APPLICATION FOR SENIOR FACULTY SUMMER FELLOWSHIP (SFSF) Application Cover Sheet Please type responses DATE: Applicant: Title and Department: Email: Telephone: PROJECT TITLE: RESEARCH AREA: indicate all that apply [_] - Physical Sciences [_] - Social Sciences [_] - Life Sciences [_] - Education [_] - Fine Arts [_] - Engineering [_] - Humanities [_] - Business [_] - Other (specify): FUNDS REQUESTED BY CATEGORY (Request cannot exceed $7,500): Budget Item Cost Budget Item Cost Summer Stipend $ Materials/Supplies/Services $ Other Personnel (salary & fringe benefits) $ Research Travel $ Laboratory Equipment $ Other (specify): $ Computer Equipment $ TOTAL REQUEST: $ PROJECT INVOLVES USE OF: [_] HUMAN SUBJECTS [_] LABORATORY ANIMALS [_]RADIOISOTOPES [_] BIOHAZARDS [_] rDNA Note: You need to include a plan in your proposal to obtain necessary approvals for these compliance areas before a SFSF award can be made. Is this project currently being considered for funding by another source? [_] Yes [_] No [_] Research Council Faculty Investment Program (FIP) [_] Another internal funding source (specify): [_] External agency (specify): PROPOSAL CHECKLIST: [_] Application Cover Sheet [_] Budget and Justification (1 page limit) [_] Abstract (no more than 250 words) [_] Current CV (no page limit) [_] Project Description (5 page limit) [_] Letter of Endorsement from Department Chair/School Director [_] Career Impact Statement (1 page limit) [_] Description of plans for review from IRB, IACUC, etc., if appropriate CAS Dean’s Oﬃce, updated 5.06.2016

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APPLICATION FOR SENIOR FACULTY SUMMER FELLOWSHIP (SFSF)Application Cover Sheet

Please type responses DATE: Applicant: Title and Department: Email: Telephone:

PROJECT TITLE:

RESEARCH AREA: indicate all that apply[_] - Physical Sciences [_] - Social Sciences [_] - Life Sciences [_] - Education[_] - Fine Arts [_] - Engineering [_] - Humanities [_] - Business[_] - Other (specify):

FUNDS REQUESTED BY CATEGORY (Request cannot exceed $7,500):Budget Item Cost Budget Item CostSummer Stipend $ Materials/Supplies/Services $Other Personnel (salary & fringe benefits)

$ Research Travel $

Laboratory Equipment $ Other (specify): $Computer Equipment $

TOTAL REQUEST: $

PROJECT INVOLVES USE OF: [_] HUMAN SUBJECTS [_] LABORATORY ANIMALS[_]RADIOISOTOPES [_] BIOHAZARDS [_] rDNA

Note: You need to include a plan in your proposal to obtain necessary approvals for these compliance areas before a SFSF award can be made.

Is this project currently being considered for funding by another source? [_] Yes [_] No[_] Research Council Faculty Investment Program (FIP)[_] Another internal funding source (specify):[_] External agency (specify):

PROPOSAL CHECKLIST:[_] Application Cover Sheet [_] Budget and Justification (1 page limit)[_] Abstract (no more than 250 words) [_] Current CV (no page limit)[_] Project Description (5 page limit) [_] Letter of Endorsement from Department Chair/School Director[_] Career Impact Statement (1 page limit) [_] Description of plans for review from IRB, IACUC, etc., if appropriate

Proposals are to be submitted as a single PDF document via email ([email protected]) to the Arts and Sciences Dean’s office no later than Friday, March 10 by 5:00 pm. Applications will be accepted via email only.

CAS Dean’s Office, updated 5.06.2016

mailto:[email protected]