| I. |
|
NAME: |
|
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HIGHEST DEGREE: |
|
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DIVISION: |
|
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TELEPHONE EXTENSION: |
|
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TITLE OF PROPOSAL: |
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TOTAL HOURS
REQUIRED: |
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TOTAL FUNDS
REQUESTED: |
| II. |
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ANSWER THE FOLLOWING
QUESTIONS: |
|
|
| A. |
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Does your research
involve human subjects? If so, attach a copy of the letter indicating
approval by the Committee for Use of Human Subjects in Experimentation. |
| B. |
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Does it involve
hazards to the investigator? |
| C. |
|
Have you made,
or do you plan to make, efforts to obtain outside funding? |
| D. |
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Have you received
previous grants from this Committee? |
| E. |
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Did publication
result from those grants? |
| F. |
|
Please attach separate sheets giving details of all yes
answers. |
|
| III. |
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THE PROPOSED
RESEARCH (Use additional pages as needed.)
Include within your proposal: |
|
|
| A. |
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A short narrative describing
the project including introduction, significance and nature of the research,
and a brief description of methodology. |
| B. |
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A bibliography of literature
pertinent to this research. |
| C. |
|
A list of your previous research
relevant to this proposal. |
| D. |
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Statement of intent of publication
and relevant journals. |
| E. |
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Budget itemized to include
breakdown of salary (includes travel, living expenses, etc., and tax is withheld
from this portion) and commodities/supplies (anything which can be acquired
with an MUW purchase order). |
| F. |
|
Vita. |
|
| IV. |
|
Signature
of Proposer:
Date:
|
| V. |
|
Signature
of Department Chair (for his/her information only):
Date:
|
