Student Summer Research Application First Name: * Last Name: * Class Year: * 2017 2018 2019 AC#: * Email: * Faculty Advisor: * Faculty Advisor Email: * Research Title: Proposal: * A single Word document that includes your name, box number, email address,and title of proposal at the top of the page. Clearly define the scope of your research project. Number of Weeks On Campus: * 6 7 8 none Select weeks the student requires housing: * Week 1: Sunday, June 5 - Saturday, June 11 Week 2: Sunday, June 12 - Saturday, June 18 Week 3: Sunday, June 19 - Saturday, June 25 Week 4: Sunday, June 26 - Saturday, July 2 Week 5: Sunday, July 3 - Saturday, July 9 Week 6: Sunday, July 10 - Saturday, July 16 Week 7: Sunday, July 17 - Saturday, July 23 Week 8: Sunday, July 24 - Saturday, July 30 Week 9: Sunday, July 31 - Saturday, August 6 Week 10: Sunday, August 7 - Saturday, August 13 Week 11: Sunday, August 14 - Saturday, August 20 Week 12: Sunday, August 21 - Saturday, August 27 Research Related Summer Travel, Amount Requesting (up to $500): Please Note: You may choose either funding for travel or on-campus research but not both options. Acknowledgement of Responsibility: *I accept responsibility for submitting a final report on my expenditures and on the contribution made by this funding of my project. YES NO Other Funding Sources Sought: * Does your project involve international travel? * Yes No What countries are you traveling to? Have you registered with AIG/Travel Guard? Yes No International Travel Waiver: Validation Different Image What text is in the image? * Enter the characters shown in the image or use the speaker icon to get an audio version.