Scripps College Fellowship for Undergraduate Research on the Environment

Name*

First Name

Initial

Last Name

Student ID#*

Email*

Campus Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Permanent Address

Address Line 1

Address Line 2

City

State

ZIP Code

Phone*

Class Year*

Major (if declared)

Fellowship type*

Semester*

Please indication which semester you will be conduction your research

Does your project involve work with human participants?*

Yes No

If yes, when did you apply to the Institutional Review Board(IRB)?

Please provide a copy of your IRB approval

Does your project invovle work with animals?*

Yes No

If yes, when did you apply ot the KS Insitutional Animal Care & Use Committee(IACUC)?

Please provide a copy of your IACUC approval

Sponsoring Professor*

First Name

Last Name

Sponsoring Professor Email*

Project Abstract*

Project description & Supporting Info*

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Please upload all required forms here. (Project Descriptions, Unofficial Transcripts, Budget Justification)

File Upload

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Project Descriptions, Unofficial Transcripts, Budget Justification, Letter of Rec.

File Upload

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File uploads may not work on some mobile devices.

Project Descriptions, Unofficial Transcripts, Budget Justification, Letter of Rec.

Student Signature*

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