This form must be typed.
Applicant Information
In the case of multiple students collaborating on the same project, the student named here will be the primary contact
person. All other students should complete the “Additional Applicant” form and submit it with this application.
Student Name:
Student Number:
Local Address:
Telephone:
G
Student Email:
Major:
Emphasis:
Major 2:
Minor:
Graduation Date:
Current GPA:
Class Standing:
First Year
Sophomore
@mail.gvsu.edu
Junior
Project Information
Project Title:
Faculty Mentor:
Email:
Department:
Telephone:
Faculty Mentor 2:
Email:
Department:
Telephone:
Semester for which you are applying:
Total funding requested from OURS (not to exceed $500):
Is this project being done for academic credit?
No
Yes, number of hours:
Course number:
Does this project involve the use of animals?
If yes, you must receive IACUC approval.
No
Yes, date approved:
Pending, date submitted:
Does this project involve the use of human subjects?
If yes, you must receive HRRC approval.
No
Yes, date approved:
Pending, date submitted:
Does this project involve hazardous, flammable, or reactive
chemicals; ionizing radiation; recombinant DNA; biologically
hazardous agents; or known carcinogens?
If yes, you must receive appropriate training.
No
Yes, date trained:
Pending, date submitted:
Senior
Proposal
Please prepare a non-technical proposal no more than 1,000 words which includes the following information:
 Statement of purpose that includes a description of the project and what the student wishes to gain from the
experience.
 Description of previous work on this project, if applicable.
 Projected timeline for completion of the project that details the responsibilities of the student and mentor at each
stage.
 Expected dissemination outcomes. What plans, in addition to Student Scholars Day, does the student have for
disseminating outcomes of the project?
Please insert the proposal below:
OURS Grant Proposal
Updated 10/19/12
Page 2
Proposed Budget
Please itemize your budget and include only those items which directly pertain to your project.
Description of Item
Timeline
Amount
(proposed date of reimbursement request)
Total amount requested (not to exceed $500):
Budget Justification
Please include a budget justification no more than 250 words, and insert below:
OURS Grant Proposal
Updated 10/19/12
Page 3
Faculty Mentor Recommendation
The Faculty Mentor Recommendation must be submitted to complete the application. The recommendation may be
attached to this application or sent separately to 230 Mary Idema Pew Library.
Please discuss the following:
 Discuss the qualifications of the student.
 What is the significance of the proposed project for the student?
 What are the faculty member’s student-centered goals for this project? What pedagogical techniques will the
faculty member use to help the student achieve those goals? What active collaboration will take place?
 Describe the steps to be taken to allow the student to become a more independent researcher/scholar during the
project.
 Describe any past or present experience supervising this student as a research assistant, in a course, or in a
directed study project; describe the student’s work in that capacity and how it differs from the proposed project.
 If funds are available to you through grants or other sources, please indicate whether additional funds will be
committed to this project. If so, please indicate amount and source of funding.
OURS Grant Policies and Process
Please initial next to each of the following statements indicating that you have read and understand the grant policies and
process.
Good Standing with the University
Each student must have a cumulative grade point average (GPA) of 2.000 or higher to be in good standing. Each student
must be in good financial and judicial standing.
Supporting Documents
Applications will only be considered when complete, i.e. accompanied by Faculty Mentor Recommendation and Additional
Applicant Form, if applicable.
Student Scholars Day
Each student must participate in the Student Scholars Day that falls within the fiscal year in which the grant was awarded.
OURS Grant Report and Reflection
Each student must provide a final report and reflection to the Office of Undergraduate Research and Scholarship. The
Report and Reflection will include actual budget information, a copy of an abstract from a publication or presentation
(outside of the GVSU community) or a description of the current status of the project, and a reflection piece. Information
on the Report and Reflection is available at http://gvsu.edu/ours.
Submit complete application to:
OURS Grant
Office of Undergraduate Research and Scholarship
230 Mary Idema Pew Library
Allendale Campus
OURS Grant Proposal
Updated 10/19/12
Page 4
Additional Applicants:
Student Name:
Student Number:
Local Address:
Telephone:
G
Student Email:
Major:
Emphasis:
Major 2:
Minor:
Graduation Date:
Current GPA:
Class Standing:
First Year
Sophomore
@mail.gvsu.edu
Junior
Student Name:
Student Number:
Local Address:
Telephone:
G
Student Email:
Major:
Emphasis:
Major 2:
Minor:
Graduation Date:
Current GPA:
Class Standing:
First Year
Sophomore
@mail.gvsu.edu
Junior
Student Name:
Student Number:
Local Address:
Telephone:
Emphasis:
Major 2:
Minor:
Graduation Date:
Current GPA:
Class Standing:
First Year
Sophomore
@mail.gvsu.edu
Junior
Student Name:
Student Number:
Local Address:
Telephone:
Emphasis:
Major 2:
Minor:
Graduation Date:
Current GPA:
Class Standing:
OURS Grant Proposal
First Year
Sophomore
Updated 10/19/12
Senior
G
Student Email:
Major:
Senior
G
Student Email:
Major:
Senior
Junior
@mail.gvsu.edu
Senior
Page 5