** THIS IS A SAMPLE FORM FROM A PREVIOUS YEAR **

APPLICATION FOR RESEARCH SUPPORT

DUE FEBRUARY 23, 1998
Department of Biology, Swarthmore College

Before submitting this application you should speak to a faculty member with whom you wish to collaborate or in whose area you wish to work. If you have an off-campus mentor, you must nevertheless consult with a Swarthmore faculty member. Certain types of proposals receive different funding priorities, so please speak with a faculty member about whether your proposal does or does not fit into the various categories. Please understand that funding cannot be guaranteed.

 

Name: _____________________________________ Class: _______

Major: __________________________________

Title of project __________________________________________________________

Check all that apply: Honors Course Field research Laboratory research

Have you applied for other support? Yes No

Location of research: _____________________________________________________

Name and title of mentor: _________________________________________________

If off campus, is any support available from another institution? Yes No

Amount of stipend requested (maximum stipend for 10 weeks = $3,500): $__________

Amount requested for supplies: Summer: $_________ (and if Honors, Fall: $________ )

Biology courses taken (title, semester, year, and grade):
_____________________________

_____________________________

_____________________________

_____________________________

_____________________________

_____________________________

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On the next page write a short description of your proposed research, which should be approved by your faculty mentor. You may also wish to include supporting papers or reports. If you are requesting money for supplies, travel, or other needs, submit a budget detailing how the money will be spent.

 

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Research Proposal

 

Project title: ____________________________________________________________

Name: ____________________________________________________________

Brief description:

 

 

 

 

 

 

 

 

Budget (itemized funding request):