Penn ID Number:
Local Phone Number:
Faculty Research Mentor (first name):
Faculty Research Mentor (last name):
Faculty Research Mentor’s Department
Faculty Research Mentor’s email:
Faculty Research Mentor’s Phone:
Please use the space provided for a brief abstract of your research.Write Here
Please use the space provided for as detailed a budget as you can provide.Write Here
Are you applying for, or have you applied for, any other research grants for this project during this semester?Write Here
Do you plan to continue your summer project into the next academic year? Please describe your plans.Write Here
Have you conducted research before? If so, briefly describe the project:Write Here
How was your prior research funded, and by whom?Write Here
Will any part of your research take place outside the US?
If yes, in what countries will you travel?
If you are receiving financial aid, please also contact the work-study office about summer work-study opportunities.
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