Honors Program Development Grant Application
Office use only
Date:
Total Hrs:
Approval?
GPA:
GS?
Amount:
H. Cr.:
Probation?
Notified on:
Before completing this form, please fully read the HPDG Directions.
Do not save this document as a PDF. Please submit it as a Word document.
Please type and fully provide the information requested below:
Name:
Student UIN #:
Mobile Phone #:
Eagle Email:
Local Mailing Address:
Major:
INTENDED TERM OF USE
Fall
20_____
Spring
20_____
Summer
20_____
Winter
Do you have funding from another source? Yes
20_____
Spring
Break 20_____
No
If applying in Spring, did you receive funding in any category
during the Fall cycle? Yes
No
PURPOSE
Honors
Study
Thesis
Abroad/Away
Tangible
Materials Purchase
Academic
Research
Conference
Other:
Internship
Presentation
_____________________________________________________
Please briefly describe the activity and any pertinent dates related to it. If traveling, specifically list the
dates of travel, where you will be traveling and your mode of transportation. If using the grant to purchase
equipment/materials, these items must be returned to the Honors Program at the completion of the project.
Honors Program Development Grant
Budget Form
AMOUNT
REQUESTED
ITEM
If applying for funds related to an Honors Course, please list the CRN:
Research
$
Materials: Please attach an itemized list.
$
Travel
$
Conference Registration
$
Flight
$
Lodging
$
Ground Transportation (taxi, bus, and train)
$
Mileage-Personal Vehicle only (Based on FGCU Travel Guidelines)
$
Per Diem
(Based on FGCU Travel Guidelines)
$
Miscellaneous
$
TOTAL COSTS
$
Other funding resources: (Please indicate other grants/awards that you have applied for with the amounts applied
for/awarded, and when you applied/plan to apply for them.)
*All requests must include documentation of approved plan for consideration.
Note: You can only be funded for items and amounts listed on your budget sheet. If your HPDG is approved,
all receipts must be submitted to the Honors Program within 7 days of purchase. The Honors Program
reserves the right to request two or more price quotes be obtained prior to purchase.
Please provide a typed, double-spaced narrative of approximately 250 words describing how the funds are
necessary for your project and the importance of this project to your academic and/or professional goals. If
you are attending a conference, please discuss your role. If you are conducting research, please describe
this research and its academic value. If you are studying abroad or applying for an Internship opportunity,
please describe how this program will impact your personal, professional, and academic growth.
FINAL SUBMISSION
By completing this document and emailing it as an attachment to honors@fgcu.edu you are declaring the
accuracy of the financial information reported above and understand the terms, rules, and conditions of the
grant you are applying for. If the Honors Program chooses to award funds to financially support the project
proposed in this grant application, the Honors Program does not assume any legal liability or responsibility for
your actions or this project.