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ie. xxx-xxx-xxxx
Hometown, State:
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Name of High School from which you graduated:
City and State of High School (if different than hometown):
,
If awarded, may we post/share your name and the academic and project information provided below for advertising/marketing purposes?
Yes
No
May we share your hometown and high school information with the media, if you are funded?
Yes
No
Campus:
*
Select One
Aiken
Beaufort
Columbia
Lancaster
Salkehatchie
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TRIO/Opportunity Scholar:
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Residence learning community:
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Capstone Scholars - First Year
Capstone Scholars - Second Year
Carolina's Global Community
Engineering and Computing
French House
First-Year Honors Program
Upperclass Honors Program
Pre-Law
Pre-Medical Community
Upper-class Pre-Medical Community
Music
Preston Residential College
Tomorrow's Educators and Teaching Fellows
Green Learning Community
Psychology Community
Have you received any funding for your research
1
:
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From where?
Additional Student (3) Information
Student Name:
*
first name / last name
VIP ID:
*
Email:
*
Local Phone:
*
ie. xxx-xxx-xxxx
Hometown, State:
*
,
Name of High School from which you graduated:
City and State of High School (if different than hometown):
,
If awarded, may we post/share your name and the academic and project information provided below for advertising/marketing purposes?
Yes
No
May we share your hometown and high school information with the media, if you are funded?
Yes
No
Campus:
*
Select One
Aiken
Beaufort
Columbia
Lancaster
Salkehatchie
Sumter
Union
Upstate
Major:
*
Select One
Major 2 / Minor:
Select One
Academic Year:
*
1
2
3
4+
SC Honors:
*
Yes
No
Capstone:
*
Yes
No
TRIO/Opportunity Scholar:
*
Yes
No
Residence learning community:
*
Not Applicable
Capstone Scholars - First Year
Capstone Scholars - Second Year
Carolina's Global Community
Engineering and Computing
French House
First-Year Honors Program
Upperclass Honors Program
Pre-Law
Pre-Medical Community
Upper-class Pre-Medical Community
Music
Preston Residential College
Tomorrow's Educators and Teaching Fellows
Green Learning Community
Psychology Community
Have you received any funding for your research
1
:
*
Yes
No
From where?
Additional Student (4) Information
Student Name:
*
first name / last name
VIP ID:
*
Email:
*
Local Phone:
*
ie. xxx-xxx-xxxx
Hometown, State:
*
,
Name of High School from which you graduated:
City and State of High School (if different than hometown):
,
If awarded, may we post/share your name and the academic and project information provided below for advertising/marketing purposes?
Yes
No
May we share your hometown and high school information with the media, if you are funded?
Yes
No
Campus:
*
Select One
Aiken
Beaufort
Columbia
Lancaster
Salkehatchie
Sumter
Union
Upstate
Major:
*
Select One
Major 2 / Minor:
Select One
Academic Year:
*
1
2
3
4+
SC Honors:
*
Yes
No
Capstone:
*
Yes
No
TRIO/Opportunity Scholar:
*
Yes
No
Residence learning community:
*
Not Applicable
Capstone Scholars - First Year
Capstone Scholars - Second Year
Carolina's Global Community
Engineering and Computing
French House
First-Year Honors Program
Upperclass Honors Program
Pre-Law
Pre-Medical Community
Upper-class Pre-Medical Community
Music
Preston Residential College
Tomorrow's Educators and Teaching Fellows
Green Learning Community
Psychology Community
Have you received any funding for your research
1
:
*
Yes
No
From where?
1
Does not include salary support from your mentor or work-study. This is for informational purposes only and will not affect the funding decision. Ex. SCHC research fellowship, Howard Hughes, etc. NOTE: You can NOT receive any other funding while you have a Howard Hughes and you can NOT get paid twice from two different sources. If you have multiple awards, arrangements for disbursement must be made ahead of time (for example, you could get paid through an URF and get materials/supplies and travel with the Magellan).
Mentor Information
Faculty Mentor 1 Name:
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Phone:
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ie. xxx-xxx-xxxx
Faculty Mentor 2 Name:
first name / last name
Campus:
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Columbia
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College:
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Department:
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Email:
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ie. xxx-xxx-xxxx
Project Information
Project Title
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Proposed project start/end dates:
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Total budget requested:
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Will you be using vertebrate animals in any part of this research project?
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No
Will you be using human subjects in any part of this research project?
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Yes
No
Will you be traveling outside of the US to conduct or participate in any part of this project?
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Yes
No
Travel Country:
(if multiple countries, separate with hypen)
Travel Dates:
Is this a resubmission?
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No
WARNING!
Your proposal and budget must be submitted through USCeRA by your faculty mentor. It is NOT complete until your mentor receives a proposal number and it has been approved by the chair and dean!!!!
Click here to learn more about submitting through USCeRA.
**TERMS AND CONDITIONS:
By submitting this document, the student and faculty mentor assume responsibility for the project activities outlined in the proposal and agree to the following terms and conditions. Both parties have read and understand the current guidelines regarding expenditures related to this proposed work. The student agrees to participate in Discovery Day and submit a paper for the undergraduate research journal. All projects are subject to the USC Intellectual Property Policy:
http://ip.research.sc.edu/policy_new.shtml
.
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