2016-17 HURA APPLICANT INFORMATION Primary Student Investigator: First name Last name Preferred Telephone Number NAU email Anticipated Date of Graduation: Semester select Year select Academic Major: Co-Investigator 1 (if applicable) First name Last name NAU email Anticipated Date of Graduation: Semester select Year select Academic Major: Co-Investigator 2 (if applicable) First name Last name NAU email Anticipated Date of Graduation: Semester select Year select Academic Major: PROJECT INFORMATION Title of Project: Project Start Date: Project must begin after July 1, 2016 Project End Date: Project must end by April 30, 2017 Project Budget Total Request: Maximum amount: $3,500 Does your project involve human subjects? select If yes, has the IRB determined whether your project is likely to be subject to review/approval? select Does your project involve vertebrate animals? select If yes, have you contacted the IACUC to find out what the requirements will be? select ABSTRACT (maximum 1000 characters): Applicant’s Certification My electronic "signature" below indicates my understanding that any funds paid directly to me (i.e., via payroll) under the Hooper Undergraduate Research Award (HURA) may have the effect of reducing amounts that may be otherwise payable to me through Financial Aid. Sign by entering 7-digit Student ID No. STUDENT APPLICANT SECTION OF THIS COVER SHEET ENDS HERE. Student now sends ALL required documents (the complete application proposal saved as a MS Word document: description, timeline, references cited, resume(s), and budget) AND a PDF of the student’s unofficial transcript to the faculty mentor for review and completion of Faculty Mentor Recommendation section below. The mentor saves the Word application document as a PDF. The Faculty Mentor must forward the complete application portfolio (2 PDFs: application and unofficial transcript) to ug-research@nau.edu by the 11:59pm March 1 deadline. NOTE: It is the student applicant’s responsibility to confirm that the faculty mentor has completed this process. FACULTY MENTOR RECOMMENDATION (TO BE COMPLETED BY MENTOR AFTER FINAL REVIEW OF APPLICATION) First name Last name NAU email Title (e.g., Assistant Prof) College select Department Campus Phone Please respond to the following questions. Describe your assessment of the student’s ability to conduct the proposed project. Describe the relationship between the student’s project and your own research, scholarly, or creative activities, if any. Describe your role in assisting the student in planning and conducting the proposed project. Describe your past or present experience supervising this student as a research assistant, in a course, or in a directed study project. Describe the quality of the student’s work in that capacity (if applicable). Provide any additional comments that are relevant. Responses to the following are mandatory: I spoke to the student about this project. select I read the student’s final proposal. select This project takes place during summer. I agree to actively mentor the student during this time. select I agree to mentor the student throughout the project period. select The student has sufficient budgetary support from all sources to complete this project. select The timeline proposed by the student is realistic. select Project Description: Timeline: Time Period Summer Session II September-October October-November NovemberDecember Winter Break January-February February-March Activities, Accomplishments, Outcomes # of Personnel Hours Nonpersonnel Expenses March-April References Cited: Qualifications of the Applicant(s): BUDGET: FY2016-17 HURA Budget Template Date: Applicant: Project Title: HURA BUDGET Budget Summary Funding #2 [SOURCE] Funding #3 [SOURCE] Funding #4 [SOURCE] $0 $0 $0 $0 $0 $0 Personnel Student Wages: All students are paid at the rate of $10.00 per hour Number of Hrs Per Week Name of Student Summer Fall Spring Number of Weeks Summer Fall Spring 0 0 0 0 0 Subtotal Wages $0 Operations Itemize expendable supplies and contractual services, as appropriate. Unit Cost Quantity Widgets Thingamajigs Fuzzy things Copy charges 0 0 0 0 0 Subtotal Operations $0 Travel [may not exceed $500] Enter all values associated with travel costs only in the colored cells below. Allowance per mile In-State Mileage In-State Lodging In-State Registration Out-of-State Mileage Out-of-State Lodging Out-of-State Registration Out-of-State Airfare Number of miles Lodging per night Funding #2 [SOURCE] Funding #3 [SOURCE] Funding #4 [SOURCE] Number of nights 0.445 0 0 0 0 0 0 0 0.445 Subtotal Travel $0 $0 $0 $0 Total Costs $0 $0 $0 $0 Budget Justification Examples: Personnel During the first four weeks of my project I will be acquiring seismic data from USGS archives and investigating other sources. I will be doing a preliminary analysis of each data set acquired from the USGS and other sources. After all the acquired data has been analyzed I will organize it into time series maps of seismic activity. This will take a total of 48 hours. During the next seven weeks I will be acquiring and organizing the ASTER data provided by my mentor. There will be a series of weeks where I will be collecting new ASTER data and organizing the data chronologically. This will take a total of 84 hours. After all the sufficient amount of data has been collected and organized a preliminary analysis will take place for the last three weeks of the semester and I will need to analyze and interpret all the organized data. This will take a total of 36 hours. After winter break, I will be analyzing and interpreting ASTER data for five weeks which will take a total of 60 hours. The following five weeks I will be synthesizing data analysis from both data sets from seismic activity and ASTER. This will take 60 hours. The last four weeks I will be preparing for a final report, poster, and presentation. This will take a total of 48 hours. Operations The budget for supplies will include ten 7.5" topographic base maps at $15 each ordered online from the USGS. 100 photo copies for other printed sources of spring and site localities at $0.10 per copy, and one full color poster at $36 from the Physics Department printing service. A case of 50 six-well plates available from Sigma-Aldrich is to be used in my in vitro cell experimentation. Human and mouse TLR 1-9 agonist kits are available from invivogen life sciences and is more cost-effective compared to purchasing individual TLR ligand reagents. Roughly 19 different primer sets are anticipated to be ordered or designed. If this value changes, budget modifications will be sought out. The Qiagen RNeasy mini extraction kit provides RNA extraction for up to 50 samples; sufficient for my entire project. cDNA synthesis kit is to be purchased from Fermentas and is necessary for the eventual use of PCR in my project. Traditional and real-time (qPCR) PCR master mixes are incorporated into the budget for use in PCR methodologies. Disposable reagents budget includes RNase/DNase free pipette tips used in PCR, as well as pipette tips used in cell culture work. Travel Driving to Sunset Crater location is about 50 miles round trip. I expect to be driving out there about 11 times to collect root samples and to measure seedlings and tree growth. I will also be travelling to San Francisco, California to present my findings at AGU. I will fly there and stay 2 nights at a hotel not hosted by the conference.