2018-2019 SURF Grant application PART I

To be completed, printed, signed and turned in to the URCA Office by 5:00 pm on February 6, 2019. DO NOT submit electronic copies of Items 1-6.

1. Application Cover Page (fillable PDF): All items on the cover page should be completed using Google Chrome, FireFox, or Adobe Acrobat.

2. Project Information Page (fillable PDF): All items on the project information page should be completed using Google Chrome, FireFox, or Adobe Acrobat.

3. FERPA Signature Page: This must be signed by the student, faculty mentor(s) and the Department Chair(s). The signatures required do not reflect approval or recommendation for funding; they merely attest to the accuracy of the administrative details.

4. Proposed Budget Table (fillable PDF): A completed project budget using the budget form must be submitted. The total cost of the project (URCA funding and other funding) must be clearly indicated on the budget form. The total budget request from the program may not exceed $6,500.It should be clear that at least half of the funding is going to direct support of the student effort.

Grants will be awarded for activity conducted between the first Monday after spring graduation and the last day of classes in Summer II. The dates of the project are flexible within that time period, but it is expected that the student work on the project will be for 40 hours a week for a 10 week period.

When preparing the budget, it is important to clearly indicate how expenses will be applied in each fiscal period. Only half of the awarded funds will be available through the end of June, and the other half of the awarded funds will be available on the first day of July. This is to accommodate the fact that the grant spans two fiscal years. In specific and well-justified circumstances, grants may be awarded in full either before June 30 or after June 30, although applicants should not expect nor should base project plans on such latitude. All project funds must be fully expended by the first day of the fall semester.

*The SURF Funds are distributed over two fiscal periods. Funds in Column I must be expended by June 30th; Funds in Column II must be expended by the first day of the fall semester.

**NO TRAVEL WILL BE AWARDED FOR THE DISSEMINATION OF PROJECT RESULTS; NO

FUNDS MAY BE TRANSFERRED OR PAID TO MENTORS OUTSIDE OF THE COLLEGE OF

CHARLESTON

5. Faculty Recommendation Form and Letter of Support: Each faculty mentor involved in the project

should provide an evaluation of the student using the form and the scale provided. Additionally, each

faculty mentor should submit a letter of support for the student. The evaluation form should be printed,

signed by the student, and then given to the faculty mentor to be completed. The letter of support should

be printed on official letterhead, and describe the student’s aptitude for the work, nature of the mentor’s

previous interaction with the student, and the mentor’s opinion on the likely effect of the experience on

the student’s development. If the student has earned grades lower than Bs in courses relevant to the

project, the faculty mentor should explain why he or she believes the student is academically prepared to

do independent work on the project and to benefit from the scholarly experience. In the case where there

are two faculty mentors, each mentor must independently evaluate the student. After the mentor has

completed the evaluation form he/she should attach the letter of support and place both items in a sealed

envelope that is signed on the flap.

6. Transcripts: A complete unofficial transcript from EACH higher education institution attended by the

student applicant and a schedule of intended coursework during the project period must be submitted.

NOTE: Degree audits are not accepted. If a student has received grades from another institution on

coursework that counts toward CofC graduation requirements, the unofficial transcript from the

institution must be submitted with the application. It is not sufficient that the courses are listed on the

CofC transcript.

Application Cover Page

Grant Applicants should refer to the SURF Program Description and Guidelines and the SURF Application Check List to ensure a complete application. Incomplete

applications will not be considered for funding. The application pages are only fillable on Google Chrome, FireFox, and Adobe Acrobat.

PROPOSAL TITLE: ____________________________________________________________

PRIMARY MENTOR APPLICANT*: UNDERGRADUATE APPLICANT**:

NAME: _____________________________ NAME: ___________________________

CofC Email: _________________________ CofC Email: _______________________

Department: _________________________ CofC ID Number: __________________

Primary Major: _____________________

Faculty Status: Current Enrollment Status: ☐Tenured/Tenure-track ☐Full-time (12 hours or more)☐Instructor ☐Part-time (less than 12 hours)☐Visiting☐Adjunct☐Other (please specify _____________)

*Please note in the guidelines the eligibility criteria for faculty mentors and limits on number of grants per facultymentor.**If more than one student will work on a project, separate applications must be submitted for each student.

