STUDENT RESEARCH SCHOLARS (SRS) PROGRAM
CALIFORNIA STATE UNIVERSITY, BAKERSFIELD
2016-2017
(Please Type)
(7 copies plus original due to Office of grants, Research, and Sponsored Programs, DDH/D108,
no later than 12:00 noon on Friday, February 19, 2016). Please complete one application per student.
CSUB ID #
Student Name:_______________________________________ Phone:_______________________
Other Students working on project:______________________________ E-mail:
____________
Address:
City
Major:
Status: Fresh
Soph
Zip
Junior
Senior
Grad
Title of Project:
Project Dates (1 year max, beginning July 1, 2016):
Project Description: (50 words or less)
Budget Request/Student Stipend (Up to $2,000 Max)
$
I hereby certify that I will be regularly enrolled student (at least 12 units per term for undergraduate –
8 units per term for graduate students) during the 2016-2017 academic years.
Student Signature:
Date:
ATTACH NARRATIVE OF PROPOSED PROJECT – 3 PAGE MAX
FACULTY MENTOR:
Attach the following:
1. Description of the mentoring process between you and the student, including how you plan to develop
the student’s strengths and remediate any weaknesses (1 page max).
2. Explain how the student’s proposed project fits in with your area of research, scholarship, and/or
creative activity. Also, explain how this project will enhance your ability to publish and/or write grants
for extramural funding in your area (1 page max).
3. Describe the steps you will take to prepare your student for the REQUIRED written and oral
presentation in Spring 2017 (1 page max).
Signature:
Print Name:
Office Location:
Phone:
HUMAN SUBJECT/ANIMAL RESEARCH REVIEW: If the proposed project involves human or animal research
subjects, it may require review by the CSUB Institutional Review Board/Human Subjects Review (IRB/HSR) or
Institutional Animal Care and Use Committee (IACUC). Call Dr. Isabel Sumaya @ 654-2381.
CSUB GRaSP Office – DDH D 108 -- (661) 654-2231
Student Research Scholars Program Application Form