CURA Community-Based Research Programs
Application Form
NOTE: This form serves the Nelson Program and the Community Assistantship Program
(CAP). See the CBR Application Guide on details of how to fill out the application.
Type answers to the following questions on this form. We prefer applications to be no
more than five pages long (not including cover) and to be submitted as an e-mail
attachment.
Organization Name:
Street Address:
City:
State:
Zip:
Main Phone:
Which of the following best describes your organization:
__
__
__
__
Neighborhood organization
Nonprofit organization
Government agency
Other (please specify) ___________________________________________
What other CURA programs is the organization connected to?
__ Neighborhoods Now
__ Community Geographic Information Systems (CGIS)
__ Neighborhood Partnership Initiative (NPI) or Artist Neighborhood Partnership
Initiative (ANPI)
__ Community Visualization
__ Resilient Communities Partnership
__ Hennepin University Partnership
__ Other (please specify)
Primary Contact Person:
Phone:
E-mail:
Project Supervisor (person who will directly supervise the student):
Phone:
E-mail:
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Provide the following information in your application. Please do not exceed 5 pages,
not including the cover page.
1. Mission or purpose of your organization.
2. Title of the project.
3. In 50 words or less describe the research project.
4. Briefly describe your project, including information about:
a. What issue/challenge/opportunity the project is centered on.
b. What are the goals and outcomes of the project?
c. How will the research support your efforts?
d. How the project fits one or more of the CBR program goals?
e. Key people who will be involved and their backgrounds and roles in the
research project.
f. Any partnerships involved in this project.
5. Tell us more about the research project itself:
a. What is your specific research question(s)?
b. What data will you need to address the research question(s)?
c. Does the data already exist? If yes, where?
d. What format is the data in and do you have access to it?
e. What is the final research product you desire (written report, slides, etc.)
f. How will you use the final product to achieve your desired impact?
6. Who benefits and how from this project?
7. Duties and Responsibilities. You will have a limited amount of time to complete the
project: 195 student hours in the spring and fall semesters, and 260 hours over the
summer.
a) Task list. What 4-7 separate tasks will need to be completed to yield the final
product you want?
1.
2.
3.
4.
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b) Task Assignment. For each task, what duties and responsibilities do you expect
the student to complete? What will be completed by the supervisor?
1.
2.
3.
4.
c) What specific skills, experience, and qualifications will be required of the student
research assistant?
8. Organizational Support
a) What material support (e.g. desk, telephone, access to a computer, access to a
copy machine, etc.) can your organization provide for the research assistant?
b) What financial support (i.e., contributions toward the cost of student wages,
funds for travel or other expenses, etc.) can your organization provide for this
project?
c) What additional support will be required for this project that your organization
cannot provide, and how might it be obtained?
Submit applications as an e-mail attachment to: curacbr@umn.edu
The University of Minnesota is committed to the policy that all persons shall have equal
access to its programs, facilities, and employment without regard to race, color, creed,
religion, national origin, sex, age, marital status, disability, public assistance status,
veteran status, or sexual orientation
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