Student Fall and Spring Research Application Name: * AC#: * Email: * Faculty or Thesis Research Advisor: * Faculty Email: * Term: * - Select -Spring Research Title: * Amount Requesting ($500 limit): * $ Please provide specific details on how these funds will be used: * 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 Please provide a brief description of your project: * Other Funding Sources Sought: * International Travel Waiver: OPTIONAL: If your project involves international travel, you must upload a copy of your signed International Travel Waiver of Liability found at https://www.mtholyoke.edu/offices/srm/5col/pdf/5csponswaiverac.pdf If you are under 18 years old, both you and your parents must sign the waiver. The following link describes the AIG/Travel Guard program in further detail. https://www.fivecolleges.edu/riskmgmt/intltravel/aig_travel_guard_brochures. Please visit the Study Abroad website for information on Health and Emergency Medical Assistance. 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.