SCHOOL OF HUMANITIES AND SCIENCES
SUMMER SCHOLARS PROGRAM
STUDENT APPLICATION FORM
The H&S Summer Scholars program provides paid opportunities for H&S students to work directly with a
member of the H&S faculty on a collaborative project (research, scholarship, or creative work). Please
consult the application guidelines before submitting your proposal; they are available for download at
http://www.ithaca.edu/wpm_preview/site/awards_and_honor_soc/docs/summscholars/summschlrg
uide/.
COMPLETE THIS FORM IN WORD – NOTE THAT THE TEXT BOXES WILL EXPAND AS YOU TYPE.
WE WILL NOT ACCEPT HANDWRITTEN HARD COPY FORMS.
Section I: General and Background Information
Student name (First / Last)
Student ID #
Expected date of graduation
Student email
Student phone
Student mailing address
Major(s)
Minor(s) (if applicable)
GPA
Are you financial aid eligible?
Yes No
If "Yes," you may be eligible for an Emerson Humanities Collaboration Award. To be considered for such an award
through this application process, please be sure you have submitted an up to date FAFSA form for 2016-17.
Do you need housing in Ithaca during the summer?
Yes
No
Faculty mentor name
Faculty
email
Faculty mentor department
Faculty phone
Section II: Proposed Research, Scholarly, or Creative Project
Project title
Type of project: (choose the one that best matches your project):
Creative Work (studio art, theatrical production, creative writing)
Field-Based Study (interview, participant-observation, action research)
Research Project (surveys, statistical analysis, coding)
Scholarship (archival, text-based)
Will this project take place:
on campus/in the local area
out of the area – city, state:
Will the project continue into the academic year?
Yes
No
Does this project involve human subjects?
Yes
No
If Yes, you must submit your project for approval by the Human Subjects Review Board at IC before you begin the
project: http://www.ithaca.edu/sponsored-research/irb/
Description of the project – please answer all three questions (limit to 250 words)
a) What is the overall scope of the project, and the question or problem it seeks to address? Include here a
discussion of the methodology or approach you will use in carrying out this project, and the nature of the
collaboration between you and your Faculty Mentor.
b) What in your background/training has prepared you to carry out and succeed in this project? Be specific.
c) What will the final “deliverable” of your project be (e.g., an art work, a poster presentation, a manuscript, a
syllabus for a course, etc.)? (Note: The product/deliverable of your project does not have to be complete by the end
of the summer program.)
Explain how this project fits with your academic and/or career goals. Note: in this section, please focus
your answer on what you expect to learn by participating full-time in a research/scholarly/creative project,
rather than on the content of the project or its specific results. Please also describe how you will bring the
results/outcome of this project to a disciplinary or local community beyond the purview of your faculty mentor.
Are there expenses associated with your participation in this project? (e.g., travel, materials, fees)
Yes
No
If you answered Yes, please briefly describe the types of expenses and provide an amount up to
$400 for which you may need support.
Please save the completed form with a new file name, following this format: <StudentLastName>SummerScholarApp-2016 (e.g., Smith-SummerScholarApp-2016). Then submit this form as an email
attachment to hsadmin@ithaca.edu.
To be considered for the program, all materials (Student Application and Faculty Mentor application) must
be received by 4pm on Monday, February 15.
Thank you for your interest in participating in the H&S Summer Scholars Program.
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