UNDERGRADUATE RESEARCH FUND

INDIANA UNIVERSITY NORTHWEST

Application Form

Revised 2008 (Academic Affairs)

Instructions:  The application should be computer generated using the format below:  All sections must be completed for the proposal to be considered. Discussion and assistance with the faculty sponsor while writing the research proposal is expected. One (1) original is to be submitted to Academic Affairs (Lindenwood 329) and an electronic copy of the complete file is to be submitted to the URF Committee chair (mslapoin@iun.edu).

 

1.     Project Title:

 

2.     Submitted By:

            Name:                                                                                                              Address:

            Department:

            Phone #:

            Email:

 

3.     Faculty Sponsor:                        

 

            Will faculty member participate in the evaluation process?  yes or no (circle one)

            Faculty phone #:                                                                                                Campus Address:

            Email: 

 

4.     Date of Application:

 

5.     Abstract (brief description of project, maximum 250 words):

Please note:  The abstract must include a Lay Summary that someone outside the discipline should be able to understand.

 

6.     Objective of Research (maximum 250 words):

Please note:  The objectives should specifically state a hypothesis to be tested, a thesis statement, or the main idea that will be investigated or pursued.

 

7.     Description of Proposed Research including methods/procedures (maximum one full page):

 

8.     Research Location:

 

9.     Research Schedule:

 

10.   Budget (provide a cost breakdown):                                                                                   Cost

            Travel:

 

            Per diem days ($24/day max. $100):

 

            Equipment: (Indicate whether equipment will be used over the course of this investigation i.e. rental; otherwise it must remain with the department and cost sharing with the department must be demonstrated.)

 

            Supplies:

                                                                                                                                         Subtotal

            Stipend (A maximum of $6.00/hr. A stipend will only be considered if a research course has already been completed or the majority of work is completed.

                                                                                                                                              Total

11.   Other funding sources:

 

12.  Attach evidence of approval (where applicable) from the Indiana University Northwest Human Subjects Committee, Biosafety Committee, or the Northwest Animal Resource Committee

 

12.   Other information you deem important for the proposal (maximum one page).

 

13.  Faculty Sponsor Letter of Support:  Attach a brief (no more than one page) faculty letter of support.  This letter should address the merits, importance, and feasibility of the research as well as evaluate the student’s ability to complete the project.

 

14.   Signatures:

 

            Student                                                                                                

 


                                                                                                                                                            Date

           

 

Faculty

                                               

                                                                                                                                                            Date

                                                                                                                                               

           

           

Department Chair

 

                                                                                                                                                Date