School of Media & Communication
302 West Hall
Bowling Green, Ohio 43403
419-372-8349
http://smc.bgsu.edu
DISSERTATION RESEARCH FUNDING APPLICATION
Eligibility Criteria:
Dissertation research conducted by an MC doctoral student supervised by SMC graduate faculty.
Terms of Funding: Limited to one allocation per dissertation and available up to $250.
Required Documentation:
1) Application form (including the PART A, B, C, & D)
2) Copy of completed topic approval form
Application and Administrative Process:
Before the expense incurs, complete this application form, obtain signature from the dissertation
committee chair, and then submit the packet to the graduate secretary. The submitted packet will be
forwarded for GPC review and the applicant will be notified of the decision in a timely matter. Once
approved, the student can incur the expense, submit original receipts to the School office, and then will be
reimbursed for the approved amount.
PART A: COVER PAGE
Name:
BGSU ID#:
Phone #:
Email:
@bgsu.edu
Project Title:
Committee (Chair; Member1; Member 2):
;
;
Has your dissertation topic been approved?
Yes
No
Budget Period (Estimated): Start Date (M/D/YY)
If yes, approval date (M/D/YY):
; Completion Date (M/D/YY)
Amount requested: $
Are human subjects involved?
Yes
No; If yes, approval date
HSRB #
Applicant Signature: __________________________________________________________________
Date:
Dissertation Committee Chair Signature: ___________________________________________
Date:
Graduate Coordinator Signature: ____________________________________________________
Date:
GPC Decision: Approved for $______________; Disapproved
Signed MC: _________________________________
School of Media & Communication
302 West Hall
Bowling Green, Ohio 43403
419-372-8349
http://smc.bgsu.edu
Part B: SUMMARY OF RESEARCH PROJECT
Present a concise summary of the research proposed, including need for this research, aims and
objectives, methods, planned activities and analyses, and expected or desired outcomes.
School of Media & Communication
302 West Hall
Bowling Green, Ohio 43403
419-372-8349
http://smc.bgsu.edu
PART C: BUDGET
Material/Supplies
Requested from
SMC
Provided by other
sources**
TOTAL COST
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
*
Permanent Equipment
Travel***
Study Participant
compensation
Communication
Consultants or
Temporary Employees
Other
TOTAL REQUESTED
(add all columns)
$
$
$
* Please round amounts to the nearest whole dollar.
**If known, please identify the source(s) and nature of contribution in your budget justification.
***Use attachment, if additional space is needed.
School of Media & Communication
302 West Hall
Bowling Green, Ohio 43403
419-372-8349
http://smc.bgsu.edu
PART D: BUDGET JUSTIFICATION
Present written justification relating the proposed expenses to the project activities. Any funding request
not documented will be denied. Also, describe any budget calculations not immediately discernible on the
line item budget.
NOTE: Mileage is reimbursed at the current IRS rate at the time of travel.