RPA: Research Presentation Award Application

Research Presentation Award

Office of Undergraduate Research
Student Information
Name*

First NameLast Name
Email*
example@example.com
Student ID:*
Major:*
Please enter UNC if unknown at this time.
Year of Graduation / Class Year:*
Supervisor Information
Sponsoring Faculty*
Enter the name of your research mentor, supervisor, or PI.
Sponsoring Faculty Email:*
Please enter carefully!
Sponsoring Faculty Department/Affiliation:*
e.g. Biomedical Engineering, JHU Dept of Pediatrics, Women's Studies, etc.
Conference Information
Name of Conference:*
URL for Conference:
Conference City:*
Conference State or Country:*
Is the conference location outside the US?*

YesNo
Conference Dates:*
Will you present your research at this conference?*

YesNo
Presentation Title:*
Presentation Abstract:*
Please copy and paste the abstract you sent to the conference here.
Total Amount of Funds Needed: $*
Mentor, Lab/Dept, Conference funding (i.e., the TOTAL amount you are receiving from other sources): $*
You are expected to have already requested funding from your department and research advisor/PI.
Please itemize the amount above; list all sources from whom you have requested support and the amount awarded.*
e.g., PI/mentor=$1000, conference=$250, department=$500, remaining (needed) $500
Budget:*
Outline a budget of all costs related to this conference, such as hotel, transportation, registration, including other sources of funding, if applicable. e.g., Registration: $250 (covered by PI/mentor), Hotel: $400, Flight: $300, etc.
How will this conference support or expand your academic studies, research work, and/or professional goals?*
Resume:*

Browse Files
Upload your Resume here (save Resume using your first name). Cancelof
I understand that my application for funding is incomplete until my sponsoring faculty uploads a letter of support (an email with a link to upload a letter is generated automatically upon submission of this form).*

Yes, I understand that it is my responsibility to contact my recommender.
This form and all supporting documents must be submitted to the Office of Undergraduate Research at least two weeks before the start of the conference. Please direct all questions to 585-276-5306 or undergradresearch@ur.rochester.edu.
Should be Empty:

Research Presentation Award

Student Information

Supervisor Information

Conference Information