Scholarship Facilitation Fund Application Form

Principal Investigator (PI) Name*

First Last

PI Email*

Please use a university email address

PI Title*

PI Department*

Grant Program

Deadline*

June 1 for projects initiated between July 1 – December 31
December 1 for projects initiated between January 1 – June 30

Total Budget Requested*

Please enter a value between 0 and 2000.

Funding Category*

Please Specify Other Funding Category

Provide Sufficient Rationale for Other Funding Category

Key Personnel

List Co-PIs and other Key Personnel, Department, and Role on Project (if none, so state):*

Name	Department	Role on Project

Project Description

Project Title*

Limited to 200 characters

Project Dates

Proposed Start Date*

Proposed End Date*

Project Description*

Describe the activities you wish to undertake in this project, the outcomes/products that these activities will enable, and your proposed timeline for these activities. (Limit: 2000 characters/250 words)

Budget and Justification*

Break down the costs related to this project and provide justification as to why each is necessary and reasonable for the work described in the project description. (Limit: 2000 characters / 250 words)

Funding Need*

Specify any other sources of funding you have available for this project. You should include external funding earmarked for this project, available start-up or IDC funds, and any cost-matches that have been offered by department or school/college. Please also describe the importance of SFF funding for the continuation/success of the project. (Limit: 2000 characters / 250 words)

Compliance

Are human subjects involved?*

Yes
No

If human subjects are involved, have the required forms been submitted?

Yes
No

Are vertebrate animals involved?*

Yes
No

If vertebrate animals are involved, have the required forms been submitted?

Yes
No

Are recombinant DNA, biological agents, or toxins involved?*

Yes
No

If recombinant DNA, biological agents or toxins are involved, have the required forms been submitted?

Yes
No

Award Management

Please identify the name, email address and department of the person who will manage the award if it is funded.

Name of Award Manager

First Last

Email of Award Manager

Department of Award Manager

Additional Information

Comments

Limited to 900 characters (about 150 words)

Email

This field is for validation purposes and should be left unchanged.

UConn Logo University of Connecticut UC Title Fallback

Office of the Vice President for Research