UWF - Office of Undergraduate Research - Student Project Funding Reuqest

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All fields are required.
Please double check your information before you submit.

Project Information

Is this a group project? Yes No

Project Title:
Associated Department:
College:
Faculty Mentor:
Mentor Email:
Duration of Project:	-
Course Number & Name Related to Project:
Total Funding Requested:	$ .00

Student Information

If submitting as a group, please list the lead/ submitting student's information first. Each student's information must be supplied. Use the "Add Group Member" button to add additional fields.

Name:

UWF Student Number:

Email:

Telephone:

Street Address

City	State	Zip Code

Major:

Year:

Expected Graduation Date:

Grade Point Average:

Summary Statement

Provide a brief summary of the research proposal, including its objective, the scientific or creative methods to be employed, and the significance of the work to the field of knowledge in general. Please remember that you are writing to a wide audience and that you want to explain your project in layman's terms. If you are pasting from Word, please use the Word Pasting Tool on the toolbar.

Please provide a brief budget description:

Itemize your expenses, including vendor, equipment description, supplies, computer services, library or laboratory fees, copy costs, other necessary research expenses, etc. If you are pasting from Word, please use the Word Pasting Tool on the toolbar.

By typing my name, I certify that this project adheres to the requirements of the OUR by directly promoting undergraduate research at the University of West Florida and that it will involve collaboration between myself and a faculty mentor. I understand that if I fail to complete the program assessment survey, I will repay the sum total of the award.

Digital Signature:

Date: 05/23/2013

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