curf - Center for Undergraduate Research & Fellowships

Penn

Mazzatenta Award Application

First Name:

Last Name:

Penn ID Number:

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

Current overall GPA:

Primary Major:

Secondary Major:

Expected Graduation Year

Local Address 1:

Local Address 2:

City:

State:

Zip Code:

Local Phone Number:

Penn Email:

Proposed Project Title:

Funds Requested ($):

Identify Other Opportunities for Support, if any:

Short Abstract; Objectives & Methodology; and Itemized Budget (Please name the file using your pennkey, all lower-case). Please submit one .pdf file. Docx, doc, png, jpg, htm, html, or any other non-.pdf format will be grounds for non-consideration of your application. Name your file with your PennKey name only (the alpha characters, not your PennID Number).

Is the project affiliated with a course or independent study? Please give course number:

Will any part of your research take place outside the US?

If yes, in what countries will you travel?


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