BRANDEIS UNIVERSITY
OFFICE OF ACADEMIC SERVICES
APPLICATION FOR PROVOST’S RESEARCH FUND
SUMMER RESEARCH SUPPORT
ALL REQUESTED INFORMATION MUST BE COMPLETED ((Please Complete A - J)
A. Applicant Information
Name: __________________________________
Date of Application
E-mail Address:
Campus Mailbox:
Expected Date of Graduation:
Phone #:
Student Signature
B. Previous Research Funding at Brandeis?
Yes / No (Circle One)
If Yes, please indicate which ones (i.e. Provost’s Undergraduate Research program, Schiff, Senior Thesis Funds, WOW, Sorensen Fellowship,
Pluralism Grant, Festival of the Arts Grant, Division of Science Summer Fellowship, Traineeships in Computational Neuroscience, REU
[please specify where], Jane’s Travel Grant, Departmental funding [please specify which dept], Max Kade Travel Grant, etc.):
Yrs/Amt:
Yrs/Amt:
C. Title of Research Proposal:
_________________________________________________________________________________________________________________________
D. Period of Proposed Research Project (Month/Day/Year)
Research to Begin (date)
Research to End (date)
Location: (Where is work is to be performed? Please specify (Dept., Institution, City, State)
E. Project is (Select One): (1) New
F. Faculty Sponsor:
(2) Continuation of Previous Work
(3) Other (Explain on Reverse)
Name:
Phone:
Department:
E-mail:
G. Description of Project: Attach to this application a typed statement, not exceeding four (4) pages or 2000 words,
stating briefly the specific goals of the study (what you plan to do), your methodology (how you plan to do it), why
you want to pursue this research topic, its pertinence to the field, and how this research supplements your education.
H. Itemized Budget: List projected costs for housing, transportation, research materials and fees, etc.
I. Letter of Recommendation: To be emailed directly from Faculty Sponsor to monaghan@brandeis.edu
J. Transcript: Please log in to SAGE and request an official transcript to be sent to Meredith Monaghan at MS 001.
Submit applications via email to Meredith English Monaghan, Director of Academic Fellowships:
monaghan@brandeis.edu by 5pm on Tuesday, March 15, 2016
Rev. 1/5/16