Research Fellowship application fillable form 2015

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Chemistry Summer Undergraduate Scholarship Application
1. Eligibility: Any registered undergraduate student in good standing doing research with a WWU
Department of Chemistry faculty member.
2. Award Amounts: Scholarships are in the amount of $4000 for a summer research stipend.
3. Applying: This application is in addition to the webform application. The application must include a
proposal as a separate document in Word or PDF format. The narrative must outline
appropriate background material so that the project proposed is placed in context and its
significance can be assessed. Please see the following section: Proposal Guidelines for the
proper format.
All required fields are to be completed by the student. All fields outlined in bold blue are
to be completed by the Faculty Advisor.
4. Faculty Advisor: The student proposal must be accompanied by the “Faculty Advisor Assessment”
form. Please complete the required fields. The remainder of this form is completed
by a faculty mentor who agrees to provide appropriate direction to the student.
Proposals should be submitted in a separate Word or PDF document and will be
reviewed by the WWU Department of Chemistry Scholarship Committee. The
proposals will be evaluated on the scientific merit of the student proposal and
the assessment provided by the faculty research advisor.
6. Dissemination: The proposal must contain a plan for disseminating the results of the work. All
publications and presentations based on the work must acknowledge the support of
the fellowship donor(s).
5. Review:
IMPORTANT!
Your proposal must be submitted as a separate document in Word or PDF format and follow the guidlines provided.
You will need to save this form on your desktop, to a network drive, or flash drive in order to attach it to your email.
Once your portions are completed, email this document and your proposal to your Faculty Research Advisor.
Upon review, your Faculty Research Advisor will forward your completed form and proposal to the department.
All required fields should be completed by you, the student applicant.
All fields with bold blue outlines and grey fill are for your Faculty Research Advisor to complete.
Copy and paste is allowed and works best from Word.
Images cannot be included in your abstract, Adobe is not compatible.
Images may be included in your proposal, and are encouraged.
Proposal Guidelines
These guidelines will help you prepare a good proposal. Your faculty advisor may help you by
reviewing drafts, but it is your responsibility to write the proposal.
A proposal narrative must convince the multi-disciplinary members of the review committee that the
proposed project is:
Significant. You need to place the research project in the context of background information on the
topic. This must include a brief review of relevant literature in the introduction (see below). Be sure
to include literature references (no more than one page, not counted in the 2-page proposal limit).
Feasible. The project must be do-able given the resources and expertise available. The proposal and
faculty advisor assessment should convince the review committee that the student researcher will be
able to make significant progress within the proposed timeline.
Format for proposal: Follow the format outlined below. Your proposal mut be provided in a second
document. This document should be in Word or PDF format. The reference section may not be used to
augment the narrative. The proposal must be prepared with 11-point font or larger and fit in the spaces
provided.
1. Abstract: The abstract should contain a brief statement of objectives, methods to be employed, and
the significance of the proposed activity to the field of study (one paragraph).
2. Project Narrative
a. Background and Significance: How well is the project supported by the background knowledge
on the subject? The literature cited indicates how well you are aware of the previous work in
your field of study. Clearly state your research objectives. Convince the review committee why
the work should be done.
b. Research plan: How will you conduct the proposed work? You should provide a clearly defined
set of tasks which will accomplish your objectives. Describe procedures and experimental design
that will address the research objectives. A timeline for the proposed work is required.
d. Dissemination: How will the results of the proposed work be disseminated? Who will be
responsible for reviewing your work?
3. References (separate page, one page maximum): Make sure you include the complete citations
for the literature sources referenced in the acceptable style for your discipline (e.g. ACS format).
Cover Sheet
Chemistry Summer Undergraduate Research Fellowship
Student ID#:
Student name:
Year:
Freshman
Department Program:
Mailstop:
Email:
Project Title:
Phone:
Briefly summarize below the purpose of your request (the Project Abstract). In the space provided
below, please explain your research project and its relevance to your work.
The proposal must be accompanied by a form from the faculty advisor who agrees to provide
appropriate direction to the student. The “Faculty Advisor Assessment of Undergraduate Work” form
from the faculty advisor should explicitly address whether the student has, in his/her judgment, the
capacity to complete the project; and whether the project has sufficient merit and prospect of timely
completion to warrant funding.
Faculty Advisor:
_________________Signature: ________________________ Date: ________
(please print name)
Department Chair:
_______________Signature: ________________________ Date: ________
(please print name)
Project Abstract:
Faculty Advisor Assessment Form
Guidelines for Faculty Advisor/Mentor: The Faculty Advisor/Mentor must complete this form addressing the
significance of the student’s proposed work. The form must be detailed and informative, as the committee will
use it to help assess the merit of the proposed student research project. Please note: this program is designed to
support individual student projects only.
Date:
Student:
Faculty Advisor:
Department/Program:
1. Project Assessment:
Technical/creative merit of project:
2. How the project benefits the current knowledge in the field:
3. Student Assessment:
Likelihood student can achieve goals stated:
Significance of project for students educational goals:
Resources:
Impact on equipment and other resources:
Sufficient access to necessary resources:
Reasonableness of proposed budget:
Additional financial support available for project:
4. Advising:
Level of interaction, support and direction that will be necessary for and provided to the student:
5. Dissemination:
Dissemination plan of proposed work:
Review process that will be used prior to dissemination of student’s work: