CHS Undergraduate Research Fellowship Application Form

General Information

Name

First

Last

Student ID #

E-mail Address

Student’s Department, College, and Major

Campus or Local Address

Expected year of graduation

Enrollment Status

Freshman

Sophomore

Junior

Senior

Gender

Male

Female

Other

Prefer not to provide

Type of fellowship applied for

Academic Year

Summer

Faculty Sponsor

Faculty E-mail Address

Faculty College and Department

Faculty ID number

Provide a description of your funding support for the student. Include amounts and items you will contribute to support your summer research student.

Research Proposal

Please write a clear project proposal in the spaces provided below. You have a 750-word limit for this proposal (project title does not count toward your word limit). It is best to compose your proposal in a Word document first to edit and wordsmith. When you are finished with your final version, cut and paste your text into each text box.

Project Title/Name

Background and rationale for proposed research

Goals of the proposed research

Hypothesis

Description of methods

Anticipated results

Please estimate the amount of fellowship funding that will be used for the following categories:

Living Stipend

Supplies for your research project

Travel for research purposes

Conference registration and poster printing

CHS Undergraduate Research Fellowship Application Form

*All fields are required for successful submission. A successful submission will take you to a confirmation page. If no confirmation page appears after you submit the form, then the form has not been sent. Please return to the form and ensure that ALL fields are completed.

General Information

Faculty Sponsor

Research Proposal