACULTY COLLABORATOR AGREEMENT

This form is to be completed by the student applying for a University Research Council Faculty Collaboration - Graduate Student Stipend and Research Cost Award and the student’s faculty collaborator. Legibly complete the form, scan it and include the scanned copy in the single-document grant application.

Student Name: ______

Project Title: ______

I approve the above referenced application and certify that if animals or human subjects are involved in the proposed studies that the appropriate IAUC and/or IRB approvals have been obtained and that the student will receive the appropriate training to perform the studies. I will be accessible to the student throughout the duration of this project.

I understand that the student will be assessed on the following to determine if the project will be funded:

• Scholarly merit

• Grades

• Achievements

Faculty Collaborator Signature ______

Faculty Collaborator Name (print) ______

Faculty Collaborator Title:______

Faculty Collaborator Dep’t.______

Faculty Collaborator Email:______

6)  Graduate Program Director Approval (Legibly complete the form below including the Graduate Program Director’s signature, scan the completed form, and include the scanned copy in the single-document grant application.)

GRADUATE PROGRAM DIRECTOR APPROVAL

This form is to be completed by the student applying for a University Research Council Faculty Collaboration - Graduate Student Stipend and Research Cost Awards and the student’s graduate program director. Legibly complete the form, scan it and include the scanned copy in the single-document grant application.

Student Name: ______

Project Title: ______

I approve the above referenced grant submission. I understand that the student will be assessed on the following to determine if the project will be funded:

• Scholarly merit

• Grades

• Achievements

Graduate Program Director Signature ______

Graduate Program Director Name (print) ______

Graduate Program Director Dep’t.______

Graduate Program Director Email:______

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