GSA Research Grant Application

GSA Research Grant Application

Please refer to our website for more information: https://gsa.umbc.edu/grants-program/
Name*

First NameLast Name
UMBC E-Mail*
This email will be used to contact you so please ensure that it is your correct UMBC email address.
UMBC Student ID*
Phone Number*
Format: (000) 000-0000.
Name of UMBC Graduate Program*
Visit https://gradschool.umbc.edu/admissions/programs/ to locate your program.
Under which Discipline does your program fall?*
Which best describes your enrollment status?*
How many credits have you completed in your program?*
What is the title of your work?*
Please complete the following information about your mentor or Graduate Program Director.

Once your application has been submitted, they will be notified and will have to submit their support for your research.
Name*

First NameLast Name
Email*
example@example.com
Title (Director, Professor etc)*
Department*
If your research grant requires travel, after you have received an email from GSA awarding your Research Grant and the amount, you will be required to complete a pre approval travel form within three business days : https://docusign.umbc.edu/secure/prd/tr/travel.php
Will you need to travel as a part of your work?*

YesNo
Departure

MonthDayYear
Date
Return

MonthDayYear
Date
Leaving From (City, State, Country)
Destination (City, State, Country)
Submit Travel Pre-Approval Here If You Have Started The Travel Pre-Approval Process:

https://gsa.umbc.edu/grants-2/
Cancelof
Have you secured additional funding?*

YesNo
If yes, how much and from where?
Does your department have funds available to support your work?*

YesNoUnsure
Have you been awarded a GSA Professional Development Grant or Research Grant in this fiscal year (July 1-June 31)?*

YesNoUnsure
Anticipated Budget

Please provide a detailed estimated budget for participating in this event.
Incentives for Participants
Art and/or Research Supplies
Transportation Costs(Airfare/rail/bus/taxi/rideshare/mileage...)*
Parking Fees/Tolls*
Lodging*
Printing Costs*
Registration*
Food*
Medical Expenses Required By Travel*
Other*
Total Anticipated Budget Including all costs
Please indicate the amount that you personally will provide.*
Please indicate the total amount that will be provided by outside sources (departmental funds etc.)*
Please indicate the total amount of funds that you are requesting from GSA. The maximum amount awarded is $1,000.*
This is the amount that will be considered by the Grants Review Panel.
Please provide a detailed bulleted list describing each anticipated expense listed above. Be sure to use the headings we provided.*
In the space below, please provide a detailed description of your work (100-200 words).*
In the space below, please provide why this grant is essential for the completion of your work (100-200 words). The more detail you provide, the more likely your grant will be considered for funding. *
Once your application is complete, it will be assigned to three (3) reviewers. By electronically signing below, you acknowledge that although attempts will be made to eliminate potential program-related bias, there may be some unintended program-related bias if your Discipline (as noted above) has not provided adequate representation to the Grants Review Panel.*
Should be Empty:

GSA Research Grant Application

Please complete the following information about your mentor or Graduate Program Director.

Anticipated Budget