curf - Center for Undergraduate Research & Fellowships

Penn

Gutmann-Doyle Research Opportunity Fund

First Name:

Last Name:

Penn ID Number:

School (select all that apply using CTRL+click):

Primary Major:

2nd Major/Minor:

Address 1:

Address 2:

City:

State:

Zip Code:

Local Phone Number:

Penn Email:

Faculty Recommender (first name):

Faculty Recommender (last name):

Faculty Recommender’s Department:

Faculty Recommender’s e-mail:

Please briefly describe any non-class-based independent research you have previously been involved with or conducted on your own:

Please list here any other funding sources you are in the process of applying for, or that you currently have:

Will this funding be used to conduct a research project, cover expenses incurred during an internship, or to present research at a conference? Please briefly explain:

Please give your best estimate as to your budget needs (transportation, housing, meals, etc.). We cannot fund supplies.

Please attach a .pdf, no more than two pages, describing your research project. No more than two pages, 12 point font, 1.5 spaced. Please name your file using your PennKey name, all lower-case.


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