curf - Center for Undergraduate Research & Fellowships

Penn

First Name:

Last Name:

Penn ID Number:

Local Phone Number:

Penn Email:

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.

Please use the space provided for as detailed a budget as you can provide.

Are you applying for, or have you applied for, any other research grants for this project during this semester?

Do you plan to continue your summer project into the next academic year? Please describe your plans.

Have you conducted research before? If so, briefly describe the project:

How was your prior research funded, and by whom?

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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