Undergraduate students planning to conduct research or creative projects during summer 2015 are invited to apply for anURSA Student Funding Awards of up to $5000.Activity supported by these awards will be conducted through August 21, 2015. To be considered, please complete this application form with assistance from your faculty mentor. All sections indicated with bolded font must be completed. Do not make any formatting changes (font size, line spacing, margins, etc.). The form must be submitted electronically to no later thanFebruary 27, 2015to be considered for funding. Award winners will be notified by email and posted on the URSA website by March 13, 2015.

Fullname:

GPA:UAF credit load Spring 2015 semester:

University ID:Student phone number:

Student UAF email:

Are you an international student?Yes ___No ___

Student degree program: Certificate ___Associate ___Baccalaureate ___

Student major:

Faculty Mentor (full name):

Faculty Mentor UAF email:

Department/Discipline of proposed project:

Title of project:

Expected hours per week student will spend on the project:

Have you applied for other funding for this project?Yes ___ No ___

Are you planning to register for academic credit for your participation?Yes ___ No ___

If yes, which department and how many credit hours?

Check if your project involves any of the following:

Use of vertebrates ___

Research on human subjects ___

Use of radiation, lasers or significant chemical hazards ___

Use of biohazards ___

If your research project involves any of the above items, please provide your IACUC, IRB or IBC number ______or indicate when a protocol assurance will be filed and by whom.

Abstract (150-200 words)

Give an introduction to your project including a description of what you are doing, why you are doing it and how you plan to conduct your project.

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The next five sections (Goals, Background and Significance, Design and Methodology, Anticipated Outcomes, and Mentoring) must be completed in not more than three pages. Again, do not make any formatting changes (font size, line spacing, margins, etc.). Simply over-write the italicized instructions with your own narrative text.

Goals

Provide a concise listing of your project objectives, creative purpose or research hypothesis.

Background and Significance

Provide a brief background using supporting literature and describe the rationale and significance of the proposed study.

Design and Methodology

Summarize the design of the project and describe the methods, procedures and/or protocols planned to achieve the goals. Describe any equipment or facilities that will be used.Provide a timeline of the project work including a schedule of mentorship (frequency and objectives of meetings between student and mentor).

Anticipated Outcomes

Describe the anticipated outcome: expected findings or any products/deliverables that will result from your work.

Mentoring

Describe the faculty mentor’s role and/or participation in the project.

Budget

Itemize and total your projected expenses. You may request up to $5000 for salary, stipend, project supplies or services, tuition for up to 3 undergraduate resident credit hours, travel, informant fees, etc.

URSA Student Funding Awardees are required to: 1) complete training for the Collaborative Institutional Training Initiative (CITI) (see ), 2) be listed on the mentor’s approved protocol, IRB or IACUC, whichever covers the proposed project, 3) create a poster presenting project outcomes, and 4) email an electronic version of the poster to by August 21, 2015.

By electronically submitting this application I certify that this proposed project is my original work with appropriate guidance from my faculty mentor.I give permission for my photograph or representations of my work to be used in web or university publications promoting UAF.I understand that supplies and materials purchased for my use for this project are the property of my academic department at UAF. I understand that a completed UA Travel Authorization form must be on file in my academic department before any travel costs are incurred. By submitting this application, award recipients agree to these terms.

When you have completed this application form, submit an electronic copy to

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All proposals will be reviewed based on: 1) written quality of the proposal and quality of the work plan, 2) intellectual merit or scholarly contribution of the project and its potential outcomes, 3) adequate faculty mentor involvement, and 4) feasibility of completion within the given timeline. The project can extend past August 21, 2015, but funding must be spent and the poster must be completed by that date. Student GPA is considered but to a lesser degree. Selections will be made by the URSA Advisory Board and URSA Director.