Student Fall and Spring Research Application Name: * AC#: * Email: * Faculty or Thesis Research Advisor: * Faculty Email: * Term: * - Select -Fall 2016Spring 2017 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.fivecolleges.edu/system/files/attachments/5csponswaiverac.pdf Please visit the Study Abroad website for information on Health and Emergency Medical Assistance. https://www.amherst.edu/academiclife/global-learning/study_abroad Acknowledgement of Reimbursement Policy Review:Before submitting an application, please review the Amherst College Reimbursement Policy. https://www.amherst.edu/system/files/media/1535/sosletter.pdf Yes No 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.