SECONDARY MENTOR APPLICANT:

NAME: _______________________________________________________

Institutional Affiliation: __________________________________________

Department: ____________________________________________________

Title: __________________________________________________________

Email: _________________________________________________________

Undergraduate Applicant: _________________________________________

Project Information Page REQUESTED DATES OF PROJECT SUPPORT (mm/dd/yy): From ______ To ______

TOTAL AMOUNT REQUESTED FROM URCA: $_____________

1. Does the proposal involve research on human subjects? ☐Yes ☐ NoIf yes, status of the IRB request (no funds can be awarded without IRB approval):☐Submitted ☐Approved

2. Does the proposal involve research with live vertebrate animal subjects? ☐Yes ☐NoIf yes, status of the IACUC request (no funds can be awarded without IACUC approval):☐Submitted ☐ Approved

3. Have student or faculty applicants received URCA support for this or any other projectsince September 2017 or do they currently hold funding through the URCA program?☐Yes ☐NoIf yes, which type? ☐SURF ☐MAYS ☐RPGIf the applicant holds funding in the current cycle, specify name of applicant and awardamount:

4. Does the student have another proposal under consideration by URCA during the currentcycle? ☐Yes ☐NoIf yes, what type of grant proposal is it? ☐SURF ☐MAYS ☐RPG

5. Does the faculty mentor have another proposal under consideration by URCA during thecurrent cycle? ☐Yes ☐NoIf yes, what type of grant proposal is it? ☐SURF ☐MAYS ☐RPG

6. Is there another internal proposal current or pending for this research/creative work?☐Yes ☐NoIf yes, please list the source(s) as well as amount of request and dates of award:

7. Is there an external proposal current or pending for this research/creative work?☐Yes ☐NoIf yes, please list the source(s) as well as amount of request and dates of award:

8. Does the project involve biohazards or other safety issues? ☐Yes ☐No

9. Does the project have potential for copyright or invention? ☐Yes ☐No

FERPA WAIVER The Family Educational Rights and Privacy Act (FERPA) of 1974 establishes the rights of students with regard to educational records. The act makes provision for inspection, review and amendment of educational records by the students and requires, in most instances, prior consent from the student or their parent/guardian if under the age of 18 for disclosure of such records to third parties. The consent must be in writing, signed and dated by the student and must specify records to be released, reason for release, and the names of the parties whom such records shall be released. The act applies to all persons formerly and currently enrolled at an educational institution. Access to educational records does not give permission to make changes to the student’s record. For more information visit: http://www2.ed.gov/policy/gen/guid/fpco/ferpa/index.html

I hereby give permission for the College of Charleston Undergraduate Research and Creative Activities personnel and committee members to obtain

• information concerning my academic transcript• information concerning my academic advising notes• information concerning my in-class performance and grades

This waiver will be in effect as long as I am a student at the College of Charleston, or seeking the services of faculty and staff on the College of Charleston campus.

Signatures (Required for All participants): Please read the SURF Guidelines prior to signing this page. Signatures below indicate awareness of and intention to follow appropriate Program, FERPA Waiver, Departmental, School, College and State rules and regulation for conducting projects, travel, and expenditure of funds.

Undergraduate Applicant: ________________________________________________________ Signature Date

Faculty/Mentor Applicant: ________________________________________________________ Signature Date

Faculty/Mentor Applicant: ________________________________________________________ Signature Date

Chair: I acknowledge that the above student and faculty mentor(s) are applying for URCA Funding and that the funds for successful proposals will be transferred into the departmental R & D account for dispersal based on the budget included in this proposal.

Chair: ________________________________________________________________________ Signature Date

Proposed Budget Table

I II III IV V

SURF Funding Requested*

Dept/School Other

Internal Support for

Project

External Support for

Project

Total Cost of SURF Project (Add Columns I-IV for each

row) For Use Prior to June 30

For Use After July 1

A. Student Salary(taxable amount)

B. Faculty Salary(taxable amount)

C. Student Travel**

D. Faculty Travel**

E. Supplies &MaterialsF. OtherG. Total Costs PerColumn (Add valuesfrom cells A-F foreach column)TOTAL SURF REQUEST: (Add values from cells G-I + G-II)

Faculty Mentor Recommendation Form – One Form per Mentor (Please print, complete, and attach aletter of support. Submit the form and the letter in a sealed envelope that is signed on the flap with Part I). All Letters of Support will be scanned and uploaded by URCA program staff into the student’s electronic file.

This section is to be completed by the student applicant:

Student Applicant Name: ______________________________________

The student applicant named above requests that the faculty mentor named above submits a letter of recommendation as part of the SURF application. The student must indicate whether or not he/she will waive the right of subsequent access to this recommendation letter.

_____ I do waive my right of subsequent access to this recommendation form.

_____ I do not waive my right of subsequent access to this recommendation form.

______________________________________________________________________________ Signature of Student Applicant Date

This section is to be completed by the project mentor.

For how long have you known the student applicant? ___________________________________

Nature of your past interactions (if any) with student applicant: (circle all that apply)

teacher / student mentor / researcher advisor / student social settings

other (please explain)______________________________________________

Please rate the student applicant on a scale of 1 - 5 (5 being the highest, N.O. for not observed) in comparison to other students at the College of Charleston.

Independence: ____

Knowledge appropriate to the project: ____

Critical thinking: ____

Work ethic: ____

Communication skills: ____

Creativity: ____

Ability to work with others: ____

Research potential: ____